ch 2. quiz patient safety

A nurse is preparing to administer medication to an adult patient who has a history of hypertension (HTN). Which medication should the nurse question based on commonly confused drug names?

Klonopin

A nurse is checking the medication orders for assigned patients. Which orders should the nurse obtain additional clarification for? (Select all that apply.)

ASA 81mg qod, regular insulin 3U subcutaneously daily, MS 4mg per oral route

A nurse is reviewing the medication profile of a geriatric patient who has several comorbidities. Which finding would warrant priority action?

The patient skips a dose of certain medication sometimes

A nurse is reviewing a medication list. Which abbreviations are considered acceptable? (Select all that apply.)

Administer medications p.c. during the day, administer medication PO as directed, administer medication IM

A nurse is reviewing the medication profile of a geriatric patient who has several comorbidities. Which finding would warrant priority action?

The patient skips a dose of certain medications sometimes

A nurse is working on an inpatient medical-surgical unit. What actions should the nurse incorporate into the daily routine in order to maintain Occupational Safety and Health Administration (OSHA) standards? (Select all that apply.)

Use of hand hygiene prior to patient care, use of appropriate disposal systems for sharps

A nurse is working with a patient who has been prescribed a different type of antihypertensive medication than the prior treatment regimen. Which information should the nurse include in the plan of care?

Only take the medications that are currently being prescribed for the treatment of hypertension

A nurse working in the emergency room is preparing for the admission of a 34-year-old patient with a drug overdose. Which of the following equipment and/or orders will the nurse anticipate will be used for this patient?

Telemetry monitoring, activated charcoal, nasogastric (NG) tube and 60mL syringe for lavage

A patient is admitted to the emergency room with an accidental overdose of a substance that is caustic. Which therapeutic option should the nurse question?

Activated charcoal?

Shortly after providing a new sleeping pill to a patient on the medical unit, the nurse answers the patient's call light. Which of the following findings would indicate to the nurse that the patient is experiencing an anaphylactic reaction to the medication?

The patients respiratory rate is 28 breaths per minute and slightly labored

The nurse is obtaining a health history for a 20-year-old female who is 8 weeks pregnant. Which finding should alert the nurse to a potential complication?

The patient smokes 2 to 3 cigarettes per week and characterizes herself as a social drinker

The nurse is preparing to administer medication to a pediatric patient. Which essential safety action should the nurse take prior to administration?

Verify dosage based on weight calculation

The nurse is uncertain of the meaning of an abbreviation used by the physician in ordering medications for the patient. Which of the following is the best action to take regarding this abbreviation?

Contact the physician and ask for clarification on the abbreviation

When providing medications from floor stock to a patient on the Alzheimer's unit of a long-term care facility, the nurse demonstrates the principle of drug administration by performing which of the following?

Checking the label before taking the medication out of the cabinet, pouring the medication, and placing the bottle back in the cabinet

While supervising a student nurse providing morning medications to patients in the long-term care facility, the nurse would intervene if the student was observed performing which of the following actions? (Select all that apply.)

The student leaves the medication at the bedside for the patient to take, the student prepares a medication scheduled for several hours later in the shift

While working in a surgical clinic, the nurse notes orders that read ".25 mg digoxin (Lanoxin) IV now." Which action by the nurse is best?

Contact the physician for clarification of the order

While working on a geriatric unit, the nurse would be most concerned by which of these findings?

A 72yo patient is given a sleeping pill the night before seems confused