Nokea
A number of barriers and concerns exist before the goals of a safe and efficient information technology (IT) system can be realized. Which of the following is NOT a barrier to adoption and use of IT in prescribing drugs?
- A. Cost of initial setup
- B. Access to highly skilled experts
- C. Compatibility between systems
- D. Patient confidentiality risks
Correct Answer: B
Rationale: Access to skilled experts facilitates, rather than hinders, IT adoption.
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A 32-year-old female is admitted to your unit with a diagnosis of hypovolemia. You are writing a care plan for this patient. You know that an appropriate nursing diagnosis to help prevent medication errors is what?
- A. Dysfunctional gastrointestinal motility
- B. Ineffective self health maintenance
- C. Risk for injury
- D. Deficient fluid volume
Correct Answer: D
Rationale: Hypovolemia aligns with 'Deficient fluid volume,' guiding drug therapy to correct volume status and prevent errors.
When determining drug treatment, the NP prescriber should:
- A. Always use evidence-based guidelines
- B. Individualize the drug choice for the specific patient
- C. Rely on his or her experience when prescribing for complex patients
- D. Use the newest drug on the market for the condition being treated
Correct Answer: B
Rationale: Individualizing treatment tailors therapy to the patient, balancing evidence and experience , while avoiding untested new drugs .
Mafenide acetate (Sulfamylon) is prescribed for the client with a burn injury. When applying the medication, the client complains of local discomfort and burning. Which of the following is the most appropriate nursing action?
- A. Notifying the registered nurse
- B. Discontinuing the medication
- C. Informing the client that this is normal
- D. Applying a thinner film than prescribed to the burn site
Correct Answer: C
Rationale: Mafenide acetate is bacteriostatic for gram-negative and gram-positive organisms and is used to treat burns to reduce bacteria present in avascular tissues. The client should be informed that the medication will cause local discomfort and burning and that this is a normal reaction; therefore options 1, 2, and 4 are incorrect.
This drug is a respiratory stimulant:
- A. Doxapram
- B. Promethazine
- C. Dornase α
- D. Oxygen
Correct Answer: A
Rationale: Doxapram stimulates breathing by acting on the respiratory center in the brainstem.
A patient is being seen in the clinic for rheumatoid arthritis. Which of the following statements would indicate that she may be developing a complication from her rheumatoid medication, chloroquine (Aralen)?
- A. I have to urinate all the time.'
- B. Sometimes I have blurred vision.'
- C. I have tingling and numbness in my arms and legs.'
- D. Sometimes I feel like I am losing my balance when I walk.'
Correct Answer: B
Rationale: Chloroquine (Aralen) can cause ocular toxicity with blurring of vision, color vision changes, corneal damage, and blindness. Increased urination and tingling and numbness are signs of hyperkalemia and hypokalemia. Loss of balance can be caused by auditory damage due to drug toxicity.