What is the nurse's priority action to protect a patient from medication error?
a. Requesting that the prescriber write out an order, rather than giving a verbal order
b. Asking anxious family members to leave the room before giving a medication
c. Checking the patient's room number against the medication administration record
d. Administering as many of the medications as possible at one time
ANS: A
Verbal orders should be limited to urgent situations where written communication is unavailable. The nurse should explain the reasons and logistics of a procedure to calm anxious family members, and should ask family members not to distract medication administration for the patient's safety. After proper education, if the family members are creating an unsafe environment, the nurse may ask them to step out of the room. The medication administration record should be checked against the patient's hospital identification band; a room number is not an acceptable identifier. Medications should be given when scheduled, and medications with special assessment indications should be separated.
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a. "Do not drive until the effects of this drug on you are fully known." b. "Take it at noon each day." c. "Because this drug may interact with some painkillers, be sure to tell health-care providers that you are taking Mirapex." d. "Increase fluids and fiber in your diet." e. "You may experience sudden bouts of excessive sleepiness." f. "Taking the medication with food may reduce nausea."
One of the following statements regarding crises is incorrect. Identify the incorrect statement
1. A maturational crisis involves life cycle changes or transitions of human development. 2. A situational crisis can originate from material, environmental, or personal sources. 3. Experiencing a crisis always develops into post-traumatic stress disorder. 4. A crisis is an acute time-limited state of disequilibrium.
The nursing care for the patient in Addisonian crisis should include which of the following interventions?
A) Encouraging independence with activities of daily living (ADLs) B) Allowing ambulation as tolerated C) Offering extra blankets and raising the heat in the room to keep the patient warm D) Placing the patient in a private room
A patient's primary care provider has indicated that her symptoms of dyspnea and fatigue related to heart failure are class IV. This classification indicates that she experiences
a. symptoms with any activity or even at rest. b. symptoms with ordinary physical activity and has a slight limitation of physical activity. c. no symptoms with ordinary physical activity. d. symptoms with ordinary physical activity and has a marked limitation of physical activity.