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Which of the following would be most important for the nurse to do to ensure the safe use of prescription drugs in the institutional setting?(Select one that does not apply.)
- A. Administering drugs
- B. Monitoring clients for drug effects
- C. Prescribing drugs
- D. Evaluating clients for toxic effects
Correct Answer: C
Rationale: In the institutional setting, the nurse's role to ensure safe use of prescription drugs includes administering drugs, monitoring drug effects, evaluating for toxic effects, and educating clients and caregivers about drugs.
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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).
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.
The health care provider (HCP) prescribes exenatide (Byetta) for a client with type 1 diabetes mellitus who takes insulin. The nurse knows that which of the following is the appropriate intervention?
- A. The medication is administered within 60 minutes before the morning and evening meal.
- B. The medication is withheld and the HCP is called to question the prescription for the client.
- C. The client is monitored for gastrointestinal side effects after administration of the medication.
- D. The insulin is withdrawn from the Penlet into an insulin syringe to prepare for administration.
Correct Answer: B
Rationale: Exenatide (Byetta) is an incretin mimetic used for type 2 diabetes mellitus only. It is not recommended for clients taking insulin. Hence, the nurse should hold the medication and question the HCP regarding this prescription. Although options 1 and 3 are correct statements about the medication, in this situation the medication should not be administered. The medication is packaged in prefilled pens ready for injection without the need for drawing it up into another syringe.
A 12-month-old child just received the first measles, mumps, and rubella (MMR) vaccine. For which of the following possible reactions to this vaccine should the nurse teach the parents to monitor? (Select all that apply.)
- A. Bleeding
- B. Swollen glands
- C. Bruising
- D. Headache
Correct Answer: B
Rationale: Rash and swollen glands are common MMR reactions; bruising and headache are less typical.
Aminoglycosides lack activity against streptococci.
- A. TRUE
- B. FALSE
Correct Answer: B
Rationale: Aminoglycosides are effective against some streptococci (e.g., when combined with cell wall-active agents), though they are primarily used for gram-negative bacteria.