An older patient with a history of liver impairment is prescribed diltiazem (Cardizem) SR 120 mg twice a day for supraventricular tachycardia. What is your best action before giving the first dose?
a. Hold the drug and contact the prescriber.
b. Administer the drug as ordered.
c. Give 60 mg four times a day.
d. Give an XR capsule of 240 mg once a day.
ANS: A
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The nurse and is very concerned about infection control in the Surgery Department. Recently she provided education to the surgery staff on ways to eliminate transient hand flora. The most pre-cise description for this is hand:
a. hygiene. b. washing. c. antisepsis. d. rub.
A client is being discharged from the hospital after treatment for a newly diagnosed disease. If the client does not receive education about the condition, what will be the most likely result?
1. no change in chronic condition 2. rehospitalization for the chronic illness 3. self-actualization 4. more questions asked about the illness
Which of the following is the correct procedure for mixing two types of insulin in the same syringe?
a. withdraw the regular insulin prior to any other type of insulin b. withdraw the regular insulin after other types of insulin c. draw each insulin in a separate syringe, then combine the two d. two types of insulin should not be mixed in the same syringe
During a meeting to discuss the adoption of clinical pathways a nurse expresses concerns about legal problems associated with their use
Which options reflect provider responses to the use of clinical pathways that can result in legal problems? Select all that apply. 1. Nurses document most of the variances. 2. The provider does not follow the clinical pathway and does not document the variance. 3. Negligent care is provided, even though the pathway was followed. 4. The pathway does not represent evidence-based care. 5. Care is delivered based on the pathway, not the individual.