Nokea
The nursing instructor observes several nursing students administer medications to their assigned patients. The instructor would stop what student from administering the medication until the error was corrected?
- A. The student checks the label on the medication against the administration record three times.
- B. The student enters the patient's room and asks the patient Are you Mr. Jones?
- C. The student checks the drug's brand name and generic name before taking it to the patient.
- D. The student documents the medication upon exiting the patient's room
Correct Answer: B
Rationale: Asking 'Are you Mr. Jones?' risks misidentification; students must verify identity with two identifiers (e.g., wristband).
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Which is the most important drug in the treatment of organophosphate poisoning?
- A. Atropine sulfate
- B. Pralidoxime
- C. Diazepam
- D. Adrenaline
Correct Answer: A
Rationale: Atropine sulfate is the most critical initial treatment for organophosphate poisoning, counteracting muscarinic effects like bronchorrhea and bradycardia, while pralidoxime regenerates cholinesterase later.
A nurse is preparing to administer dextrose 5% in water (D5W) 750 mL IV to infuse over 6 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Do not use a trailing zero.)
- A. 125
- B. 120
- C. 150
- D. 110
Correct Answer: A
Rationale: Calculation: 750 mL ÷ 6 hr = 125 mL/hr, matching the answer.
Patients who are on or who will be starting chronic corticosteroid therapy need monitoring of:
- A. Serum glucose
- B. Stool culture
- C. Folate levels
- D. Vitamin B12
Correct Answer: A
Rationale: Corticosteroids raise glucose, requiring monitoring; stool or vitamins aren't routine.
A 7-year-old male fell off a wood pile while playing. He has been admitted to the ICU with multiple broken bones and internal bleeding. What should the nurse know about drug therapy in this type of patient?
- A. Adverse effects may be decreased
- B. Therapeutic effects may be increased
- C. Pharmacodynamics may be altered
- D. Pharmacokinetics remain the same
Correct Answer: C
Rationale: Trauma alters pharmacodynamics (drug effects) due to physiological stress and injury responses.
James tells you that he is confused by his Medicare Part D coverage plan. An appropriate intervention would be:
- A. Order cognitive testing to determine the source of his confusion.
- B. Sit down with him and explain the whole Medicare Part D process.
- C. Refer him to the Medicare specialist in his insurance plan to explain the benefit to him.
- D. Request his son come to the next appointment so you can explain the benefit to him.
Correct Answer: C
Rationale: Referring to a specialist ensures accurate explanation of Medicare Part D.