Unit 2

The nurse uses a newly admitted​ client's armband barcode to identify the client prior to administering medications. The nurse should use at least ___other means of identifying this client.

2 Even though the barcode identification system has improved​ safety, it is not foolproof. The nurse should use two other means of identifying the client such as verifying name and birth date.

The nurse who is writing a risk nursing diagnosis will write a ____ part statement.

2 Since risk diagnoses do not have evidence to support the chosen​ statement, they are written in two parts. Next Question

The nurse was very busy and unfamiliar with a new​ medication, but administered it anyway. Later the nurse looked up the medication. How does the nurse manager evaluate this​ behavior? A. This was acceptable as long as the nurse looked up the action and side effects of the drug later. B. An error could have occurred because the nurse was unfamiliar with the medication. C. An error did occur because the nurse could have administered the medication via the incorrect route. D. The nurse manager was partially at fault because the nursing unit was understaffed and the nurse was too busy.

An error could have occurred because the nurse was unfamiliar with the medication. Nurses should never administer a medication unless they are familiar with its uses and side​ effects; an error could have occurred because the nurse was unfamiliar with the medication. Next Question

The nurse has several educational pamphlets for the client about medications the client is receiving. Prior to giving the client these​ pamphlets, what is the most important assessment by the​ nurse? A. Assess the​ client's reading level. B. Assess the​ client's cultural bias toward taking medicine. C. Assess the​ client's ability to pay for the medication. D. Assess the​ client's religious attitudes toward medicine.

Assess the​ client's reading level. Educational pamphlets are ineffective if the reading level is above what the client can understand.

A client with hypertension is receiving medication to lower his blood pressure. Which nursing action demonstrates the evaluation process related to medication​ administration? A. Determination of the​ client's baseline blood pressure B. Determining that goals were not met 3 days following medication administration C. Administration of IV antihypertensive agents D. Asking the client if they have adhered to the prescribed treatment

Determining that goals were not met 3 days following medication administration Evaluation is the final step in the nursing process where goal attainment is determined.

The Joint Commission documented that client education was deficient on several​ medical-surgical units of a local hospital. A nursing committee was formed to address this problem. What is the best intervention to improve client​ education? A. Requesting more frequent pharmacy consults for the clients. B. Asking the healthcare providers to provide medication education to the clients. C. Discussing medications each time they are administered to clients. D. Providing educational pamphlets about medications to the clients

Discussing medications each time they are administered to clients. Discussing medications each time they are administered is an effective way to increase the amount of education provided.

Which information is essential for the nurse to collect when reviewing a​ client's medication​ list? Select all that apply. A. Drug names B. Drug manufacturer C. Dosage being taken D. Frequency of administration E. When last refill was obtained

Drug names Dosage being taken Your answer is correct. D. Frequency of administration

A nurse is planning to teach a client about a new medication. What is the best teaching​ method? A. Leave written drug information and instructions at the bedside. B. Give the client oral and written drug information and instructions. C. Instruct the client that their local pharmacy will teach them about this medication. D. Provide oral drug information and instructions as opposed to written.

Give the client oral and written drug information and instructions. Clients should be provided with oral and written drug information and instructions prior to discharge. Next Question

A nurse manager is discussing medication errors with a group of nurses. Which statement by the nurses indicates the teaching was​ effective? A. A nurse who observes the five rights will prevent all medication errors from occurring. B. Handwritten orders are more frequently associated with medication errors than are typed orders. C. Nurses are always liable when a medication error occurs. D. An incorrect dose​ (based on​ weight) is​ ordered, dispensed, and administered to a client. The administering nurse and ordering clinician would be the only parties held accountable.

Handwritten orders are more frequently associated with medication errors than are typed orders. Handwritten orders can be​ illegible, leading to higher medication error rates

The client is receiving albuterol​ (Proventil) for treatment of bronchospasm related to asthma. What is the primary nursing intervention as it relates to this​ medication? A. Monitor the​ client's serum drug levels. B. Provide the client with​ age-appropriate education about albuterol​ (Proventil). C. Monitor the client for relief of bronchospasms. D. Monitor the client for nausea and headache.

