When reviewing Mr. Brown's medications the nurse would anticipate an automatic stop order for the following medication classifications?
Antibiotics and anticoagulants
Narcotics and antibiotics
Cardiac and antihypertensives
Insulins and controlled drugs
The Correct Answer is B
A. Antibiotics and anticoagulants: While some antibiotics may have duration limits, anticoagulants such as heparin or warfarin are continued based on clinical indication and laboratory monitoring rather than automatic stop policies. Anticoagulation therapy is often long-term or condition-specific, making routine automatic discontinuation inappropriate.
B. Narcotics and antibiotics: Narcotics (controlled substances) and antibiotics commonly have automatic stop orders in many institutions to prevent prolonged, unnecessary use. Narcotics carry risks of dependence, oversedation, and respiratory depression, while antibiotics require duration monitoring to reduce antimicrobial resistance and adverse effects.
C. Cardiac and antihypertensives: Cardiac medications and antihypertensives are usually chronic therapies intended for ongoing management of cardiovascular disease. Abrupt discontinuation due to an automatic stop order could result in rebound hypertension, arrhythmias, or ischemic events, making routine automatic discontinuation unsafe.
D. Insulins and controlled drugs: Although controlled drugs may be subject to automatic stop policies, insulin is not included. Insulin therapy is essential for glycemic control and must be administered consistently; automatic discontinuation could precipitate hyperglycemia or diabetic ketoacidosis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Complete proper documentation of the medication error in the patient's chart: Documentation is an essential component of error management, but it is not the immediate priority. Patient safety takes precedence, and assessment must occur first to determine whether harm has occurred before completing documentation or incident reporting.
B. Return to the room to check and assess the patient: The first priority after recognizing a potential medication error is to assess the patient. This includes verifying identity, evaluating vital signs, assessing for adverse effects, and determining whether the correct medication was administered. Immediate assessment allows timely intervention if the wrong patient received medication.
C. Alert the charge nurse that a medication error has occurred: Notifying the charge nurse is appropriate after assessing the patient. However, reporting without first determining the patient’s current condition delays critical clinical evaluation and potential interventions.
D. Administer the antidote to the patient immediately: Administering an antidote without confirming that the wrong medication was given or that adverse effects are present could cause unnecessary harm. Treatment decisions must be based on assessment findings and verification of the specific error involved.
Correct Answer is D
Explanation
Calculation:
- Identify the ordered dose and available concentration
Ordered Dose: 4 mg
Available Concentration: 10 mg/2 mL
- Calculate the concentration per mL
Concentration = 10 ÷ 2 = 5 mg/mL
- Calculate the volume to administer
Volume to administer = Ordered Dose ÷ Concentration
Volume to administer = 4 ÷ 5
= 0.8 mL
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