Exam Review

How can the nurse determine a patient's history of allergies? (Select all that apply.)
(SATA)
A)
By looking at the MAR
B)
By asking the patient
C)
By looking at the patient's allergy bracelet
D)
By looking at the front of the chart or in the patient's electronic health record (EHR)
E)
By administering a dose and monitoring the patient's response
The nurse brings the patient's medications but the patient refuses to take them, stating, "I'll take them later. Right now my stomach feels a little upset. Could you please bring me some crackers?" What is the best action the nurse should take? (Select all that apply.)
(SATA)
A)
Offer the patient some crackers and see if the patient has any medications that could help relieve
B)
nausea.
C)
Leave the medications at the patient's bedside and check on him later.
D)
Have the patient take the medications at this scheduled time with a small sip of water.
E)
Document the patient is noncompliant in following the medication regimen.
F)
Lock the patient's medications up temporarily and document the incident.
Identify the 6 rights of medication administration.
(SATA)
A)
The right patient
B)
The right MAR
C)
The right route
D)
The right expiration date
E)
The right health care provider
F)
The right dose
G)
The right documentation
H)
The right conversion factor
I)
The right medication
J)
The right time
The patient who is to receive a medication BID will receive the medication:
A)
Three times a day
B)
Twice a day
C)
After meals
D)
Four times a day

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Exam Review

The health care provider has ordered allopurinol 0.05 g PO BID. Drug available: The nurse should give _____ tablet(s) for each dose.
A)
1.5
B)
2
C)
0.5
D)
1
The health care provider has ordered Amikin (amikacin) 500 mg, IM q8h. Drug available: The nurse should give___mL for each dose.
A)
1.0
B)
2.0
C)
2.5
D)
1.5
The health care provider has ordered prochlorperazine (Compazine) 2.5 mg IM q4h prn. The medication available is Compazine 5 mg/mL. The nurse should give ___ mL for each dose.
A)
2
B)
1.5
C)
1
D)
0.5
The health care provider has ordered Amoxil (amoxicillin) 0.05 g, PO tid. Drug available: The nurse should give ____ mL for each dose.
A)
1.5
B)
0.5
C)
2
D)
1
E)
1

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Exam Review

What is the best way for nurses to prevent medication errors?
A)
Use an automated medication dispensing system.
B)
Avoid distractions and take time to prepare medications.
C)
Adhere to the 6 rights of medication administration.
D)
Only give medications to patients who are alert and oriented.
If the patient refuses a medication, what should the nurse do? (Select all that apply.)
(SATA)
A)
Notify the health care provider.
B)
Determine the reason for refusal.
C)
Administer the dose when the next dose is due.
D)
Document the reason for refusal in the patient's health record.
E)
Mix it in a small amount of their food.
Which of the following patients are at risk for developing drug toxicity? (Select all that apply.)
A)
16-year-old female, who has had vomiting and diarrhea
B)
65-year-old male, who has been on high doses of antibiotics for 3 weeks
C)
75-year-old female, who swallowed Caladryl lotion
D)
43-year-old male, who has liver failure
E)
82-year-old male, who has renal disease
The patient is to receive 120 mg of PO Lasix (furosemide). The drug book states that the usual dosage is 20 to 40 mg. What steps should the nurse take to avoid medication errors in this situation? (Select all that apply.)
A)
Only administer 40 mg.
B)
Use at least two patient identifiers whenever administering a medication.
C)
Read labels at least two times to make sure it is the correct medication.
D)
Double-check all calculations.
E)
Question unusually large or small doses.

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Exam Review

The nurse administered a routine scheduled medication of Prozac (fluoxetine hydrochloride), an antidepressant, 20 mg PO to a patient. The nurse checked the medication label against the MAR when getting it out of the automatic dispensing system, again when placing the medication in a cup, and once more at the patient's bedside prior to administration. The label read 20 mg and contained a single capsule. The nurse asked the patient to state her name and administered the medication, offering the patient a drink of water. The nurse documented the administration of the medication. Which of the six rights of medication administration did the nurse violate?
A)
The nurse administered the medication correctly.
B)
The nurse did not have a second nurse verify the dose.
C)
The nurse did not make the appropriate number of checks for the right drug.
D)
The nurse did not use two patient identifiers.
The home care nurse is reviewing the patient's prescribed medications. The patient reports he doesn't take his antihypertensive (blood pressure) medication anymore. What is the best response by the nurse?
A)
"You could create problems for your family if you don't manage your health."
B)
"You could possibly suffer a stroke if you don't manage your blood pressure"
C)
"Have you had your blood pressure checked since discontinuing this medication?"
D)
"What is the reason you are no longer taking the blood pressure medication?"
The health care provider has ordered amoxicillin 250 mg PO q8h. The drug label states 125 mg amoxicillin per 5 mL. Based on this information, which of the following would be correct actions by the nurse? (Select all that apply.)
A)
Administer 2.5 mL of amoxicillin per dose.
B)
Administer 10 mL of amoxicillin per dose.
C)
Administer the amoxicillin at 0800, 1200, and 1800.
D)
Compare the patient's name and date of birth on the armband with the MAR.
E)
Administer the medication by the parenteral route.

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