A nurse assesses a newly hospitalized patient with a long history of serious and persistent mental illness. The priority assessment information to obtain regarding medication safety is
a. adverse reactions to drugs taken previously.
b. history of drug compliance and noncompliance.
c. level of support available from significant others.
d. length of time on various psychotropic medications.
A
Information related to safety is the nurse's priority. Adverse reactions to psychotropic medications can be dangerous, even life-threatening. If a patient has had an adverse reaction to a particular drug, it would be unwise to administer it again. The other options do not address a safety issue.
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The nurse receives a call from a woman who delivered her baby three days ago reporting foul-smelling lochia and a temperature of 101.2°F. The nurse instructs the new mother to:
1. Douche using a vinegar solution, and take ibuprofen every four hours. 2. Make an appointment to see the physician within the next few days. 3. Examine the breasts and look for any red, painful area. 4. Come to the office today to be examined.
What is the most significant reason behind the emphasis on evidence-based practice today?
A) Consideration of patient preferences B) Provision of cost-effective care C) Validation of nursing interventions D) Provision of quality care
The pregnant patient cannot tolerate milk or meat. What would the nurse recommend to the patient to assist in meeting protein needs?
1. Wheat bread and pasta 2. Ice cream and peanut butter 3. Eggs and tofu 4. Beans and potatoes
The most serious concern in administering IV medications is that
a. a phlebitis could develop. c. the IV site might become infected. b. the IV might infiltrate. d. the IV solution infuses directly into the blood vessel.