NU271 HESI Case Study: Fluid Balance (week 10) Updated
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Course
EAQ Pharmacology-
Institution
EAQ Pharmacology-
NU271 HESI Case Study: Fluid Balance (week 10) Updated
Client's serum potassium is low. She needs potassium replacement via IV solution instead of the PO route. A prescription for potassium chloride diluted in an IV solution to be administered over several hours should be obtained from the heal...
EAQ Pharmacology-Questions &
Answers -Latest Update
When an older adult is admitted to an acute care setting, which nursing strategy is most
appropriate to prevent medication errors?
1. Call the primary health care provider to verify current medications
2. Ask the patient's family to verify medications the patient was taking at home
3. Call the patient's pharmacy for a list of medications the patient was taking at home
4. Ask the patient to provide you with a written list of all medications being taken at
home - CORRECT ANSWERS-4. Ask the patient to provide you with a written list of all
medications being taken at home
Pg. 68-69
Which supplement found on a patient's list of medications would warrant concern for a
patient newly admitted with a pulmonary embolism?
1. Kava
2. Echinacea
3. Chamomile
4. Evening primrose - CORRECT ANSWERS-3. Chamomile
Pg. 89
Which response by a nurse indicates effective learning about medication error
reporting?
1. "The nurse enters the medication errors found only for inpatients."
2. "All hospital pharmacies must have an adverse drug even monitoring program."
3. "Only severe medication errors must be entered in the US Pharmacopeia database."
4. "MedWatch is a program that provides funds to treat medication errors in the
patients." - CORRECT ANSWERS-2. "All hospital pharmacies must have an adverse
drug even monitoring program."
Pg. 66
The nurse is caring for a Mexican-American patient who is concerned about a high-risk
surgery. Which intervention would the nurse consider the put this patient at ease and
provide more individualized care?
1. Arrange for a translator
2. Provide an English dictionary
3. Provide written instructions in Spanish
4. Ask if the patient would like a clergy visit - CORRECT ANSWERS-4. Ask if the patient
would like a clergy visit
Pg. 80
When would the nurse teach patients about drug therapy?
1. As soon as the discharge is planned
2. As soon as the patient undergoes surgery
,3. As soon as the patient is admitted to hospital
4. As soon as the patient's treatment is decided on - CORRECT ANSWERS-4. As soon
as the patient's treatment is decided on
Pg. 74
Which action by the nurse is correct in administering a rectal suppository?
1. Lubricating the suppository with petroleum gel before insertion
2. Avoiding inserting the suppository beyond the internal rectal sphincter
3. Not palpating the patient's rectal wall for the presence of feces
4. Suggesting that the primary health care provider prescribe oral medications -
CORRECT ANSWERS-3. Not palpating the patient's rectal wall for the presence of
feces
Pg. 109
Which necessary measure would the nurse implement for better teaching-learning
interaction with an adolescent who has a neurological disorder?
1. Palpating for prominent pulse sites
2. Performing baseline hearing assessment
3. Using example for explaining information
4. Keeping the teaching materials within the visual field - CORRECT ANSWERS-3.
Using example for explaining information
Pg. 78
In which position is it appropriate to place a patient when administering medications via
a nasogastric tube?
1. Supine
2. Left side
3. Fowler's position
4. Trendelenburg position - CORRECT ANSWERS-3. Fowler's position
Pg. 108
An older man who is being treated for several chronic conditions wants to use an over-
the-counter drug for cold symptoms. Which point is most appropriate to teach this
patient?
1. Ask the pharmacist to recommend therapy
2. Read the label carefully before purchasing the medication
3. Any over-the-counter therapy should be safe in moderate
4. Consult your health care provider before taking any over-the-counter medication -
CORRECT ANSWERS-4. Consult your health care provider before taking any over-the-
counter medication
Pg. 92
Which action assists the nurse in preventing a potential medication error?
1. Allow the patient to take home medications when desired
2. Ask the patient what disease the medication is treating before administering
3. Administer medications from the patients personal bottles while in the hospital
, 4. Encourage patients to question medications if they are different from the medications
they expect - CORRECT ANSWERS-4. Encourage patients to question medications if
they are different from the medications they expect
Pg. 69
Which suggestion would the nurse give a mother for administering a bitter-tasting
medication to an infant?
1. "Mix the medication with a teaspoon of milk."
2. "Mix the medication with a teaspoon of jelly."
3. "Mix the medication with a teaspoon of honey."
4. "Mix the medication with a teaspoon of orange juice." - CORRECT ANSWERS-2.
"Mix the medication with a teaspoon of jelly."
Pg. 108
A patient's primary intravenous infusion contains multivitamins. Which action would the
nurse take when infusing a medication via piggyback route?
1. Do not backprime the intravenous line
2. Run the medication concurrently with the infusion
3. Have the pharmacy mic the medication with the vitamins
4. Stop the primary intravenous infusion, push the medication in quickly, then restart the
primary infusion - CORRECT ANSWERS-1. Do not backprime the intravenous line
Pg. 123
Which information would be included on skills lab instructions for a subcutaneous
injection of heparin? Select all that apply.
1. Pinch the skin
2. Place the needle at a 15-degree angle
3. Massage the site after injection
4. Do not aspirate before injection
5. Use an abdominal site away from the umbilicus - CORRECT ANSWERS-1. Pinch the
skin
4. Do not aspirate before injection
5. Use an abdominal site away from the umbilicus
Pg. 115
Which observation foes the nurse deem as best practice when evaluating oral
medication distribution?
1. Administering oral mediation to a patient in the supine postion
2. Supplying an oral medication and then visually checking the oral cavity
3. Delivering oral medication to the bedside for the patient to keep until meal time
4. Documenting medication administration before take the medication to the patient -
CORRECT ANSWERS-2. Supplying oral medication and then visually checking the oral
cavity.
Pg. 106
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