Exam 1: Medication Errors: Improving Practices and Patient Safety

The nurse is providing care for a patient who received surgical intervention for mitral valve prolapse.The patient is taking Persantine (dipyridamole)75 mg po TID.The nurse recognizes the medication is effective by which of the following patient outcomes?

What is the proper administration when an inhaled corticosteroid and a bronchodilator are scheduled for the same time frame?

The nurse is caring for a patient receiving treatment for viral pneumonia.The nurse notes the patient has a persistent cough that is interfering with the patient's ability to sleep.Which of the following medications should the nurse provide?

The student nurse is participating in discharge teaching for the parents of a 2-year-old patient diagnosed with impetigo who have been given a prescription for Bactroban (mupirocin).The student understands that this medication is provided in which of the following forms?

The nurse is providing care for a patient who is being considered for treatment with Actonel (risedronate).Prior to initiating therapy,the nurse should evaluate the results from which of the following diagnostic tests?

The nurse is caring for a patient who is to start taking Carbolith (lithium)300 mg three times daily.Which of the following statements should be included in the patient teaching? Select all that apply.

The nurse is preparing to provide Norvasc (amlodipine)to a 69-year-old patient with a history of multifocal premature ventricular contractions (PVCs).His cardiac monitor has shown normal sinus rhythm with rare PVCs for the past 24 hr.Which of the following assessment findings would cause the nurse to withhold the medication? Select all that apply.

The nurse is caring for a patient being treated for tuberculosis who is taking INH (isoniazid).Which of the following statements indicates the need for further teaching?

The nurse is counseling a patient started on Zithromax (azithromycin)for the treatment of an upper respiratory infection.The nurse recognizes that teaching has been effective by which of the following patient statements?

A nurse working in the psychiatric unit receives report for a new patient being admitted with symptoms of depressive disorder and possible schizophrenia.The nurse knows the treatment regimen may include which of the following medications? Select all that apply.

Prior to initiating continuous drip intravenous therapy with dopamine,the nurse checks the infusion bag that lists 250 mg dopamine has been added to 250 mL of 0.9 NS.The nurse determines the concentration,expressed as mg/mL,is ____________________.

The nurse is caring for a patient who needs emergency surgery.The patient's history includes daily use of Coumadin (warfarin).Which of the following medications should the nurse anticipate being ordered?

The nurse is caring for a patient in the intensive care unit with an NG tube to low intermittent suction after bowel surgery.Morning lab results include the following: Na⁺ = 136 mEq,K⁺ = 3.3 mEq,Cl- = 100 mEq,Ca⁺⁺ = 10 mg/dL.The patient has scheduled medications,which include potassium bicarbonate/potassium chloride 40 mEq via NG and Lasix (furosemide)20 mg intravenous push daily.Which of the following actions should the nurse take next?

A patient was started on Fragmin (dalteparin).Which of the following assessment findings should cause concern?

The nurse is transcribing new orders for a patient with multiple sclerosis.Amrix (cyclobenzaprine)10 mg orally three times daily has been ordered.Which of the following would require an immediate intervention by the nurse?

The nurse receives a call from a patient who recently began taking Zyrtec (cetirizine)5 mg daily.The patient reports that her mouth frequently feels dry.Which of the following responses by the nurse is best?

Which is the preferred route for administration of Vitamin B₁₂ (cyanocobalamin)?

The nurse is preparing to provide the first dose of Maxipime (cefepime)1 gm in 50 mL D5W via intravenous piggyback to a patient diagnosed with febrile neutropenia.Place the following steps in the appropriate order:

A nurse working in hospice is providing care for a patient recently started on a transdermal fentanyl patch.Which of the following statements,made by the patient's caretaker,indicates further teaching is required?

While talking to a teen who stopped taking tetracycline)a couple of weeks ago,the nurse learns the teenager has been having diarrhea and abdominal cramping for the past few days.Which of the following responses by the nurse is best?