Monitor the client for relief of bronchospasms. Monitoring drug​ effects, in this​ case, the relief of bronchospasms is a primary intervention that nurses perform. Next Question

Which nursing intervention would take priority following administration of a new​ medication? A. Measuring​ client's weight daily B. Administering additional medications if side effects occur C. Evaluate the results of recent labs D. Monitoring the​ client's respiratory status

Monitoring the​ client's respiratory status Any time a new medication is provided to the​ client, it is important to monitor for an allergic reaction.​ Anaphylaxis, a​ life-threatening allergic​ reaction, can impair breathing.

A nurse is assessing a client recently admitted to the unit. The nurse understands that which assessment identifies the collection of objective​ data? A. The client states he or she is anxious. B. The client informs the nurse that he or she weighs 150 pounds. C. The client has a wound measured at 5 cm in length. D. The client rates his or her pain a 5 on a 0-10 pain scale.

The client has a wound measured at 5 cm in length. Objective data are gathered through physical​ assessment, laboratory​ tests, and other diagnostic sources.

The nurse is assessing a newly admitted​ client's current medication. Which of the following is an example of objective​ data? A. The​ client's wife tells the nurse what medications the client has been receiving. B. The client lists the medications that have been prescribed. C. The nurse asks the healthcare provider what medications the client was currently taking. D. The nurse checks the prescription bottles the client has brought to the hospital.

The nurse checks the prescription bottles the client has brought to the hospital. Objective data includes information gathered through​ assessment, and not​ necessarily, what the client says or perceives. The most reliable and objective assessment by the nurse is to check the​ client's prescription medication bottles. Next Question

The nurse is on a committee to reduce medication errors in a large healthcare facility. What is a recommendation the nurse proposes that will most likely help to reduce medication​ errors? A. Designate nurses whose only function is to administer medication. B. Train medication technicians to administer medications. C. Use robots to prepare all medications for administration by the nurse. D. Use​ automated, computerized cabinets on all nursing units.

Use​ automated, computerized cabinets on all nursing units. To help reduce medication​ errors, many healthcare agencies are using​ automated, computerized, locked cabinets for medication storage on patient care units.

The nurse is reviewing the steps of the nursing process with a student. The nurse knows that the student understands the teaching when the student correctly lists which of the following as the correct order of the nursing​ process? A. Establish​ goals, assessment,​ intervention, planning, communication B. ​Assessment, establish nursing​ diagnosis, planning,​ interventions, evaluation C. Establish nursing​ diagnosis, assessment,​ intervene, collaborate, evaluation D. ​Assessment, planning, establish​ objectives, communication, evaluation

​Assessment, establish nursing​ diagnosis, planning,​ interventions, evaluation The primary steps​ (in order) include​ assessment, establish nursing​ diagnosis, planning,​ interventions,

The nurse follows the nursing process when conducting medication education about insulin. What will the nurse ask the client to evaluate the​ client's knowledge of​ insulin? A. "Can you recognize when you are experiencing​ hypoglycemia?" B. ​"What questions do you have about​ insulin?" C. ​"Is your abdomen the best place to inject​ insulin?" D. ​"Can you tell me four points you remember about how to take your​ insulin?"

​D. "Can you tell me four points you remember about how to take your​ insulin?" The nurse is evaluating the effectiveness of medication education by asking the patient for feedback from the education provided.

