NURS 345 Exam 2 Sherpath Study guide Questions & Answers Already Graded A+

Which actions are taken when a patient refuses a medication? A- notify the health care provider B- contact a family member C- Inquire why the patient is refusing D-Explain the consequences of refusal with teach-back E- provide at least two opportunities for the patient to reconsider F-document the circumstance of the situation and the actions taken. - Answer-Notify the health care provider Inquire why the patient is refusing Explain the consequences of refusal with teach-back Document the circumstance of the situation and the actions taken. As a general rule, which information should be given to a patient when a drug is being administered? A- Name of the drug B- Why the drug has been prescribed C- Risk for adverse reactions D- How long the drug will be taken E- Expected side effects F- Whether the drug is having the expected therapeutic effect - Answer-Name of the drug Why the drug has been prescribed Expected side effects The nurse looks up an unfamiliar medication when preparing to administer it. The reference indicates the medication is on the Institute for Safe Medication Practices (ISMP) high-alert list. Which action would the nurse take?A- Have a second nurse verify the dosage B- Reconfirm the prescription with the helath care provider C- Schedule laboratory blood work for 1 hour after administration D- Double-check with the patient that there is no known allergy to the medication. - Answer-Have a second nurse verify the dosage The nurse would contact the health care provider for clarification for which medication prescription? A- Ciprofloxacin 0.5 g PO bid B- Diltiazem 60 mg PO bid C- Lisinopril 5 mg PO qd D- doxepin hydrochloride 30 mg PO at bedtime - Answer-Lisinopril 5 mg PO qd To which aspect does the abbreviation STAT refer when used in a prescription for a medication? A- Drug dosage B- Drug formulation C- Route of administration D- Frequency/ time of administration - Answer-Frequency/ time of administration Which medication would the nurse plan to give without first clarifying the prescription with the helath care provider? A- Toprol XL 100 mg PO QD B- Naltrexone hydrochloride 50 mg PO daily C- Pantoprazole SOD DR 40 mg by mouth D- Benzonatate 200 mg PO tid PRN - Answer-Naltrexone hydrochloride 50 mg PO daily Medication prescription: cimetidine 0.4 g PO, q6hAvailable: 400 mg tablets How many tablets should be given to the patient? - Answer-1 tablet Medication prescription: digoxin 0.25 mg IV stat Available: digoxin 0.5 mg/ 2 mL How many milliliters should be given to the patient? - Answer-1mL Medication prescription: hydrochlorothiazide 25 mg PO daily Available: 50 mg tablets How many tablets should be given to the patient? - Answer-1/2 tablet Patient reluctance to share information is a major obstacle to which process? A-Medicaiton reconciliation B- Assessment of allergic reactions C-Identification of medication side effects D- Determination of patient education needs - Answer-Medication reconciliation Which questions are answered by the medication reconciliation process? A- Are all prescribed medications available in generic forms? B- Does the patient's insurance cover all prescribed mediations? C- Are any of the prescribed medications duplicates for each other? D- Does the patient currently need every medications that is prescribed? E- Are there any medications that the patient needs that are not prescribed? F- Do any of the prescribed medications interact with one another, requiring an adjustment in dosage or a change in the mediations themselves? - Answer-Are any of the prescribed medications duplicated for each other? Does the patient currently need every medications that is prescribed?Are there any medications that the patient needs that are not prescribed? Do any of the prescribed medications interact with one another, requiring an adjustment in dosage or a change in the mediations themselves? For which patient would providing a weekly medication organizer be an appropriate intervention? A- Forgetful patient B- Near-sighted patient C- Wheelchair-bound patient D- Patient whose first language is not English - Answer-Forgetful patient For how many minutes would a nurse monitor a patient for an immediate allergic reaction following medication administration? - Answer-20-30 minutes The nurse instructs a patient for whom a transdermal patch has been prescribed to rotate sites of application. For which hypothesis is this instruction an intervention? A- Risk for Cross-infection B- Risk for allergic reaction C- Risk for impaired tissue integrity D- Risk for adverse medication interaction - Answer-Risk for impaired tissue integrity