Basic Pharmacology For Nurses 17Th Ed By Clayton

1. Where would the procedures and treatments directed by the health careprovider be found? a. Summary sheet b. Physician’s order form c. Physician’s progress notes d. History and physical examination form ANS: B The physician’s order form contains all procedures and treatments ordered bythe health care provider. A summary sheet provides a brief overview of the hospital course at discharge. Physician’s progress notes provide regular observations on the patient’s course of treatment and response. A history andphysical examination form provides information about baseline information from the patient. DIF: Cognitive Level: Knowledge REF: Page 61 OBJ: 2 TOP: Nursing Process Step: Assessment MSC: NCLEX Client Needs Category: Safe, Effective Care EnvironmentNOT: CONCEPT(S): Clinical Judgment 1. Which action will the nurse take when it is determined that the narcoticcount is incorrect while obtaining a medication from the narcotic area? a. Determine the cause of the discrepancy at the end of the shift. b. Notify the health care provider stat. c. Call the nurse from the previous shift to determine if there was a discrepancy earlie d. Report the discrepancy to the charge nurse immediately. ANS: D Reporting the discrepancy to the charge nurse immediately enables the supervisory staff to narrow the time frame during which a medication was taken and not documented. The discrepancy needs to be addressed immediately, and therefore determining the cause of the discrepancy at the end of the shift is not the most appropriate action for the nurse to take. It is not appropriate to contact the health care provider for an incorrect narcotic count. The count would have been verified at shift change; calling the nurse from theprevious shift is not an appropriate action for the nurse to take. DIF: Cognitive Level: Analysis REF: Page 70 OBJ: 3 TOP: Nursing Process Step: Implementation MSC: NCLEX Client Needs Category: Safe, Effective Care EnvironmentNOT: CONCEPT(S): Clinical Judgment; Safety 1. Which action will the nurse take if a dosage is unclear on a health careprovider’s order? a. Ask the patient what dosage was given in the past. b. Ask another physician to determine the correct dosage. c. Tell the patient that the medication will not be given. d. Contact the health care provider to verify the correct dosage. ANS: D Any questionable orders should be verified by the health care provider who wrote the orders. The patient is not a reliable source of verification. The physician who wrote the order should verify it. It would be a medication errorto withhold the dose instead of verifying it. DIF: Cognitive Level: Application REF: Page 76 | Page 77 OBJ: 5 TOP: Nursing Process Step: Planning MSC: NCLEX Client Needs Category: Physiological IntegrityNOT: CONCEPT(S): Clinical Judgment; Safety