A student nurse asks a nursing instructor which federal agency responsible for reviewing all medication errors reports. What is the nursing​ instructor's best​ response? A. Medication errors are never acceptable. National Coordinating Council for Medication Error Reporting and Prevention​ (NCC MERP) B. ​FDA's Division of Medication Error Prevention and Analysis​ (DMEPA) C. Risk Management department at the healthcare facility in which it occurred D. Centers for Disease Control​ (CDC)

​FDA's Division of Medication Error Prevention and Analysis​ (DMEPA) The federal agency responsible for reviewing all medication error reports is DMEPA. Next Question

The nurse teaches a class to clients about how to help prevent medication errors when in the hospital. What is the most important question for the nurse to ask the​ clients? A. ​"Do you have a friend to verify that you are receiving the correct​ medication?" B. ​"Do you know the names of all the medications you​ take?" C. ​"Do you know what your illness​ is, and if you will need​ surgery?" D. ​"Do you trust your healthcare provider to order the correct​ medication?"

"Do you know the names of all the medications you take?" Knowing the names of all medications taken can reduce drug errors when a client is admitted to the hospital. Next Question

When teaching the client about a new​ medication, the nurse should include which​ information? Select all that apply. A. Adverse effects that can be expected B. Which adverse effect to report to the healthcare provider C. The​ drug's therapeutic action D. Chemical composition of the drug E. Name of the drug manufacturer

A. Adverse effects that can be expected Your answer is correct. B. Which adverse effect to report to the healthcare provider Your answer is correct. C. The​ drug's therapeutic action

The nurse is working hard to prevent medication errors. What interventions will assist the nurse in preventing most​ errors? Select all that apply. A. Always check the​ client's identification band prior to administration of medications. B. Open all of the medications immediately prior to administration. C. Tell healthcare providers that verbal orders will not be accepted. D. Record the medication on the medication administration record​ (MAR) immediately prior to administration. E. Validate all orders with another nurse prior to administration of medications.

A. Always check the​ client's identification band prior to administration of medications. B. Open all of the medications immediately prior to administration. C. Tell healthcare providers that verbal orders will not be accepted.

The nurse makes a medication​ error, but the client is not harmed. The​ client's family asks the nurse manager what is considered a medication error. How should the nurse manager​ respond? Select all that apply. A. Failure to follow healthcare​ provider's orders. B. Failure to give the right medication. C. Failure to give a medication at the ordered time. D. Failure to call the pharmacy and report that the medication has been given. E. Failure to give the right dose of the medication.

A. Failure to follow healthcare​ provider's orders. B. Failure to give the right medication. C. Failure to give a medication at the ordered time. E. Failure to give the right dose of the medication.

A community health nurse is preparing a teaching plan regarding medications and their potential adverse effects for a new parent class. The nurse should encourage parents to do which of the​ following? Select all that apply. A. Maintain a list of current medications for each child. B. Be aware of each​ child's medication allergies. C. Know what the​ child's prescribed medication is​ for, how it should be​ administered, and when to expect the child to feel better. D. Be aware that any leftover medication should be appropriately disposed​ of, not saved for future use. E. Read the prescription label for any foods the child should avoid while taking the medication and for possible adverse effects to watch out for.

A. Maintain a list of current medications for each child. B. Be aware of each​ child's medication allergies. C. Know what the​ child's prescribed medication is​ for, how it should be​ administered, and when to expect the child to feel better. D. Be aware that any leftover medication should be appropriately disposed​ of, not saved for future use.

A nurse is preparing care for a newly admitted client with diabetes. Which information would be critical for the nurse to​ assess? Select all that apply. A. Medical history B. Current lab results C. Medication allergies D. Use of dietary supplements E. Number of previous hospitalizations

A. Medical history B. Current lab results C. Medication allergies D. Use of dietary supplements

A nurse on the​ medical-surgical unit is caring for several very ill clients. One client​ says, "I was supposed to get my medications an hour​ ago." The nurse recognizes that medication errors can have what​ impact? Select all that apply. A. Medication errors can potentially extend the​ client's length of hospital stay. B. Medication errors can result in expensive legal costs to the facility. C. Medication errors can damage the​ facility's reputation. D. Medication errors can be physically devastating to nurse and client. E. Medication errors cause preventable deaths during hospitalizations.

