When the nurse practices the "5-plus-5" rights of medication administration, what does it ensure?
a. Adequate information is given
b. Cost-effective use of medications
c. Informed consent for drug administration
d. Safe administration of medications
ANS: D
The "5-plus-5" rights ensure that the nurse has considered all of the details of safe medication administration. Giving information to patients and obtaining informed consent are part of the 5-plus-5 rights. Cost effectiveness is not part of the 5-plus-5 rights.
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An older client is newly diagnosed with gastroesophageal reflux disease. What education should the nurse give them about this disease and heartburn issues?
1. If symptoms are felt, it is best to lie down. 2. It should not put the older patient at increased risk for cancer. 3. It may cause severe chest pain that mimics cardiac symptoms. 4. It is best to eat three times a day; food restrictions are not necessary.
A patient is being treated for chronic pain. The nurse realizes that which characteristic is typical of chronic pain?
1. The pain rating may be inconsistent with the underlying pathology. 2. Chronic pain usually has a clear, physiologic cause. 3. Chronic pain typically lasts 2 months or less. 4. The pain reported is usually less severe than acute pain.
A rural community nurse sets up a monthly disease screening service. Local news coverage chooses not to cover this event. Which of the following justifications best supports the screenings?
A) Health promotion is essential for older adults because they have complex health care needs. B) Older adults are less responsive to health promotion interventions. C) Older adults as a group receive fewer prevention and screening services than other populations. D) Preventive services are less effective after the onset of chronic illness.
The patient is being supported with a positive-pressure mechanical ventilator set to a synchronized intermittent mandatory ventilation (SIMV) rate of 8 breaths per minute
What situation, if found by the nurse, would indicate a ventilator malfunction? A) SIMV rate 8, patient rate 30, total rate 38 breaths per minute B) SIMV rate 6, patient rate 2, total rate 8 breaths per minute C) SIMV rate 8, patient rate 0, total rate 8 breaths per minute D) SIMV rate 8, patient rate 8, total rate 16 breaths per minute