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) Checking blood sugar once daily or more is a proactive and accurate self-management practice for individuals with diabetes.

b) Glipizide does not contain sulfa, so having a sulfa allergy is not a contraindication for taking this medication. The client needs clarification on this point.

c) Taking glipizide once daily with breakfast is a reasonable dosing schedule.

d) Having a glass of wine with dinner may be acceptable, but moderation and monitoring for interactions are advisable.

A. Ibuprofen B. Lithium C. Methotrexate D. Nicotine

Correct Answer is A

Explanation

Rationale for A: Ibuprofen is generally considered safe for use while breastfeeding, as it passes into breast milk in small amounts that are not expected to harm the infant.

Rationale for B: Lithium can have serious effects on a breastfeeding infant, as it can cause lethargy and developmental issues. Its use is generally not recommended during breastfeeding.

Rationale for C: Methotrexate is contraindicated during breastfeeding due to its potential toxicity and harmful effects on the infant, including possible effects on growth and development.

Rationale for D: Nicotine is harmful to infants and can affect their development. Smoking or using nicotine products while breastfeeding is discouraged due to the associated risks.

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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 has type 2 diabetes begins taking glipizide. Which statement by the client indicates a need for further education?

Correct Answer is B

Explanation

The nurse is talking with a new mother about medications that can be safely resumed now that she is no longer pregnant. All the following medications are contraindicated during pregnancy, but which one may be ingested while breastfeeding without causing known infant harm?

Correct Answer is A

Explanation

A nurse is reviewing the chart of an adult male client who has been taking oral androgens. Which assessment would warrant notifying the provider?

To prevent yellow or brown discoloration of teeth, tetracycline use should be avoided in which of the following clients?

Which statement by the client shows a correct understanding of how they should take their levothyroxine?

A client who has erectile dysfunction asks a nurse whether sildenafil would be a suitable medication. Which aspect of this client's history would be of most concern?

A client who has been taking a glucocorticoid for several months arrives in the clinic. The nurse notes the client's cheeks appear full, and a prominent hump of fat is present on the upper back. The nurse will ask the provider to order which of these laboratory tests?

Which statement by a client indicates an understanding of self-care precautions when taking warfarin?

What should the nurse advise a client on spironolactone regarding necessary self-care?

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?