The nurse reviews a patient's database and learns that the patient lives alone, is forgetful, and does not have an established routine. The patient will be sent home with three new medications to be taken at different times of the day. The nurse develops a daily medication chart and enlists a family member to put the patient's pills in a pill organizer. This is an example of which phase of the nursing process?

Assessment

Planning

Evaluation

Implementation

Answer and Explanation

The Correct Answer is B

a) Assessment involves gathering and analyzing data about the patient, such as their living situation, memory issues, and medication regimen, but it does not include developing a strategy to address these concerns.

b) Planning is the phase where the nurse develops interventions to help the patient manage their medications safely. By creating a medication chart and involving a family member, the nurse is ensuring adherence to the prescribed regimen.

c) Evaluation occurs after implementation to assess the effectiveness of the plan, such as checking if the patient is taking the medications correctly.

d) Implementation involves carrying out the planned interventions, such as physically setting up the pill organizer or educating the patient on medication use.

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Correct Answer is B

Explanation

a) Herbs are not classified as medications under the Dietary Supplement Health and Education Act of 1994. The law classifies them as dietary supplements, which are not subject to the same rigorous safety and efficacy standards as medications.

b) Discussing herbal remedies with the patient's provider is essential. Herbs can interact with prescribed medications, and their safety and effectiveness can vary. It is important for providers to be aware of any herbal remedies the patient is using to avoid potential harmful interactions.

c) Herbs are not regulated by the government in the same way as pharmaceuticals. The FDA does not determine their safety before marketing, and manufacturers are not required to prove safety or efficacy before selling them.

d) Herbs are not harmless. Some herbs may be ineffective, but others can cause adverse effects, especially when taken alongside other medications. Therefore, it's important to consider their safety in the context of the patient’s overall treatment plan.

A. Medication, client, signature, time, hospital, documentation B. Medication, solution, doctor, shift, documentation C. Medication, order, signature, route, time, documentation D. Medication, dosage, route, time, client, documentation

Correct Answer is D

Explanation

a) "Signature" and "hospital" are not part of the six rights of medication administration. The correct rights ensure patient safety by verifying essential aspects of drug administration.

b) "Solution," "doctor," and "shift" are not part of the six rights. The focus should be on ensuring the correct patient receives the right medication in the right manner.

c) "Order" and "signature" are important for verifying prescriptions, but they are not included in the six rights of administration.

d) The six rights of medication administration are right medication, right dosage, right route, right time, right client (patient), and right documentation. These ensure medication safety and prevent errors.

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Naxlex Comprehensive Predictor Exams

A family member expresses concern that a patient is taking several herbal remedies and worries that they may be unsafe. The nurse will respond by saying that herbs

Correct Answer is B

Explanation

The six rights of medication administration is:

Correct Answer is D

Explanation

The nurse is preparing to administer a schedule II injectable drug and is drawing up half of the contents of a single-use vial. Which nursing action is correct?

The patient is taking low-dose aspirin daily for his heart. The nurse knows only a portion of the medication taken actually reaches the tissue due to what process?

In response to the patient's question about how to know whether drugs are safe, the nurse explains that all medications undergo rigorous scientific testing controlled by what organization?

The nurse is preparing to give a medication to a child. The child's parent asks whether the drug is safe for children. How will the nurse respond to the parent?

What is the responsibility of the nurse related to the patient's drug therapy? (Select all that apply.)

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?

The nurse is caring for a patient who is receiving a high dose of intravenous azithromycin to treat an infection. The patient is also taking acetaminophen for pain. The nurse should expect to review which lab values when monitoring for this drug side effects?