Prior to administering medications, the student nurse reviews the therapeutic index. Which statement best describes the student's understanding of therapeutic index?
1. The student is able to determine if the physician prescribed the best drug for the patient.
2. The student is able to determine if the patients are receiving safe doses of the medications.
3. The student is able to identify interactions among the drugs each patient is receiving.
4. The student is able to identify the patients who will need to have serum blood levels monitored.
4
Rationale 1: The therapeutic index will not help to determine if the physician prescribed the best drug for the patient.
Rationale 2: The therapeutic index will give some information about safe doses, but this is not the most complete response.
Rationale 3: The therapeutic index will not help to identify interactions among the drugs the patients receive.
Rationale 4: Drugs with a narrow therapeutic index have a low safety margin and the concentration of the drug should be monitored by regular serum tests.
Global Rationale: Drugs with a narrow therapeutic index have a low safety margin and the concentration of the drug should be monitored by regular serum tests. The therapeutic index will give some information about safe doses, but this is not the most complete response. The therapeutic index will not help to determine if the physician prescribed the best drug for the patient. The therapeutic index will not help to identify interactions among the drugs the patients receive.
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A novice nurse is learning about various tools that nurses may use to aid in therapeutic communication in the nurse-patient relationship. What does the nurse recognize as true regarding the concept of process recording?
1. The purpose is to record the nurse-patient interaction and provide a guideline for therapeutic care. 2. The purpose is to allow the patient to actually hear what the nurse stated in the nurse-patient interaction. 3. The purpose is to allow the nurse to actually hear what the patient heard in the nurse-patient interaction. 4. The purpose is to reflect on and evaluate the dynamics of a specific interaction and to provide a sample of interaction for consideration in supervision or consultation with others.
Which leadership role is associated with advocacy?
A) Create a climate where advocacy and its associated risk taking are valued. B) Give subordinates and patients adequate information to make informed decisions. C) Ensure that rights and values of patients supersede those of the health care providers. D) Seek appropriate consultation when advocacy results in intrapersonal or interpersonal conflict.
Which statement indicates that a client understands why his cataract surgery is being done first on the eye with the poorest vision?
a. "Insurance reimbursement dictates the timing of surgeries." b. "The eye with poorer vision is at greater risk for permanent damage." c. "The pressure in the poorer eye could in-crease, causing permanent damage." d. "If a complication arises in that eye, I will still have some vision in the better eye."
A patient with anxiety is prescribed oxazepam (Serax). What safety measures must you teach a patient taking this drug? (select all that apply)
a. Call for help when getting out of bed. b. Use a walker for ambulation. c. Assess gait for steadiness. d. Change positions slowly. e. Take two tablets whenever a dose is missed. f. Always use a bedside commode, even at home.