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When giving medications, the nurse will follow the rights of medication administration. The rights include the right documentation, the right reason, the right response, and the patient's right to refuse. Which of these are additional rights? (Select all that apply.)
- A. Right drug
- B. Right route
- C. Right dose
- D. Right diagnosis
- E. Right time
- F. Right patient
Correct Answer: A,B,C,E,F
Rationale: Additional rights of medication administration must always include the right drug, right dose, right time, right route, and right patient. The right diagnosis is incorrect.
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Which activity best reflects the implementation phase of the nursing process for the patient who is newly diagnosed with hypertension?
- A. Providing education on keeping a journal of blood pressure readings
- B. Setting goals and outcome criteria with the patient's input
- C. Recording a drug history regarding over-the-counter medications used at home
- D. Formulating human needs statements regarding deficient knowledge related to the new treatment regimen
Correct Answer: A
Rationale: Education is an intervention that occurs during the implementation phase. Setting goals and outcomes reflects the planning phase. Recording a drug history reflects the assessment phase. Formulating human needs statements reflects analysis of data as part of planning.
The patient is to receive oral guafenesin twice a day. Today, the nurse was busy and gave the medication 2 hours after the scheduled dose was due. What type of problem does this represent?
- A. Right time
- B. Right dose
- C. Right route
- D. Right medication
Correct Answer: A
Rationale: Right time' is correct because the medication was given more than 30 minutes after the scheduled dose was due. 'Dose' is incorrect because the dose is not related to the time the medication administration is scheduled. 'Route' is incorrect because the route is not affected. 'Medication' is incorrect because the medication ordered will not change.
The nurse is assigned to a patient who is newly diagnosed with type I diabetes mellitus. Which statement best illustrates an outcome criterion for this patient?
- A. The patient will follow instructions.
- B. The patient will not experience complications.
- C. The patient will adhere to the new insulin treatment regimen.
- D. The patient will demonstrate correct blood glucose testing technique.
Correct Answer: D
Rationale: Demonstrating correct blood glucose testing technique' is a specific and measurable outcome criterion. 'Following instructions' and 'not experiencing complications' are not specific criteria. 'Adhering to new regimen' would be difficult to measure.
The nurse is developing a human needs statement for a patient who has a new diagnosis of heart failure. Identification of human needs statements occur with which of these activities?
- A. Collection of patient data
- B. Administering interventions
- C. Deciding on patient outcomes
- D. Documenting the patient's behavior
Correct Answer: A
Rationale: Identification of human needs occurs with the collection of patient data.
When the nurse considers the timing of a drug dose, which factor is appropriate to consider when deciding when to give a drug?
- A. The patient's ability to swallow
- B. The patient's height
- C. The patient's last meal
- D. The patient's allergies
Correct Answer: C
Rationale: The nurse must consider specific pharmacokinetic/pharmacodynamic drug properties that may be affected by the timing of the last meal. The patient's ability to swallow, height, and allergies are not factors to consider regarding the timing of the drug's administration.