iHuman Case Study ‘‘Rash’’ 2023 History ROS ........
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Course
Q Nursing Skills: Chapter 20 - Safe Medi
Institution
Q Nursing Skills: Chapter 20 - Safe Medi
iHuman Case Study
‘‘Rash’’ 2023
History
ROS
........
PMH
Social Hx
Family Hx
Skin/hair/nails
Inspection ofskin:
Skin is warm and dry. There is a maculopapular pink rash on abdomen and extremities. Normalskin
turgor
HEENT/neck:
Inspect eyes:
Eyelids: no ptosis, erythema orswell...
Test Bank Q Nursing Skills: Chapter 20 -
Safe Medication Preparation-Latest
Update
The nurse is caring for several patients. The patient in which situation can safely receive
oral medications?
a. Nausea with frequent episodes of vomiting
b. Taking a daily dose of vitamins
c. Nasogastric tube connected to suction
d. Diagnosed with an esophageal stricture - CORRECT ANSWERS-ANS: B
Avoid giving oral medications to patients with alterations in gastrointestinal function
(e.g., nausea and vomiting), reduced motility (after general anesthesia or inflammation
of the bowel), or surgical resection of a portion of the gastrointestinal tract. Oral
medications cannot be given when the patient has gastric suctioning and are
contraindicated in patients before some tests or surgery. Oral administration is
contraindicated in patients who are NPO and unable to swallow (e.g., patients with
neuromuscular disorders, esophageal strictures, or lesions of the mouth).
The nurse receives an order to give a drug parenterally. The nurse will administer this
medication by which route?
a. Oral
b. Topical
c. Sublingual
d. Intramuscular - CORRECT ANSWERS-ANS: D
Parenteral medications can be intramuscular, subcutaneous, intradermal, epidural, or
intravenous. Medications given orally are given by mouth. Topical medications are
applied on the skin (as a cream or patch) and as eye/eardrops. Sublingual medications
are given under the tongue.
A patient with a history of renal failure and liver disease has been receiving morphine
sulfate every 4 hours for the past 2 weeks. The nurse finds the patient lethargic with a
respiratory rate of 6 breaths per minute. The health care provider orders naloxone. The
nurse anticipates which effects when naloxone is given? (Select all that apply.)
a. Increase in alertness
b. Decrease in urine output
c. Complaints of pain
d. Increase in respiratory rate - CORRECT ANSWERS-ANS: A, C, D
Toxic effects develop after prolonged intake of a medication, when a medication
accumulates in the blood as the result of decreased clearance by the liver and/or
kidneys (because of impaired metabolism or excretion), or when too high a dose is
given. Respiratory depression and sedation are known effects of opioid toxicity.
Naloxone reverses the effects of opioids, including pain relief.
, When do most medication errors occur? (Select all that apply.)
a. During hospital admission
b. During transfer from one unit to another
c. During discharge home
d. During discharge to another facility - CORRECT ANSWERS-ANS: A, B, C, D
Most medication errors occur at patient care transition points such as during hospital
admission, transfer from one unit to another, and discharge to home or another facility.
The nurse recognizes that patients with which conditions will have a reduction in the
distribution of drugs? (Select all that apply.)
a. Peripheral vascular disease
b. Heart failure
c. Liver disease
d. Obesity - CORRECT ANSWERS-ANS: A, B
The rate and extent of distribution depend on circulation, cell membrane permeability,
and protein binding. Peripheral vascular disease and heart failure result in a decrease in
circulation, which reduces distribution. Liver disease causes a reduction in plasma
proteins, which results in more free active drug that is distributed more readily. Obesity
does not affect distribution.
The hospital has implemented a computerized physician order entry system (CPOE) to
eliminate the need for written orders. The benefits of this system include which of the
following? (Select all that apply.)
a. Automatic drug allergy checks
b. Automatic dosage indications
c. Identification of potential drug interactions
d. Reduced number of medical errors - CORRECT ANSWERS-ANS: A, B, C, D
Decision support software, integrated into a CPOE system, allows for automatic drug
allergy checks, dosage indications, and identification of potential drug interactions. Use
of CPOE systems may significantly reduce medication errors by as much as 55% to
83%.
The nurse reviews a medication administration record for an anticoagulant that is
ordered at 0900 daily. The medication record indicates that the drug was given at the
following times over the past 4 days. Which times follow the "right time" of medication
administration? (Select all that apply.)
a. 0800
b. 0830
c. 0930
d. 1000 - CORRECT ANSWERS-ANS: B, C
Time-critical medications such as anticoagulants must be administered within 30
minutes of the scheduled time. Non-time-critical medications can be given 1 to 2 hours
before or after the scheduled time.
Medication errors include which of the following? (Select all that apply.)
a. Administration of the wrong medication
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