Exam 1: Medication Errors: Improving Practices and Patient Safety

The nurse is preparing to provide medications for a patient newly admitted with a cerebral vascular accident who reportedly had difficulty swallowing pills during the previous shift.The nurse plans to crush the patient's medications and provide them in applesauce.Which of the following medications will require an alternative form of administration?

While caring for a client who chose to start taking Niacin (vitamin B₃)rather than a statin agent,the nurse determines that the treatment has been effective by which of the following findings? Select all that apply.

When taking Lunesta (eszopiclone),the following instructions should be followed.

While providing initial chemotherapy teaching for a patient who is scheduled to receive cisplatin for metastatic ovarian cancer,the nurse recognizes that teaching has been effective by which of the following client statements? Select all that apply.

The nurse is assisting in the care of a patient complaining of severe pruritis.Which of the following medications does the nurse anticipate being available on an as-needed basis for the patient?

Place the following steps in proper sequence to provide 12 units NPH insulin and 4 units regular insulin.

The nurse is caring for a patient who had a total hip replacement yesterday.Based on the patient's risk of developing deep vein thrombosis or pulmonary emboli,which of the following would the nurse expect to find in the patient's plan of care? Select all that apply.

While caring for a patient on post op day 1 after a total abdominal hysterectomy,the patient reports a pain level of 4 on a 1-10 scale.The nurse provides two tablets of Anexsia (hydrocodone/acetaminophen 5 mg/325 mg)orally along with the patient's other morning medications,which include Isordil (isosorbide)10 mg and Lasix (furosemide)20 mg orally at 9 a.m.Which of the following instructions should the nurse provide to the nursing assistant regarding the patient's activity?

The nurse receives a call from a patient who recently started taking Actos (pioglitazone)15 mg every morning.The patient states,"I forgot to take it for the past 2 days.What should I do?" Which of the following is the best response by the nurse?

The nurse is caring for a patient admitted with chronic pain who has been receiving meperidine 100 mg orally every 3-4 hr as needed for pain for the past 4 days.Which of the following actions is the highest priority in the patient's care?

A nurse working on the postpartum unit is caring for a woman who had a spontaneous delivery of a 9 lb,6 oz baby 6 hr earlier.The nurse notes the patient has soaked four peri-pads and that her uterine fundus is boggy.Which of the following medications does the nurse anticipate being ordered?

The nurse is caring for a patient admitted from an extended care facility who has developed a moist,productive cough.A chest x ray was ordered and new orders for Zyvox (linezolid)600 mg IV every 12 hr has been received.Which of the following orders should the nurse also complete prior to providing the first dose of medication?

While working on a medical unit,the nurse answers a call light for a woman who asks to take her Ambien (zolpidem)10 mg orally as ordered before going to sleep.After providing the medication,which of the following actions should the nurse take next?

The nurse is caring for a patient admitted with diarrhea for the past 3 days.Stool cultures are negative,and the physician orders Lomotil,two tablets orally now and one tablet after each loose stool OR every 3-4 hr as needed.Which of the following parameters would the nurse expect to accompany the order?

A nurse working with a patient who started taking Bentyl (dicyclomine)recognizes that patient further teaching is necessary by which of the following statements?

The nurse is passing medications for a patient whose medication administration record reads,"Neurontin (gabapentin)300 mg po TID." Gabapentin is provided by the pharmacy in 600 mg scored tablets.The nurse should provide ____________________ tablets with each dose.

While admitting a patient to the medical unit at 9:30 a.m.for an acute episode of Crohn's disease,the nurse learns the patient typically takes Imodium (loperamide)2 mg four times each day.The nurse recognizes that further patient teaching is needed by which of the following statements? Select all that apply.

A nurse providing hypertension screening and education recognizes which of the following medications as an ACE inhibitor? Select all that apply.

The nurse is counseling a patient who is newly prescribed Lyrica (pregabalin).Which of the following statements should be included in the patient's teaching? Select all that apply.

For chondroitin to be effective it should be taken: