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Exam (elaborations)

Exam 1 NURS B261 Question With Complete Solutions

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Exam 1 NURS B261 Question With Complete Solutions












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Uploaded on
March 29, 2025
Number of pages
71
Written in
2024/2025
Type
Exam (elaborations)
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Exam 1 NURS B261 Question With Complete Solutions
An 82-year-old patient is admitted to the hospital after an
episode of confusion at home. The nurse is assessing the current
medications he is taking at home. Which method is the best way
to assess his home medications?

a. Ask the patient what medications he takes at home.

b. Ask the patient's wife what medications he takes at home.

c. Ask the patient's wife to bring his medications to the hospital
in their original containers.

d. Contact the patient's pharmacy for a list of the patient's
current medications.
c. Ask the patient's wife to bring his medications to the hospital
in their original containers.
A pregnant patient who is at 32 weeks' gestation has a cold and
calls the office to ask about taking an over-the-counter
medication that is rated as pregnancy category A. Which answer
by the nurse is correct?

a. "This drug causes problems in the human fetus, so you should
not take this medication."

b. "This drug may cause problems in the human fetus, but
nothing has been proven in clinical trials. It is best not to take

,this medication."

c. "This drug has not caused problems in animals, but no testing
has been done in humans. It is probably safe to take."

d. "Studies indicate that there is no risk to the human fetus, so it
is okay to take this medication as directed if you need it."
d. "Studies indicate that there is no risk to the human fetus, so it
is okay to take this medication as directed if you need it."
A nurse working with older adult patients is concerned about the
number of medications prescribed for each patient. Which older
adult assessment should be of highest priority related to
polypharmacy?

A) Nonadherence to drug regimen

B) Cost of medications

C) Drug interactions

D) Schedule of medications
C) Drug interactions
A mother of a 1-month-old infant calls the clinic and asks the
nurse if the medication she is taking can be passed to her infant
during breastfeeding. What is the nurse's best response to the
mother's question?

,A) "You should not take any medication while breastfeeding."

B) "Only certain medications pass to infants while
breastfeeding."

C) "I will leave the health care provider a message to return your
call."

D) "Drugs can cross from mother to infant in breast milk, so it
will depend on the drug you are taking."
D) "Drugs can cross from mother to infant in breast milk, so it
will depend on the drug you are taking."


A sentinel event refers to which situation?

a.An event that could have harmed a patient, but serious harm
didn't occur because of chance.

b.An event that harms a patient as a result of underlying disease
or condition.

c.An event that harms a patient by omission or commission, not
an underlying disease or condition.

d.An event that signals the need for immediate investigation and
response

, d.An event that signals the need for immediate investigation and
response

A sentinel event is an unexpected occurrence involving death or
serious physical or psychological injury or the risk thereof called
sentinel, because it signals the need for immediate investigation
and response. A near-miss refers to an error or commission or
omission that could have harmed the patient, but serious harm
did not occur as a result of chance. Harm that relates to an
underlying disease or condition provides the rationale for the
close monitoring and supervision provided in a healthcare
setting. An adverse event is one that results in unintended harm
because of the commission or omission of an act.
The nursei scaring for a patient experiencing an allergic reaction
to a beesting who hasan order for diphenhydramine
(BenaDRYL). The only medication in the patient's
medicationbin is labeled BenaZEPRIL. The nurse contacts the
pharmacy for the correct medication to avoid what type of error?

a.Communication

b.Diagnostic

c.Preventive

d.Treatment
d.Treatment

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