Which of the following are considered HIGH RISK medications?
Potassium, vancomycin, insulin, and furosemide.
Opioid and non-opioid pain medications
Potassium, insulins, opioids, chemotherapeutics, and heparin.
Antibiotics, antifungals, antianginals, and anticoagulants.
The Correct Answer is C
A. Potassium, vancomycin, insulin, and furosemide: Potassium and insulin are high-risk, but vancomycin and furosemide are not classified as standard high-alert meds by ISMP.
B. Opioid and non-opioid pain medications: Opioids are high-risk, but non-opioid pain meds (like acetaminophen) are not considered high-alert.
C. Potassium, insulins, opioids, chemotherapeutics, and heparin:. These are classic high-alert medications due to their high potential for harm if used incorrectly.
D. Antibiotics, antifungals, antianginals, and anticoagulants: While anticoagulants (like heparin, warfarin) are high-risk, the rest are not universally classified as high-alert.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. You can delegate medication documentation if you are too busy: Medication documentation is part of the nurse’s professional responsibilities and accountability; delegation to unlicensed personnel for this task is generally not appropriate and risks inaccurate records.
B. After the medication is administered: Documentation should be completed at the time of administration (immediately after giving the medication) so the record accurately reflects dose, time, route, and any patient response.
C. Whenever you get time to sit down and document: Waiting until a convenient time increases the chance of omissions or errors and may compromise patient safety and continuity of care.
D. Within 2–4 hours of giving the medications: Delaying documentation for hours creates a risk of charting inaccuracies and medication errors; timely (real-time) documentation is the expected practice.
Correct Answer is ["A","C","D"]
Explanation
A. Put the patient on NPO status: Prevents oral intake before surgical evaluation and possible return to the operating room; also reduces risk of aspiration if anesthesia is needed.
B. Apply a cold compress to the exposed bowel: Avoids this -cold compresses can cause vasoconstriction and tissue damage; they are not recommended for exposed viscera.
C. Notify the surgical team immediately: Timely surgical notification is essential because evisceration is an emergency that usually requires operative management.
D. Place dressing dampened with sterile water/saline over the area: A sterile, saline-moistened dressing protects exposed bowel from drying and contamination while awaiting surgical intervention.
E. Elevate the head of the bed 90 degrees: Avoid positioning that increases intra-abdominal pressure; the recommended position is usually low Fowler’s with knees slightly flexed to reduce tension on the wound.
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