The prescriber orders a medication q8h. The nurse enters the following times on the medication administration record (MAR): 12 AM- 6 AM- 12 PM- 6 PM
What error has occurred?
ANS:
The wrong time intervals, the time intervals are 6 hours apart instead of 8 hours. The times if not corrected will cause the client to receive one more dose of the medication than was intended.
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The nurse is instructing an older client on ways to prevent esophageal irritation from taking medication. Which information should the nurse include in this teaching? Select all that apply.
1. Drink at least 8 ounces of water with morning medications. 3. Take several sips of water before taking oral medications. 4. Sit up in a chair for at least 30 minutes after taking oral medications.
The nurse suspects that a patient has tonsillitis. What did the nurse assess to make this clinical decision?
Select all that apply. 1. hoarse voice 2. thirst 3. nucal rigidity 4. pain around the ears 5. low-grade fever
A 59 year-old female is being evaluated for presence of a connective tissue disease. The erythrocyte sedimentation rate (ESR) result is reported as 26 mm/hour. How would the nurse evaluate this result?
1. The ESR is very low, indicating that the patient has an autoimmune disorder rather than a connective tissue disorder. 2. This is a normal finding, so no connective tissue disease is present. 3. The ESR is high, so inflammatory disease is present. 4. The ESR is normal and other testing is indicated.
Immune thrombocytopenia purpura (ITP) is an immune disease marked by a decrease in the number of platelets due to:
1. Destruction by antibodies produced against a client's own platelets. 2. An overproduction of reticulocytes. 3. An overproduction of neutrophils. 4. A reaction to heparin therapy.