Which patient does the nurse most closely monitor for an unintended synergistic effect?
a. The 4 year old who has mistakenly taken a half bottle of vitamins
b. The 35 year old who has ingested meth mixed with several household chemicals
c. The 50 year old who is prescribed a second blood pressure medication
d. The 72 year old who is seeing four different specialists
ANS: D
The 72 year old seeing four different providers is likely to experience polypharmacy. Polypharmacy places the patient at risk for unintended mixing of medications that potentiate each other. When two medications have a synergistic effect, their combined effect is greater than the effect of the medications when given separately. The child taking too much of a medication by mistake could experience overdose or toxicity. The 50 year old is prescribed two different blood pressure medications for their synergistic effect, but this is a desired, intended event. A patient taking meth and mixing chemicals can be toxic.
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Which statement describes a repository with central storage of a longitudinal record?
a. Patient data are from a single hospital's data for the most current encounters. b. Data from multiple hospitals are kept compact and efficient by deleting "old" data. c. Portions of a patient's lifetime medical record are stored in databases at the facility where the data were collected. d. The information collected by the organization is stored in a single database no matter when or where the patient was seen.
Which statement is true about the characteristics of a healthy family?
a. The parents and children have rigid assignments for all the family tasks. b. Young families assume the total responsibility for the parenting tasks, refusing any assistance. c. The family is overwhelmed by the significant changes that occur as a result of childbirth. d. Adults agree on the majority of basic parenting principles.
A new pediatric hospital will open soon. While planning nursing care,the hospital administration is considering two models of providing health care: family-focused care and family-centered care. The action that best implements family-centered care is
1. telling the family what must be donefor the family's health. 2. assuming the role of an expertprofessional to direct the health care. 3. intervening for the child and familyas a unit. 4. conferring with the family indeciding which health-care option will be chosen.
The nurse is reviewing the recommendations of the Institute of Medicine's (IOM) report on the Future of Nursing. Which points would the nurse expect to find? (Select all that apply.)
A) Nurse participation in transition to practice program after completing an advanced practice degree program B) Program development focusing on other settings in addition to the acute care setting C) The emphasis on the need for nurses to participate in lifelong learning D) Limiting partnerships with physicians when redesigning health care in the United States E) Redirecting of graduate medical education funding programs from diploma nursing programs to support the implementation of residencies