A nurse is working in a pediatric special care unit. She recently transferred to this unit from an adult intensive care unit. The nurse is very cautious in administering medications because children are especially vulnerable to medication errors. Why is this true?

Children require more frequent dosing to achieve desired effects.

Children have less mature livers and kidneys than adults.

Children metabolize medications more quickly than adults.

Children excrete urine more quickly than adults.

Answer and Explanation

The Correct Answer is B

A. Children do not necessarily require more frequent dosing; the dosing schedule depends on the medication and the condition being treated.
B. Children have less mature livers and kidneys, affecting drug metabolism and excretion, making them more vulnerable to medication errors and adverse effects.
C. Children do not metabolize all medications more quickly; their metabolism can vary based on age and development.
D. Children may have different rates of urine excretion, but this is not the primary reason for their vulnerability to medication errors.

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Correct Answer is B

Explanation

A. The therapeutic effect of Benadryl is to relieve allergy symptoms, not cause drowsiness.
B. Drowsiness is a common side effect of Benadryl, as it is an antihistamine that can cause sedation.
C. Toxic effects refer to harmful effects due to excessive dosing, not typical side effects at therapeutic doses.
D. An allergic reaction would involve symptoms such as rash, itching, or swelling, not drowsiness.

A. Contact the provider to clarify the prescription. B. Interpret the prescription according to the client's medical history. C. Clarify the prescription with the family: D. Ask the pharmacist for clarification of the prescription.

Correct Answer is A

Explanation

A. Contacting the provider to clarify the prescription is the most direct and appropriate action to ensure accuracy and prevent medication errors.
B. Interpreting the prescription according to the client's medical history can lead to errors and is not a safe practice.
C. Clarifying the prescription with the family is not appropriate as they may not have the necessary knowledge or authority to interpret medical orders.
D. Asking the pharmacist for clarification can help, but the pharmacist may also have difficulty reading the handwriting. The most reliable approach is to directly contact the provider.

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A nurse is working in a pediatric special care unit. She recently transferred to this unit from an adult intensive care unit. The nurse is very cautious in administering medications because children are especially vulnerable to medication errors. Why is this true?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A woman has been prescribed a daily Benadryl for allergy symptoms by her health care provider. She recently began have difficulty staying awake at work, most likely this is related to the Benadryl. Which of the following best describes this response?

Correct Answer is B

Explanation

A nurse is transcribing a client's medication prescriptions and is having difficulty reading the provider's handwriting. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

A nurse is reviewing new prescriptions for a client. The nurse should identify that which of the following abbreviations used by the provider indicates "to administer medications before meals"?

A postoperative patient is undergoing antibiotic therapy. She has never had any problems taking medications in the past. When the nurse hung the second dose of IV antibiotics, the patient suddenly developed hives and itching. The nurse recognized this was most likely a(n):

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A nurse is working with an RN to admit a new client. Which of the following steps of the nursing process is the nurse using when assisting to formulate goals for a positive outcome?

A nurse is performing a medication reconciliation while admitting an older adult client transferred from a long-term care (LTC) facility. Which of the following should the nurse identify as part of the medication reconciliation process?

A nurse is assisting with teaching a class about pharmacodynamics. The nurse should include that which of the following medication levels occurs when a medication is at the lowest serum concentration?

This medication is most commonly used to treat acute angina attacks: