In discussing the safe use of drugs in the institutional setting, what duty is performed by the nurse? (Select all that apply.)

administering drugs

monitoring clients for drug effects

prescribing drugs

evaluating clients for toxic effects

educating clients/caregivers about drugs

Answer and Explanation

Correct Answer : A,B,D,E

A. Administering drugs is a fundamental duty of the nurse, ensuring that medications are given safely and according to protocols.

B. Monitoring clients for drug effects is crucial for assessing the effectiveness of medications and identifying any adverse reactions or complications.

C. Prescribing drugs is not a duty performed by nurses, as this responsibility typically falls under the purview of licensed practitioners such as physicians or nurse practitioners.

D. Evaluating clients for toxic effects is part of the nurse's responsibility to ensure patient safety and to respond to any signs of medication toxicity.

E. Educating clients/caregivers about drugs is a vital role for nurses, as it helps patients understand their medications and the importance of adherence to prescribed regimens.

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Correct Answer is A

Explanation

A. An INR of 5.0 indicates a significantly increased risk of bleeding, and administering vitamin K is the appropriate antidote for reversing the effects of warfarin. This is a critical intervention to restore coagulation.

B. Increasing the dose of warfarin is inappropriate in this scenario because the INR is already elevated; it would further increase bleeding risk.

C. While heparin can be used for anticoagulation, it is not appropriate to administer it while the INR is dangerously high without reversing the warfarin first.

D. Continuing warfarin is unsafe at this INR level due to the high risk of bleeding; monitoring for symptoms without intervention is not adequate care.

A. Chest pain and pale skin B. Shortness of breath and wheezing C. Peripheral edema and bradycardia D. Tachycardia and anxiety

Correct Answer is C

Explanation

A. Chest pain and pale skin are not typical adverse effects associated with diltiazem use.

B. Shortness of breath and wheezing may occur due to other conditions or medications but are not common adverse effects of diltiazem.

C. Calcium channel blockers like diltiazem can cause peripheral edema due to vasodilation and bradycardia as a result of their action on the heart rate. Monitoring for these effects is essential in patients taking diltiazem.

D. Tachycardia is not an expected adverse effect of diltiazem; in fact, it is used to manage conditions where tachycardia may be present. Anxiety is also not a direct adverse effect of this medication.

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In discussing the safe use of drugs in the institutional setting, what duty is performed by the nurse? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient on warfarin is found to have an INR of 5.0. What is the most appropriate action by the nurse?

Correct Answer is A

Explanation

A client taking diltiazem, a calcium channel blocker, for hypertension has come to the clinic for a follow-up appointment. The nurse will assess the client for which adverse effects?

Correct Answer is C

Explanation

What adverse reaction does the nurse anticipate if a client takes nitroglycerin with sildenafil?

A client with hypertension has had their ACE inhibitor discontinued and an angiotensin II receptor blocker prescribed. What factor may have contributed to this change in medication?

What measure protects the nurse when preparing cytotoxic drugs?

A client has been prescribed a tricyclic antidepressant and the nurse recognizes the client's associated risk for anticholinergic effects. What should the nurse teach the client about preventing and managing these adverse effects? (Select all that apply.)

The nursing instructor has been teaching about antivirals, actions, and effects. The instructor realizes that a student needs further instruction when the student makes which statement?

A client diagnosed with hyperlipidemia has been taking atorvastatin for several months. How can the therapeutic effect of the medication be determined?

The nurse is teaching a patient with type 2 diabetes about intermediate-acting insulin (NPH). Which of the following statements by the patient indicates a need for further teaching?