Exam 20: Safe Medication Preparation

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A patient is prescribed diltiazem tablets,which have an onset of 30 minutes,a peak of 2 to 3 hours,and a duration of 6 to 8 hours.The nurse anticipates that the medication will be prescribed ____________ per day.

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3 to 4 times
Duration of action is the length of time during which the medication is present in a concentration great enough to produce a therapeutic effect.A medication with a duration of action of 6 to 8 hours will usually be given 3 to 4 times daily to maintain therapeutic effects.

Medication safety is always one of the ______________ set by The Joint Commission.

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National Patient Safety Goals
Medication safety has consistently been one of the National Patient Safety Goals.

The nurse enters the patient's room to give medications.Which action is most appropriate to identify the "right patient"?

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B

The hospital has implemented a computerized physician order entry system (CPOE)to eliminate the need for written orders.The benefits of this system include which of the following? (Select all that apply. )

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When do most medication errors occur? (Select all that apply. )

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The hospital uses a unit-dose system for medication distribution.The nurse recognizes that this system includes which safety feature?

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During the admission process,the patient states that he stopped taking daily aspirin because of nausea.The nurse documents the nausea as which of the following?

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The nurse is aware that a patient with liver disease and a decreased albumin level may develop which of the following effects?

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The nurse is teaching a patient how to measure medication dosages at home.The prescription is written for 30 mL of the medication.Which household measurement will the nurse teach the patient to use?

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The dose ordered for a patient is 75 mg IM.The medication is available in a 50-mg/mL solution.The nurse prepares ________________ mL.

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The prescriber orders 3 mg/kg/d of a medication to be given in 3 equal doses.The patient weighs 44 pounds.The nurse calculates that the proper amount per dose is ___________.

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A patient admitted to the hospital with pneumonia has IV antibiotics ordered.He receives the first dose with no problem,but during the second dose,he begins to complain of shortness of breath and difficulty breathing.The nurse notes wheezes throughout the lung fields.The nurse documents these symptoms as which of the following?

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The nurse recognizes that patients with which conditions will have a reduction in the distribution of drugs? (Select all that apply. )

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The nurse receives an order to give a drug parenterally.The nurse will administer this medication by which route?

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Medication errors include which of the following? (Select all that apply. )

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The nurse is caring for several patients.The patient in which situation can safely receive oral medications?

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The nurse administers a medication to the wrong patient but the patient suffers no harm from the medication error.What actions should the nurse take? (Select all that apply. )

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The nurse calculates that the proper dosage of a medication is 2 tsp.The nurse prepares _______ mL to administer to the patient.

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The nurse is preparing to administer medication to a patient who is alert and oriented.When medications are reviewed with the patient,the patient states that he does not take metoprolol.Which action by the nurse is most appropriate?

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The prescribed dose of Tylenol is given to a patient.The nurse recognizes the name Tylenol as which of the following?

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