A. Medication errors can potentially extend the​ client's length of hospital stay. B. Medication errors can result in expensive legal costs to the facility. C. Medication errors can damage the​ facility's reputation. E. Medication errors cause preventable deaths during hospitalizations.

The nurse has been hired to work in the risk management office of a hospital. What situations would the nurse expect to be included in this​ job? Select all that apply. A. Participating in the investigation of a sentinel medication event B. Using the computer to track data C. Working with staff nurses to identify work flow problems D. Meeting with the nurse executive to identify nurses who are prone to medication errors E. Participating in a committee who will recommend changes to the policy and procedures regarding medication administration.

A. Participating in the investigation of a sentinel medication event B. Using the computer to track data C. Working with staff nurses to identify work flow problems E. Participating in a committee who will recommend changes to the policy and procedures regarding medication administration.

During​ evaluation, the​ nurse, client, and healthcare provider determine that the goals of antibiotic therapy have not been met. What actions are​ indicated? Select all that apply. A. Review the dosage of the medication B. Consider checking serum drug levels C. Discard the idea that the infection is treatable D. Consider prolonging therapy E. Consider using a different antibiotic

A. Review the dosage of the medication B. Consider checking serum drug levels D. Consider prolonging therapy E. Consider using a different antibiotic The dosage may not be correct for the individual client. In some​ instances, checking serum drug levels will help identify if the dosing schedule is adequate. The drug may work if given more time. The infection may require use of a second antibiotic.

The nurse is preparing a teaching plan for an older client who is taking multiple medications. Which principles should the nurse keep in mind during the planning​ phase? Select all that apply. A. The client should have all prescriptions filled at the same pharmacy. B. The client should keep a list of all medications for easy accessibility. C. Older clients often take multiple drugs which is a common cause of medication errors. D. Polypharmacy is unique to older clients and is the most common cause of medication errors. E. The client should be aware of each prescribed​ medication, the​ dose, and possible side effects.

A. The client should have all prescriptions filled at the same pharmacy. B. The client should keep a list of all medications for easy accessibility. C. Older clients often take multiple drugs which is a common cause of medication errors. E. The client should be aware of each prescribed​ medication, the​ dose, and possible side effects.

The nurse is beginning medication reconciliation for a newly admitted client. What should the nurse include in this​ list? Select all that apply. A. The client takes ibuprofen for an occasional headache. B. The client mixes a powdered form of vitamin C into his morning orange juice. C. The client applies essential oils to his forehead to help with his or her allergies. D. The client drinks milk fortified with vitamin D. E. The client takes a prescription medication for osteoporosis once a week.

A. The client takes ibuprofen for an occasional headache. B. The client mixes a powdered form of vitamin C into his morning orange juice. C. The client applies essential oils to his forehead to help with his or her allergies. E. The client takes a prescription medication for osteoporosis once a week.

The nurse recognizes that agency system checks are in place to decrease medication errors. Who commonly collaborates with the nurse on checking the accuracy of the medication prior to​ administration? A. The pharmacist B. The nursing supervisor C. The nursing unit manager D. The healthcare provider

A. The pharmacist Pharmacists and nurses must collaborate on checking the accuracy and appropriateness of drug orders prior to client administration.

The nurse assesses the client with diabetes mellitus prior to administering medications. Which questions are important to ask the​ client? Select all that apply A. ​"Are you allergic to any​ medications?" B. ​"Are you taking any herbal or​ over-the-counter (OTC)​ medications?" C. ​"How difficult is it for you to maintain your ideal body​ weight?" D. ​"Will you please tell me about the kind of diet you​ follow?" E. ​"What other medications are you currently​ taking?"

A. ​"Are you allergic to any​ medications?" B. ​"Are you taking any herbal or​ over-the-counter (OTC)​ medications?" D. ​"Will you please tell me about the kind of diet you​ follow?" E. ​"What other medications are you currently​ taking?"

