Exam 9: Safety and Quality

When the nurse practices the "Six Rights" of medication administration, what does it ensure?

Which is a violation of a nurse's right when administering medications?

The community health nurse is preparing to administer a medication to a patient in the patient's home. The order reads "amoxicillin as directed BID PO." The nurse will perform which action?

The pediatric nurse reviews a hand-written medication order, which reads, "09/16/2016, acetaminophen 160 mg (5 mL) PO q4h for fever." What will the nurse do next?

The nurse is teaching a patient about a new medication that will be administered using an MDI. To evaluate the patient's understanding about how to use the device, what will the nurse do?

The nurse is caring for a patient who will begin taking a thiazide diuretic to treat hypertension. The patient says, "I know this will lower my blood pressure, but how does it work?" How will the nurse respond?

The nurse assumes care of a patient who had surgery that morning. The provider has ordered hydrocodone (Lortab) every 4 hours for mild to moderate pain and morphine sulfate for moderate to severe pain. The nurse reviews the patient's record and notes the patient has received two doses of hydrocodone 4 hours apart for a pain level of 7 to 8 on a scale of 1 to 10 and has reported a decrease in pain to a level of 6 to 7 after 30 minutes. It has been 4 hours since the last dose, and the patient reports a pain level of 7. What will the nurse do?

The school nurse happens to observe a child pulling a pill out of a backpack and preparing to take it. What action will the nurse take?

The nurse is caring for a patient who has asthma. The provider has ordered an albuterol metered-dose inhaler (MDI), 2 puffs q4 to 6h PRN wheezing. The patient's last dose was 4 hours ago. What is the nurse's next action?

The nurse is caring for a 20-kg child who is ordered to receive amoxicillin 400 mg per os (PO) TID for 10 days. The nurse reviews the drug information and notes that the correct dose of amoxicillin is 40 to 50 mg/kg/day in two to three divided doses. Which action by the nurse is correct?

The nurse is caring for a patient who will have surgery that morning. The patient usually takes an antihypertensive medication every morning. The patient has been nothing per os (NPO) since midnight. What action will the nurse perform?

A patient who is diagnosed with atrial fibrillation is to begin taking warfarin (Coumadin). The patient refuses to take the medication because "it is rat poison." After the nurse provides teaching, the patient still refuses. What action will the nurse take?

The nurse is preparing to administer a medication from a unit-dose system. The nurse verifies that the medication, dose, and time are correct and that the expiration date was the day prior. Which action is correct?

The nurse is preparing to administer a chewable tablet to a preschool-age child. The child's parent reports always crushing the tablet and mixing it with pudding when giving it at home. What is the nurse's next action?

In order to ensure that a medication is given to the right patient, the nurse must perform which action?

A health care provider calls a nursing unit to leave a telephone order for an as needed (PRN) antipyretic medication for a child. The provider tells the nurse to "give PO acetaminophen for a fever greater than 101° F per protocol." What will the nurse do next?