Nokea
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.
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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.
What medication most likely caused patient's hypoglycaemia?
- A. Acarbose
- B. Exenatide
- C. Glyburide
- D. Metformin
Correct Answer: C
Rationale: Glyburide, a sulfonylurea, is most likely to cause hypoglycemia due to excessive insulin release.
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 patient is prescribed a medication that was just placed in Phase IV study. The patient tells the nurse, This medication is too expensive. Could the doctor order a generic form of this medication? What is the nurses most accurate response?
- A. Medications are not produced in generic form until the patent expires, which normally takes several years.
- B. You can request the generic form but the binder used may make the drug less effective for this medication.
- C. The generic form of the medication would not be any less expensive because this is a relatively new medication.
- D. Generic medications are lower quality drugs and that would mean you would not be getting the best treatment available.
Correct Answer: A
Rationale: When a new drug enters the market, it is given a time-limited patent; generic forms of the medication cannot be produced until the patent expires. Because no generic version of this drug will exist because it is so new, it is impossible to predict what binder will be used or what the cost would be.
Which of the following drugs should be used only when clearly needed in pregnant and breastfeeding women?
- A. Memantine
- B. Pyridostigmine
- C. Galantamine
- D. Rivastigmine
Correct Answer: B
Rationale: Pyridostigmine's safety in pregnancy/breastfeeding is less established, requiring caution.