The client is receiving an oral antibiotic as treatment for cellulitis of the lower extremity. The​ client's outcome is​ "Client will state a key point about antibiotic treatment for​ cellulitis." Which statement would the nurse evaluate as best indicating this outcome has been​ met? A. ​"I need to take all the pills even if my leg looks​ better." B. ​"If the swelling​ continues, I can apply an ice​ pack." C. ​"I must keep my leg elevated until the swelling goes​ down." D. ​"If the pain gets too​ bad, I can take my prescribed pain​ medication."

A. ​"I need to take all the pills even if my leg looks​ better." Taking all the medication even if the leg looks better is a key point about antibiotic therapy and meets the​ client's outcome.

A client returns to the clinic for​ follow-up after taking a newly prescribed medication for a month. The nurse recognizes medication teaching was successful when the client makes which​ statement? Select all that apply. A. ​"I've been taking my medication on an empty stomach like the prescription label said​ to." B. ​"I take my medication first thing in the​ morning, just like you​ said." C. ​"I have been able to decrease my medication to every other day and that saves me some​ money." D. ​"I switched all my medications to one pharmacy like you​ suggested." E. ​"Did you say I need to take this medication with water or​ milk?"

A. ​"I've been taking my medication on an empty stomach like the prescription label said​ to." B. ​"I take my medication first thing in the​ morning, just like you​ said." D. ​"I switched all my medications to one pharmacy like you​ suggested."

A new nurse on the orthopedic floor makes a medication error. Which statements by the nurse manager foster a safe environment in which nurses will report medication​ errors? Select all that apply. A. ​"Many of us have made a medication error in our careers. The most important issue is to identify why the error​ occurred." B. ​"I know you could not feel any worse than you already do. We need to discuss how this error happened and how we can prevent it from happening​ again." C. ​"It's really good that your client is OK and did not suffer any harmful effects of this error. We should discuss why this error occurred and how it can be prevented in the​ future." D. ​"Because you are a new​ nurse, we should sit down and discuss the procedure you followed to see what you could have done to prevent this​ error." E. ​"We need to sit down as soon as possible and write up an incident report describing everything you did incorrectly that caused this​ error."

A. ​"Many of us have made a medication error in our careers. The most important issue is to identify why the error​ occurred." B. ​"I know you could not feel any worse than you already do. We need to discuss how this error happened and how we can prevent it from happening​ again." C. ​"It's really good that your client is OK and did not suffer any harmful effects of this error. We should discuss why this error occurred and how it can be prevented in the​ future." D. ​"Because you are a new​ nurse, we should sit down and discuss the procedure you followed to see what you could have done to prevent this​ error."

The risk management department is using a​ root-cause analysis to improve a nursing​ unit's medication administration accuracy. What questions will be used to develop this​ tool? Select all that apply. A. ​"What kind of errors are​ occurring?" B. ​"What is the current medication administration accuracy​ rate?" C. ​"How do the unit nurses rank in the number of errors​ committed?" D. ​"What do the nurses think can be done to prevent errors from​ continuing?" E. ​"What is the impact of changes made to improve​ accuracy?"

A. ​"What kind of errors are​ occurring?" B. ​"What is the current medication administration accuracy​ rate?" D. ​"What do the nurses think can be done to prevent errors from​ continuing?" E. ​"What is the impact of changes made to improve​ accuracy?"

The nurse in the emergency department administers an adult dose of an antibiotic to a​ 3-month-old baby. As a​ result, the baby suffers permanent brain damage. What best describes the effect of this error on the healthcare​ facility? A. The morale of the staff involved will be decreased. B. The reputation of the healthcare facility will suffer. C. The professional license of the nurse will be lost. D. The healthcare facility will pay a very large settlement.

A. The morale of the staff involved will be decreased. Medication errors that result in permanent damage increase​ self-doubt and destroy the morale of all staff​ involved; some may choose to leave the nursing profession. Next Question

The nurse is reviewing the steps of the nursing process with a student. The nurse is aware that it is most important to be accurate in which portion of the nursing​ process? A. Evaluation B. Assessment C. Planning D. Diagnosis

Assessment Assessment is the basis for the development of the rest of the steps of the nursing process. While the nurse always strives to be​ accurate, inaccuracies in assessment will translate as inaccuracies in the remaining steps.

