(GUARANTEED PASS)
A nurse is preparing a client's medication. Which of the following are legal
responsibilities of the nurse? (Select all that apply.)
A. Maintaining skill competency
B. Determining the dosage
C. Monitoring for adverse effects
D. Safeguarding medications
E. Identifying the client's diagnosis - VERIFIED ANSWER - ANS: A, C, D
Determining medication dosage and identifying a diagnosis is the
role/responsibility of the provider. The nurse should be informed about a
client's diagnosis.
A nurse is reviewing a client's health record and notes a new prescription
by the provider for lisinopril (Zestril) 10 mg PO every day. The nurse
should recognize this as which of the following types of prescription?
A. Single prescription
B. Stat prescription
C. Routine prescription
D. Standing prescription - VERIFIED ANSWER - ANS: C
,A routine prescription identifies a medication that is given on a regular
schedule. This medication is administered every day until discontinued.
A single prescription is to be given once at a specified time or as soon as
possible. A stat prescription is only given once, and it is given
immediately. A standing prescription is written for specific circumstances
or a specific unit.
A nurse is reviewing a new prescription for ondansetron (Zofran) 4 mg PO
PRN nausea and vomiting for a client who has hyperemesis gravidarum.
The nurse should clarify which of the following parts of the prescription
with the provider?
A. Name
B. Dosage
C. Route
D. Time - VERIFIED ANSWER - ANS: D
The time and frequency of medication administration is not included and
should be clarified with the provider.
,A nurse is orienting a newly hired nurse and discussing how to take
telephone prescription. Which of the following statements by the newly
hired nurse indicates understanding of the discussion?
A. "A second nurse enters the prescription into the client's health
record."
B. "Another nurse should listen to the phone call."
C. "The provider can clarify the prescription when he signs the health
record."
D. "The 'read back' is omitted if this is a one-time prescription." - VERIFIED
ANSWER - ANS: B
The second nurse should listen to a telephone prescription to prevent
errors in communication.
The nurse who takes the telephone prescription should enter it into the
client's health record to prevent errors in translation. The nurse verifies
the prescription is complete and accurate at the time it is given by
reading it back to the provider. A telephone prescription includes reading
back all types of medication prescription.
A nurse on a medical unit is admitting a client and completing a
preassessment before administration of medications. Which of the
, following data should the nurse include in the preassessment? (Select all
that apply.)
A. Use of herbal teas
B. Daily fluid intake
C. Current health status
D. Previous surgical history
E. Food allergies - VERIFIED ANSWER - ANS: A, C, E
Use of herbal product,s which often contains caffeine, should be assessed
prior to medication administration because caffeine can affect medication
biotransformation. Current health status should be reviewed because new
prescriptions can cause alterations in current health status. Food
allergies should be included in the preassessment that is completed prior
to medication administration to identify any potential interactions.
Daily fluid intake and surgical history is important, but it is not part of the
presassessment that is completed prior to medication administration.
A nurse is assessing a client's IV. Which of the following findings is
indicative of phlebitis? (Select all that apply.)
A. Tingling sensation below insertion site
B. Tachycardia