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A patient asks the nurse, What is a Drug Enforcement Agency (DEA) number? What is the nurse's best response?
- A. DEA Numbers are given to physicians and pharmacists when they register with the DEA to prescribe and dispense controlled substances.
- B. Physicians must have a DEA number in order to prescribe any type of medication for patients.
- C. DEA numbers are case numbers given when someone breaks the law involving a controlled substance.
- D. DEA numbers are contact numbers to talk with someone at the DEA when questions arise about controlled substances.
Correct Answer: A
Rationale: All pharmacists and physicians must register with the DEA. They are given numbers that are required before they can dispense or prescribe controlled substances. DEA numbers are only needed when prescribing controlled substances. A DEA number is neither a case number nor a phone number.
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Long-acting beta-agonists (LTBAs) received a Black Box Warning from the U.S. Food and Drug Administration due to the:
- A. Risk of life-threatening dermatological reactions
- B. Increased incidence of cardiac events when LTBAs are used
- C. Increased risk of asthma-related deaths when LTBAs are used
- D. Risk for life-threatening alterations in electrolytes
Correct Answer: C
Rationale: The FDA Black Box Warning for LTBAs highlights increased asthma-related mortality risk, not dermatologic , cardiac , or electrolyte issues.
A nurse is assessing a client who takes Lithium Carbonate for the treatment of Bipolar disorder. The nurse should recognize which of the following findings as a possible indication of toxicity to this medication?
- A. Severe hypertension
- B. Coarse tremors
- C. Constipation
- D. Muscle spasm
Correct Answer: B
Rationale: Coarse tremors are a common sign of lithium toxicity, indicating neurological effects.
The nurse is checking the medical record of an assigned patient for medication orders. The nurse is unable to read the primary health care provider's handwriting. Which action would be most appropriate?
- A. The nurse should question the order with the primary health care provider.
- B. The nurse should try to interpret the handwriting.
- C. The nurse should confirm the order with a nearby health care provider.
- D. The nurse should obtain a verbal order.
Correct Answer: A
Rationale: Any order that is unclear, particularly due to illegible handwriting, should be questioned. The nurse should not try to interpret the handwriting as it may lead to a misinterpretation. The nurse should also not confirm the order with any other physician who is nearby. Administering drugs based on verbal orders is permissible only during emergencies.
When describing the various types of medications to a group of nursing students, a nursing instructor would identify which of the following as a source for deriving medications?
- A. Plants
- B. Synthetic sources
- C. Mold
- D. All the above
Correct Answer: D
Rationale: Medications are derived from natural sources, for example, plants, molds, minerals, and animals, as well as created synthetically in a laboratory.
The nurse determines that a prescribed medication has not been administered as ordered on the previous shift. What action will the nurse take?
- A. Administer the medication immediately.
- B. Complete an incident report.
- C. Notify the nurse responsible for the error.
- D. Record the occurrence in the nurse's notes.
Correct Answer: B
Rationale: An incident report is completed when a medication error occurs. Depending on the medication and frequency of administration, the medication may not be given immediately. It is not the nurse's responsibility to notify another nurse of the error. Medication errors are not recorded in the nurse's notes.