How can the nurse determine a patient's history of allergies? (Select all that apply.)

By looking at the MAR

By asking the patient

By looking at the patient's allergy bracelet

By looking at the front of the chart or in the patient's electronic health record (EHR)

By administering a dose and monitoring the patient's response

Answer and Explanation

Correct Answer : B,C,D

A. By looking at the MAR: The Medication Administration Record (MAR) is primarily for documenting medications administered, and while it may note some allergies, it is not a comprehensive source for a patient's allergy history.

B. By asking the patient: Directly inquiring about a patient's allergies is one of the most effective methods to gather accurate and specific information. Patients can detail their allergies to medications, foods, and other substances, which might not be documented elsewhere.

C. By looking at the patient's allergy bracelet: An allergy bracelet provides immediate visual identification of known allergies. It serves as an important safety mechanism for healthcare providers to avoid administering any allergens.

D. By looking at the front of the chart or in the patient's electronic health record (EHR): This is a reliable way to find documented allergies. The front of the chart or the EHR often contains essential information about a patient's allergies, which helps inform safe medication administration and treatment planning.

E. By administering a dose and monitoring the patient's response: This method is unsafe and inappropriate. Administering a medication without prior knowledge of allergies could lead to serious and potentially life-threatening reactions. It is critical to know allergy history before any medication administration

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Correct Answer is D

Explanation

A) 2: Administering 2 mL of Compazine would provide a total dose of 10 mg (since the concentration is 5 mg/mL), which exceeds the ordered dose of 2.5 mg. This option is incorrect as it would administer too much medication.

B) 1.5: This option suggests giving 1.5 mL, which would equate to 7.5 mg (1.5 mL x 5 mg/mL). This dosage also exceeds the ordered 2.5 mg and is therefore not appropriate.

C) 1: Administering 1 mL would deliver 5 mg of Compazine. This amount is higher than the prescribed 2.5 mg and is not the correct dose.

D) 0.5: This option is correct. Administering 0.5 mL of Compazine would provide a dose of 2.5 mg (0.5 mL x 5 mg/mL). This matches the ordered dosage perfectly, ensuring that the patient receives the correct amount of medication.

A. 16-year-old female, who has had vomiting and diarrhea B. 65-year-old male, who has been on high doses of antibiotics for 3 weeks C. 75-year-old female, who swallowed Caladryl lotion D. 43-year-old male, who has liver failure E. 82-year-old male, who has renal disease

Correct Answer is ["B","D","E"]

Explanation

A) 16-year-old female, who has had vomiting and diarrhea: While vomiting and diarrhea can lead to dehydration and electrolyte imbalances, this scenario alone does not directly indicate an increased risk of drug toxicity. However, it could affect drug absorption and excretion, so monitoring may be warranted.

B) 65-year-old male, who has been on high doses of antibiotics for 3 weeks: Prolonged use of high doses of antibiotics can increase the risk of toxicity, particularly if the patient has underlying kidney or liver issues. Extended antibiotic use can also disrupt normal gut flora, potentially leading to adverse effects or superinfections.

C) 75-year-old female, who swallowed Caladryl lotion: While ingesting topical medications can pose risks, it does not necessarily indicate a significant risk for systemic drug toxicity unless large quantities are involved. This patient’s risk would depend on the amount ingested and her overall health status.

D) 43-year-old male, who has liver failure: Patients with liver failure are at a heightened risk for drug toxicity because the liver plays a crucial role in drug metabolism. Impaired liver function can lead to accumulation of medications, increasing the likelihood of adverse effects.

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How can the nurse determine a patient's history of allergies? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The health care provider has ordered prochlorperazine (Compazine) 2.5 mg IM q4h prn. The medication available is Compazine 5 mg/mL. The nurse should give ___ mL for each dose.

Correct Answer is D

Explanation

Which of the following patients are at risk for developing drug toxicity? (Select all that apply.)

Correct Answer is ["B","D","E"]

Explanation

How can the nurse determine a patient's history of allergies? (Select all that apply.)

The health care provider has ordered Amoxil (amoxicillin) 0.05 g, PO tid. Drug available: The nurse should give ____ mL for each dose.

The health care provider has ordered allopurinol 0.05 g PO BID. Drug available: The nurse should give _____ tablet(s) for each dose.

The patient who is to receive a medication BID will receive the medication:

The health care provider has ordered amoxicillin 250 mg PO q8h. The drug label states 125 mg amoxicillin per 5 mL. Based on this information, which of the following would be correct actions by the nurse? (Select all that apply.)

The nurse brings the patient's medications but the patient refuses to take them, stating, "I'll take them later. Right now my stomach feels a little upset. Could you please bring me some crackers?" What is the best action the nurse should take? (Select all that apply.)

The health care provider has ordered Amikin (amikacin) 500 mg, IM q8h. Drug available: The nurse should give___mL for each dose.

The home care nurse is reviewing the patient's prescribed medications. The patient reports he doesn't take his antihypertensive (blood pressure) medication anymore. What is the best response by the nurse?