BSN 225: Week 3- Safe Medication Exam Questions and Answers Best rated A+ Guaranteed Success Latest Update

The health care provider has ordered a peak level to be drawn for a patient receiving vancomycin (Vancocin). The nurse reads the following in a drug book: *Vancomycin* Route: IV Onset: Rapid Peak: end of infusion Duration: 12-24 hr The nurse plans to start the IV infusion of vancomycin as ordered at 1000, setting the IV pump so it will infuse over 60 minutes. At what time should the nurse have the peak level drawn? a. 1000 the next day b. 0955 c. 1100 d. 2200 - CORRECT ANSWER-1100 Identify the 6 rights of medication administration. (Select 6 that apply.) -The right patient -The right dose -The right documentation -The right expiration date -The right health care provider -The right conversion factor -The right time -The right MAR -The right medication -The right route - CORRECT ANSWER--The right patient -The right dose -The right documentation -The right time -The right medication -The right route The patient who is to receive a medication BID will receive the medication: a. four times a day b. after meals c. three times a day d. twice a day - CORRECT ANSWER-d. twice a dayThe health care provider has ordered allopurinol 0.05 g PO BID. Drug available: The nurse should give __ tablet(s) for each dose. - CORRECT ANSWER-0.5 tablet The health care provider has ordered Amikin (amikacin) 500 mg, IM q8h. Drug available: The nurse should give __ mL for each dose. - CORRECT ANSWER-2 mL The health care provider has ordered prochlorperazine (Compazine) 2.5 mg IM q4h prm. The medication available is Compazine 5 mg/mL. The nurse should give __mL for each dose. - CORRECT ANSWER-0.5 mL The health care provider has ordered Amoxil (amoxicillin) 0.05 g, PO tid. Drug available: The nurse should give __mL for each dose. - CORRECT ANSWER-2 mL What is the best way for nurses to prevent medication errors? a. adhere to the 6 rights of medication administration. b. avoid distractions and take time to prepare medications. c. only give medications to patients who are alert and oriented. d. use an automated medication dispensing system. - CORRECT ANSWER-a. adhere to the 6 rights of medication administration. *a) Correct! All medication errors can be linked, in some way, to an inconsistency in adhering to the 6 rights of medication administration. If the patient refuses a medication, what should the nurse do? (Select all that apply.) -administer the dose when the next dose is due. -mix it in a small amount of their food. -notify the health care provider. -document the reason for refusal in the patient's health record. -determine the reason for refusal. - CORRECT ANSWER--notify the health care provider. -document the reason for refusal in the patient's health record. -determine the reason for refusal. Which of the following patients are at risk for developing drug toxicity? (Select all that apply.) - 65-year-old male, who has been on high doses of antibiotics for 3 weeks - 16-year-old female, who has had vomiting and diarrhea - 43-year-old male, who has liver failure - 82-year-old male, who has renal disease - 75-year-old female, who swallowed Caladryl lotion - CORRECT ANSWER-- 65-yearold male, who has been on high doses of antibiotics for 3 weeks- 43-year-old male, who has liver failure - 82-year-old male, who has renal disease - 75-year-old female, who swallowed Caladryl lotion How can the nurse determine a patient's history of allergies? (Select all that apply.) -by looking at the front of the chart or in the patient's electronic health record (EHR) -by looking at the MAR -by asking the patient -by looking at the patient's allergy bracelet -by administering a dose and monitoring the patient's response - CORRECT ANSWER-- by looking at the front of the chart or in the patient's electronic health record (EHR) -by looking at the MAR -by asking the patient -by looking at the patient's allergy bracelet The nurse brings the patient's medications but the patient refuses to take them, stating, "I'll take them later. Right now my stomach feels a little upset. Could you please bring me some crackers?" What is the best action the nurse should take? (Select all that apply.) -leave the medications at the patient's bedside and check on him later. -offer the patient some crackers and see if the patient has any medications that could help relieve nausea. -document the patient is noncompliant in following the medication regimen. -have the patient take the medications at this scheduled time with a small sip of water. -lock the patient's medications up temporarily and document the incident. - CORRECT ANSWER--offer the patient some crackers and see if the patient has any medications that could help relieve nausea. -lock the patient's medications up temporarily and document the incident The patient is to receive 120 mg of IV Lasix (furosemide). You calculate that this will be 12 mL (10 mg/mL). The drug book states that the usual dosage is 20 to 40 mg. What steps should the nurse take to avoid medication errors in this situation? (Select all that apply.) -only administer 4 mL (40 mg). -double-check all calculations. -question unusually large or small doses. -read labels at least two times to make sure it is the correct medication. -use at least two patient identifiers whenever administering a medication. - CORRECT ANSWER--double-check all calculations. -question unusually large or small doses.