Nokea
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.
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The nurse knows that which medication requires monitoring of thyroid function?
- A. Dofetilide
- B. Amiodarone
- C. Sotalol
- D. Flecainide
Correct Answer: B
Rationale: Amiodarone can cause hypo- or hyperthyroidism due to its iodine content, necessitating thyroid function monitoring.
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.
A patient with asthma has been using a nicotine transdermal 24-hour patch for 3 weeks to quit smoking. The patient reports having difficulty sleeping. What action will the nurse take?
- A. Ask the provider for a prescription for Nicotrol NS
- B. Recommend removing the patch at bedtime
- C. Suggest using an 18-hour patch instead
- D. Tell the patient to stop the patch and join a support group
Correct Answer: C
Rationale: An 18-hour patch reduces sleep disruption while aiding cessation; Nicotrol is risky with asthma. The patient should try an 18-hour patch to help with sleep.
The Combination of amoxycillin + clavulanic acid is used because
- A. It broadens the spectrum of amoxycillin
- B. It decreases the side effect of amoxycillin
- C. It decreases the toxicity of clavulanic acid
- D. It increases the oral bio availability of amoxycillin
Correct Answer: A
Rationale: Clavulanic acid inhibits beta-lactamases, broadening amoxicillin's spectrum.
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.