The nurse is reviewing medication errors. Which situation is an example of a medication error?

A patient develops hives after having started an IV antibiotic 24 hours earlier.

A patient complains of severe pain still present 60 minutes after a pain medication was given.

A patient receives a double dose of a medication because the nurse did not cut the pill in half.

A patient refuses her morning medication

Answer and Explanation

The Correct Answer is C

A medication error refers to any preventable event that may cause or lead to inappropriate medication use or patient harm. In this case, the nurse administering a double dose of medication due to a failure to cut the pill in half is a medication error. It involves the administration of an incorrect dose, which can potentially result in harm or adverse effects for the patient.

The other situations mentioned do not necessarily indicate medication errors. A patient developing hives after starting an IV antibiotic could have an allergic reaction, and appropriate actions should be taken to address the reaction. A patient complaining of severe pain still present after receiving pain medication may require further assessment and intervention to manage their pain effectively. A patient refusing her morning medication is not a medication error but rather a patient's right to refuse treatment, and appropriate documentation and communication should be done in such situations.

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Correct Answer is C

Explanation

Prednisone is a corticosteroid medication commonly used to treat asthma and other inflammatory conditions. When taken for a prolonged period at higher doses, it can suppress the body's natural production of cortisol, a hormone produced by the adrenal glands. Abruptly stopping prednisone after long-term use can lead to adrenocortical insufficiency, also known as adrenal insufficiency or adrenal crisis.

Adrenocortical insufficiency occurs because the body's adrenal glands need time to resume normal cortisol production after being suppressed by prednisone. Gradually reducing the dose of prednisone allows the adrenal glands to gradually increase their cortisol production, minimizing the risk of adrenal insufficiency.

Rebound pulmonary congestion, hyperglycemia, and severe dehydration are not specific adverse effects associated with discontinuing prednisone. However, it is important for clients who have been taking prednisone to follow their healthcare provider's instructions regarding the tapering schedule and any potential risks or side effects.

A. Constipation B. Blurred vision C. Depression D. Palpitations

Correct Answer is C

Explanation

Montelukast is a medicine used to treat and prevent asthma and allergic rhinitis. It can cause some side effects, such as stomach pain, headache, cough, or fever. However, some side effects are more serious and need to be reported to the provider.

According to the sources I found, the most serious side effect of montelukast that should be reported to the provider is depression. Depression is a mental health condition that can affect your mood, thoughts, and behavior. It can cause symptoms such as feeling sad, hopeless, or worthless; losing interest in activities you used to enjoy; having trouble sleeping or concentrating; or having thoughts of harming yourself or others.

Montelukast has been linked to neuropsychiatric events, such as agitation, aggression, sleep disturbances, suicidal thoughts and behavior (including suicide). The mechanisms underlying these events are not well understood, but they can occur at any time during treatment. Therefore, patients and caregivers should be alert for changes in behavior or new neuropsychiatric symptoms when taking montelukast. If these occur, they should discontinue montelukast and contact a healthcare provider immediately.

The other options are not listed as serious side effects of montelukast that need to be reported to the provider. Constipation, blurred vision, and palpitations are possible side effects of other medicines used to treat asthma or allergic rhinitis, such as corticosteroids, antihistamines, or beta-agonists. However, they are not specific to montelukast and may not be related to its use.

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The nurse is reviewing medication errors. Which situation is an example of a medication error?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who has been taking prednisone to treat asthma and has a new prescription to discontinue the medication. The nurse should explain to the client to reduce the dose gradually to prevent which of the following adverse effects?

Correct Answer is C

Explanation

A nurse is providing discharge instructions to a client who has asthma and a new prescription for montelukast. The nurse should instruct the client to report which of the following adverse effects to the provider?

Correct Answer is C

Explanation

The nurse teaches the client that the major disadvantage of antitussive therapy on Robitussin A-C is that:

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