The nurse responsible for administering medications to the residents of a long-term care facility shows an understanding of the risk of injury this population experiences when

assessing the patient for a history of drug-related allergies

educating patients about the purpose and side efforts of their medications

confirming the patients identity prior to providing the medication

implementing the 5 rights of medication administration routinely

Answer and Explanation

The Correct Answer is D

A.   Knowing a patient’s history of drug allergies is essential for preventing allergic reactions to medications. Allergic reactions can be severe and include symptoms such as rash, difficulty breathing, or anaphylaxis. While important, assessing for drug allergies alone does not address all aspects of medication safety, such as correct drug administration, dosage, or monitoring for side effects.
B.   Educating patients about their medications helps them understand why they are taking them and what side effects to watch for. This can improve adherence to the medication regimen and enable patients to report side effects promptly. Education is important but does not directly prevent medication errors or ensure that medications are administered correctly.
C.   Confirming the patient's identity before administering medication is a fundamental safety measure. It helps prevent medication errors, such as administering the wrong medication to the wrong patient. This action alone does not address other aspects of medication administration, such as verifying correct dosage, the timing of administration, or monitoring for adverse effects.
D.   The 5 rights of medication administration—right patient, right drug, right dose, right route, and right time—are fundamental principles of safe medication administration. Adhering to these rights helps prevent medication errors and ensures that medications are administered correctly. By consistently applying these principles, the nurse minimizes the risk of errors and enhances patient safety. This approach covers multiple aspects of medication administration, including verifying the correct patient, drug, dose, route, and timing.

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Correct Answer is A

Explanation

A. In Korean culture, silence and avoiding eye contact can be seen as signs of respect and deference, especially towards individuals perceived as having authority or expertise. Therefore, the patient's behavior is likely not a sign of dissatisfaction or discomfort, but rather a cultural expression of respect for the nurse.
B. While it is possible for the patient to be dissatisfied with his care, the nurse should not assume this based solely on his behavior. It's important to consider cultural factors and use other communication strategies to assess the patient's needs and concerns.
C. This is not necessarily the case. The patient may simply be uncomfortable speaking up or asking questions in a language that is not his native tongue.
D. While it is possible for the patient to be uncomfortable discussing personal matters, the nurse should not assume this based solely on his behavior. It's important to consider cultural factors and use other communication strategies to assess the patient's needs and concerns.

A. Reporting muscle aches and frequent stumbling B. Dozing off in chair and not recognizing staff C. Pulse. 118 beats/min; and BP 160/90 D. Pulse, 58 beats/min; and BP 100/60

Correct Answer is C

Explanation

A. While these symptoms can be associated with alcohol withdrawal, they are not as indicative of an immediate medical emergency as tachycardia and hypertension.
B. While these symptoms may suggest cognitive impairment, they are not as indicative of impending alcohol withdrawal syndrome as tachycardia and hypertension.
C. Alcohol withdrawal can lead to various physiological changes, including increased heart rate and blood pressure. A pulse of 118 beats/min and a blood pressure of 160/90 indicate a significant increase in both vital signs, which could be a sign of impending alcohol withdrawal syndrome.
D. These vital signs are within normal limits and do not indicate a significant risk of alcohol withdrawal syndrome.

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The nurse responsible for administering medications to the residents of a long-term care facility shows an understanding of the risk of injury this population experiences when

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

While caring for an older Korean patient, the nurse notes that the patient answers questions regarding health history when asked but is otherwise silent and does not maintain eye contact. Being culturally sensitive, the nurse recognizes that the patients actions are most likely a(n):

Correct Answer is A

Explanation

The nurse is assessing patients for impending alcohol withdrawal. The nurse assesses the patient with which of the following conditions as a priority?

Correct Answer is C

Explanation

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The nurse responsible for administering medications to the residents of a long-term care facility shows an understanding of the risk of injury this population experiences when

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