Which are effective ways to help prevent medication errors? (Select all that apply)

Using electronic medical order entry systems

Naming, blaming, and shaming those who make errors

Prosecuting caregivers who make errors

Helping patients to be active, informed members of the healthcare team

Developing nonpunitive approaches to track errors

Answer and Explanation

Correct Answer : A,D,E

Choice A reason: Electronic order entry systems reduce errors by standardizing prescriptions and flagging issues. This enhances safety, making it a correct preventive strategy.

Choice B reason: Naming and shaming create fear, discouraging error reporting and learning. Nonpunitive approaches are effective, so this is incorrect for preventing errors.

Choice C reason: Prosecuting caregivers deters transparency, hindering error analysis. Supportive tracking systems prevent errors, so this is incorrect for effective strategies.

Choice D reason: Engaging patients as informed team members improves adherence and catches errors. This collaborative approach is effective, making it a correct choice.

Choice E reason: Nonpunitive error tracking encourages reporting, identifying patterns to prevent future mistakes. This is a proven method, making it a correct choice.

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Correct Answer is C

Explanation

Choice A reason: Theophylline is rarely used due to toxicity risks and less efficacy compared to beta-agonists. Increasing fluticasone dose doesn’t address acute exacerbations, as inhaled corticosteroids act slowly. Oxygen is appropriate, but this regimen lacks rapid-acting bronchodilators, making it inadequate for acute asthma management.

Choice B reason: Four puffs of albuterol via inhaler may be insufficient for severe asthma (90% saturation, wheezes). Theophylline is outdated, and nebulized treatments are more effective in emergencies. Oxygen is needed, but this combination lacks systemic steroids for inflammation, making it less optimal.

Choice C reason: Intravenous glucocorticoids reduce airway inflammation rapidly, nebulized albuterol and ipratropium provide synergistic bronchodilation, and oxygen corrects hypoxia (90% saturation). This aligns with guidelines for acute asthma exacerbations, addressing inflammation, bronchoconstriction, and oxygenation, making it the correct and comprehensive treatment choice.

Choice D reason: Intramuscular glucocorticoids are slower than intravenous for acute asthma. Salmeterol, a long-acting beta-agonist, is inappropriate for acute exacerbations, as it lacks rapid onset. Oxygen is needed, but this regimen doesn’t address immediate bronchoconstriction effectively, making it incorrect for emergency management.

A. Trade B. Proprietary C. Generic D. Chemical

Correct Answer is D

Explanation

Choice A reason: Trade names are brand-specific (e.g., Tylenol for acetaminophen). N-acetyl-para-aminophenol is the chemical structure name, not a marketed brand. Trade names are proprietary and vary by manufacturer, while chemical names describe molecular composition, making this choice incorrect for the given term.

Choice B reason: Proprietary names are brand names owned by manufacturers (e.g., Advil for ibuprofen). N-acetyl-para-aminophenol is the chemical name for acetaminophen, not a proprietary or trade name, which is used for marketing purposes, making this choice incorrect for the drug’s nomenclature.

Choice C reason: Generic names are non-proprietary, like acetaminophen for N-acetyl-para-aminophenol. The term given is the chemical name, describing the molecular structure, not the standardized generic name used in clinical practice, making this choice incorrect for classifying N-acetyl-para-aminophenol.

Choice D reason: N-acetyl-para-aminophenol is the chemical name for acetaminophen, describing its molecular structure (an acetyl group on a para-aminophenol backbone). Chemical names are used in scientific contexts, distinct from generic or trade names, making this the correct choice for the drug’s nomenclature.

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Which are effective ways to help prevent medication errors? (Select all that apply)

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Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

N-acetyl-para-aminophenol is an example of which type of drug name?

Correct Answer is D

Explanation

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