A series of category E medication errors have occurred on a hospital unit. When discussing this trend with the nursing​ staff, the risk manager would list which characteristics of a category E​ error? Select all that apply. A. The error contributed to the death of a client. B. A client was harmed. C. No interventions to sustain life were required as a result of the error. D. Harm to the client was permanent. E. The​ client's hospitalization was prolonged as a result of the error.

B. A client was harmed. C. No interventions to sustain life were required as a result of the error.

Which statement about the nursing process is​ accurate? A. ​Generally, goals are more measurable than outcomes. B. Obtaining the outcomes is essential for goal attainment. C. After selecting the nursing​ diagnosis, interventions are completed. D. Goals involve very specific criteria that evaluate interventions.

B. Obtaining the outcomes is essential for goal attainment. Outcomes are​ specific, measurable criteria that are used to measure goal attainment. Next Question

Medication reconciliation has been started for a newly admitted client. At which points would the nurses and others caring for this client check this​ list?Select all that apply. A. Each time that medications are administered to the client. B. When initial admission orders are received. C. When the client is transferred to a different unit within the hospital. D. When the client is discharged. E. If a medication error occurs.

B. When initial admission orders are received. C. When the client is transferred to a different unit within the hospital. D. When the client is discharged.

The nursing supervisor tells a nurse that the medication error the nurse made yesterday has been determined to be a sentinel event. What should the nurse expect to​ occur? Select all that apply. A. Her employment will be terminated. B. Her personal malpractice insurance company will be notified. C. An immediate investigation will occur. D. Interventions to prevent the error from occurring again will quickly be put in place. E. A​ root-cause analysis will be performed.

C. An immediate investigation will occur. D. Interventions to prevent the error from occurring again will quickly be put in place. E. A​ root-cause analysis will be performed.

A nurse has admitted a new client to the unit. Which concepts should the nurse use when developing a nursing​ diagnosis? Select all that apply. A. Base the nursing diagnosis on the medical diagnosis B. Focus on what the nurse needs to help the client return to health C. Include the client in the identification of needs D. Consider the​ client's response to the current health problem E. Be certain the diagnosis is measureable

C. Include the client in the identification of needs D. Consider the​ client's response to the current health problem Including the client in the formulation of nursing diagnoses encourages more active involvement in working toward meeting identified goals. A nursing diagnosis is a clinical judgment concerning human response to health conditions.

A nurse is developing a care plan for a client. Which client outcome statements are correctly​ formatted? Select all that apply. A. The client will understand the effects of the medication administered prior to discharge. B. The nurse will administer all medications with ten minutes of their scheduled time. C. The client will identify two adverse effects of enoxaprarin​ (Lovenox) prior to​ self-administering the drug. D. The client will verbalize the storage requirements for NPH insulin prior to discharge. E. The healthcare provider will discuss the desired effects of discharge medications with the client the evening before discharge.

C. The client will identify two adverse effects of enoxaprarin​ (Lovenox) prior to​ self-administering the drug. D. The client will verbalize the storage requirements for NPH insulin prior to discharge. "Identify" is a measurable​ verb, there is a specific measure to be evaluated and a time line is present. ​"Verbalize" is a measurable​ verb, there is a specific measure to be​ evaluated, and a time line is present.

The nurse makes a medication error and a client dies. In​ court, the attorney for the family of the deceased client asks the nurse if she followed standards of care in administering the medication. How would the attorney phrase this​ question? A. ​"Did you follow the healthcare​ provider's orders and​ double-check them before​ administration?" B. ​"Did you follow agency guidelines as in previous​ circumstances?" C. ​"Did you do what another nurse would have done under similar​ circumstances?" D. ​"Did you do the three checks and follow the five rights as taught in​ school?"

