Which are preventable causes of medication errors? (Select all that apply.)

Writing a prescription that is unreadable.

Using barcode scanning to verify the client's name and birthdate.

Complicated drugs with names that look or sound alike.

Confusing drugs with similar packaging.

Giving a drug intravenously instead of intramuscularly.

Answer and Explanation

Correct Answer : A,D

A) Unreadable prescriptions can lead to medication errors, so clear and legible prescriptions are essential.

B) Using barcode scanning can help prevent errors by verifying the client's identity and ensuring the right medication is administered.

C) Complicated drug names that look or sound alike can contribute to errors, making it important to use caution and double-check.

D) Confusing drugs with similar packaging is a preventable cause of errors, and efforts should be made to differentiate packaging.

E) Administration route errors, like giving a drug intravenously instead of intramuscularly, are preventable through proper verification and adherence to procedures.

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Correct Answer is B

Explanation

a) The statement about not taking a scheduled-dose preparation of acetaminophen with opioid analgesics is unrelated to the client's question about alcohol consumption.

b) Excessive alcohol intake increases the risk of acetaminophen-induced liver damage. The recommended maximum dose is 3 grams per day to minimize the risk of hepatotoxicity.

c) The recommendation of not exceeding 2 gm of acetaminophen a day is conservative, but the commonly accepted maximum is 3 grams per day.

d) While the general guideline is not to exceed 4 grams of acetaminophen per day for the general population, individuals with alcohol consumption may be more susceptible to liver damage, so a lower limit is often advised.

A. Encourage oral fluid intake during the infusion and for 2 hours after the infusion. B. Monitor urinary output every 30 minutes. C. Provide a low-protein diet for one day before and two days after the acyclovir infusion. D. Administer intravenous normal saline boluses, as ordered.

Correct Answer is A

Explanation

a. This is the correct answer because maintaining adequate hydration helps prevent nephrotoxicity associated with acyclovir. Encouraging fluid intake during and after the infusion helps flush the drug through the kidneys.

b. While monitoring urinary output is important, it alone may not be sufficient to prevent nephrotoxicity.

c. Providing a low-protein diet is not a standard intervention for preventing acyclovir-induced nephrotoxicity.

d. Administering intravenous normal saline boluses, as ordered, can help maintain hydration and prevent nephrotoxicity. However, encouraging oral fluid intake is a more direct and immediate measure during acyclovir infusion.

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Which are preventable causes of medication errors? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client who reports routine consumption of more than three alcoholic beverages per day asks about taking acetaminophen when needed for occasional recurrent pain. What will the nurse tell the client?

Correct Answer is B

Explanation

The nurse is caring for a client who has an order for no food or drink by mouth and is receiving intravenous acyclovir. To prevent nephrotoxicity, what is the nurse's action?

Correct Answer is A

Explanation

The nurse is obtaining a history from a client who discloses daily use of St. John's Wort in addition to prescription drugs. Which effect of this dietary supplement would most concern the nurse?

A nurse is talking with a client who has peptic ulcer disease and starting therapy with sucralfate. What must the nurse include in the client education?

Which of these self-care measures should be emphasized in client education regarding phenytoin?

A client with a new diagnosis of atrial fibrillation is receiving a continuous infusion of heparin. Which finding will the nurse report immediately?

A client is started on warfarin therapy. Identify the appropriate nursing implications associated with this medication. (Select all that apply.)

The nurse is scheduled to administer lispro insulin per sliding scale before meals. The serum blood glucose reading before lunch is 152 mg/dl. Given the following sliding scale, how much insulin lispro should be given before lunch? (Select the appropriate parameter.)

A prescriber has ordered medication for a newborn that is eliminated primarily by hepatic metabolism. What would the nurse expect the prescriber to order?