C. ​"Did you do what another nurse would have done under similar​ circumstances?" Standards of care refer to the actions that a reasonable and prudent nurse with equivalent preparation would do under similar circumstances. Next Question

What is the most significant role for nurses as defined by state nurse practice acts and by regulating bodies such as The Joint​ Commission? A. Discharging clients B. Ordering lab tests C. Prescribing medication D. Client teaching

Client teaching State nurse practice acts and regulating bodies such as the Joint Commission consider teaching to be a primary role for​ nurses, giving it the weight of law and key important accreditation standards.

The healthcare provider has prescribed a nitroglycerine​ (Nitrodur) patch for the client. The nurse understands that which of the following is the best outcome for this client as it relates to use of the​ medication? A. Client will be able to identify the expiration date of the medication prior to discharge. B. Client will demonstrate correct application of the patch prior to discharge. C. Client will verbalize three side effects of the medication prior to discharge. D. Client will state the reason for receiving the medication prior to discharge

Client will demonstrate correct application of the patch prior to discharge.

The nurse is preparing for medication administration to a group of clients. What is the best overall outcome for the​ clients? A. Clients will take the medications after receiving medication instruction. B. Clients will state the reason they are receiving the medications. C. Clients will experience minimal side effects after taking the medications. D. Clients will receive the best therapeutic outcome from the medications.

D. Clients will receive the best therapeutic outcome from the medications. Outcomes should focus first on the therapeutic outcome of the medications.

The nurse assesses an adverse effect of a medication that has been administered. Who should the nurse report this adverse effect​ to? A. Food and Drug​ Administration's (FDA) MedWatch Website. B. Food and Drug​ Administration's (FDA) Med MARX Website. C. Food and Drug​ Administration's (FDA) Safe Medicine Website. D. Food and Drug​ Administration's (FDA) Adverse Event Website.

Food and Drug​ Administration's (FDA) MedWatch Website. Adverse events with medication should be reported to the​ FDA's MedWatch Website. Next Question

A nurse is reviewing safe medication administration with a student nurse. What should the nurse plan to include in the​ teaching? A. Discontinue a medication at the request of a client B. Use abbreviations while charting to save time C. Administer medications intramuscularly when a client refuses to take it orally D. Give medications within the time frame specified by hospital policy

Give medications within the time frame specified by hospital policy Administering medications as specified by agency policy is meeting the standard of care.

The nurse is administering medications to an older adult. Which laboratory tests are most important for the nurse to assess prior to the administration of​ medication? A. Kidney and liver function tests B. Arterial blood gases​ (ABGs) and basic metabolic panel C. Lipid panel and thyroid function tests D. Complete blood count​ (CBC) and electrolytes

Kidney and liver function tests Renal and hepatic function tests are essential for many​ patients, particularly older clients and those who are critically​ ill, as these will be used to determine the proper drug dosage.

The nurse administers an evening medication to the client in the morning. What is the​ nurse's best initial course of action at this​ time? A. Notify the healthcare provider about the error. B. Tell the evening nurse to hold the evening dose just for tonight. C. Change the medication administration time to the morning. D. Document the incident in the​ client's health record.

Notify the healthcare provider about the error. Even though the medication went to the correct​ client, this is still considered a medication error. The​ nurse's first priority is to assess the client and contact the healthcare provider.

The nurse is preparing medications for a group of clients. Another nurse begins telling the nurse about her recent engagement. What is the best action by the first​ nurse? A. Continue to prepare the medications for administration and pretend to listen to the first nurse. B. Tell the second nurse that the conversation is distracting and she must stop talking while medications are being prepared. C. Stop preparing medications until the second nurse has finished talking about her engagement. D. Ask the second nurse to help with administering medications so they can have more time to talk.

Tell the second nurse that the conversation is distracting and she must stop talking while medications are being prepared. When preparing​ medications, the nurse must focus entirely on the task at hand and instruct others who are talking to stop. Next Question

The healthcare provider has prescribed quetiapine​ (Seroquel) for the client with chronic auditory hallucinations. The client has stopped taking the medication. The nurse incorrectly uses the diagnosis of​ "noncompliance." In which situation would this diagnosis be​ appropriate? A. The client did not understand why the medication was prescribed. B. The client reported a physical change as the reason for stopping the medication. C. The client was unsure about how to order a refill for the prescription. D. The client made an informed decision not to take the medication.

The client made an informed decision not to take the medication. Noncompliance assumes that the client has been properly educated about the medication and has made an informed decision not to take it. Next Question

A nurse is preparing to administer a new drug that was just prescribed by the healthcare provider. The nurse recognizes that the wrong concentration of the drug was sent by pharmacy. What is the​ nurse's best​ response? A. The nurse informs the​ client, documents the error as per hospital​ policy, and notifies the healthcare provider. B. The nurse does not report the​ error, because the error was caught and corrected prior to drug administration. C. The nurse reports the error to the healthcare provider and the charge nurse but does not document the error due to possible legal action. D. The nurse does not report or document the​ error, since the error did not result in any harm to the patient.

The nurse informs the​ client, documents the error as per hospital​ policy, and notifies the healthcare provider. The nurse should report and document all medication errors whether the client was harmed or not.

The nursing instructor teaches the student nurses about how medication errors can occur. What information will the nursing instructor include in the​ presentation? Select all that apply. A. The nurse miscalculates the medication dose. B. The nurse does not check the​ client's identification band. C. The nurse does not validate an order with the healthcare provider. D. The nurse misinterprets a healthcare​ provider's order. E. The nurse administers the incorrect drug.

The nurse miscalculates the medication dose. Your answer is correct. B. The nurse does not check the​ client's identification band. D. The nurse misinterprets a healthcare​ provider's order. Your answer is correct. E. The nurse administers the incorrect drug.

A nurse is administering medications to a group of clients. Which situation is an example of a medication​ error? A. A client experiences unexpected hypotension as a result of medication administration. B. The wrong dose of a medication is drawn up but is caught and corrected prior to administration. C. A medication is administered in liquid form instead of tablet form due to the​ client's difficulty swallowing. D. A medication is administered to a client with no​ allergies, yet an anaphylactic response occurs.

The wrong dose of a medication is drawn up but is caught and corrected prior to administration. A medication error can occur even when it does not reach the client. These are category A errors

The nurse is managing care for several clients at a diabetic treatment center. The nurse understands that which of the following is the priority nursing​ intervention? A. To administer the correct medicine to the correct client at the correct dose and the correct time via the correct route B. To answer any questions the client may have about the​ medicine, or any possible side effect of the medication C. To include any cultural or ethnic preferences in the administration of the medication D. To return the client to an optimum level of wellness while limiting adverse effects related to the​ client's medical diagnosis

To return the client to an optimum level of wellness while limiting adverse effects related to the​ client's medical diagnosis Interventions are aimed at returning the client to an optimum level of wellness and limiting adverse effects related to the​ client's medical diagnosis or condition.

The nurse commits a medication error. The nurse documents the error in the​ client's record and completes the incident report. What does the nurse recognize as the primary reason for doing​ this? A. To protect the healthcare facility from litigation B. To verify that the​ client's safety was protected C. To protect the client from further harm D. To protect the nurse from liability

To verify that the​ client's safety was protected Documentation in the​ client's medical record and completion of an incident report verify that the​ client's safety was protected. Next Question

A nurse is administering medications to a client. The client​ states, "I've never taken that yellow pill​ before". What should the nurse do​ first? A. Contact the health provider to verify it is the correct medication and dose. B. Tell the client that some are made by different pharmaceutical companies and may look different. C. Verify the order and​ double-check the label. D. Reassure the client that the nurse has triple checked the drug so it is safe to take.

Verify the order and​ double-check the label. When a client questions a​ medication, the nurse should always verify the medication order and medication label again before administering it to the client to prevent medication errors.