Chapter 35 Kozier And Erbs Fundamentals of Nursing 10th Edition by Berman Snyder

Chapter 35 Kozier And Erbs Fundamentals of Nursing 10th Edition by Berman Snyder

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Question 1

Type: MCSA

The nurse is preparing to administer a medication that the agency designates as “high alert.” What action should the nurse take?

1. Ask another registered nurse to verify the medication.
2. Call the pharmacist to check the efficacy of the medication.
3. Decline to administer the medication unless there is a physician present.
4. Request that the nursing supervisor administer the medication.

Correct Answer: 1

Rationale 1: Most health care agencies maintain a list of high-alert medications, including controlled substances, which require the verification of two registered nurses.

Rationale 2: Although the pharmacy is a valuable resource for nurses, the “high-alert” designation does not require pharmacy intervention.

Rationale 3: High-alert medications do not require the presence of a physician for administration.

Rationale 4: High-alert medications do not require the presence of a nursing supervisor for administration.

Global Rationale:

 

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub: Pharmacological and Parenteral Therapies

QSEN Competencies: I.A. 1.  Integrate understanding of multiple dimensions of patient centered care

AACN Essentials Competencies: IX. 8. Implement evidence-based nursing interventions as appropriate for managing the acute and chronic care of patients and promoting health across the lifespan

NLN Competencies: Quality and Safety; Ethical Comportment; Commit to a generative safety culture

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 1. Define selected terms related to the administration of medications.

MNL Learning Outcome: 4.14.3. Apply the correct principles and procedures for safe administration of medications to clients.

Page Number: 791

 

Question 2

Type: MCSA

Why is the nurse writing out the name of the drug morphine sulfate instead of using the abbreviation MS?

1. The hospital has placed MS on its list of do-not-use abbreviations.
2. The Joint Commission requires that the abbreviation MS not be used.
3. Using the abbreviation MS puts the client at risk of medication error.
4. Computerized charting systems will not accept the abbreviation MS.

Correct Answer: 3

Rationale 1: Although the hospital has probably placed MS on its list of do-not-use abbreviations, The Joint Commission does require that the abbreviation not be used.

Rationale 2: The Joint Commission does require that the abbreviation not be used; however ,client safety is the primary reason.

Rationale 3: The best answer is that using the abbreviation MS puts the client at risk of medication error.

Rationale 4: Although some computerized charting systems will not accept the abbreviation MS, the best reason is for client safety.

Global Rationale:

 

Cognitive Level: Analyzing

Client Need: Physiological Integrity

Client Need Sub: Pharmacological and Parenteral Therapies

QSEN Competencies: I.A. 1.  Integrate understanding of multiple dimensions of patient centered care

AACN Essentials Competencies: IX. 8. Implement evidence-based nursing interventions as appropriate for managing the acute and chronic care of patients and promoting health across the lifespan

NLN Competencies: Quality and Safety; Ethical Comportment; Commit to a generative safety culture

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 2. Describe legal aspects of administering medications.

MNL Learning Outcome: 4.14.3. Apply the correct principles and procedures for safe administration of medications to clients.

Page Number: 760

 

Question 3

Type: MCSA

The hospitalized client has an order for Tylenol 325 mg 2 tablets every 4 hours prn temperature over 101°F. The client complains of a headache. Can the nurse legally administer Tylenol to treat the headache?

1. Yes, as Tylenol is used both for fever and headache.
2. No, not unless the client also has a temperature over 101°F.
3. Yes, but the nurse should document the reason why the medication was administered as a temperature elevation.
4. Yes, because the medication is available over the counter, an order is not required.

Correct Answer: 2

Rationale 1: In the hospital setting, the nurse can only administer medications that are prescribed for the client and can only administer those medications according to the specifics of the prescription. In this case, the medication was ordered for temperature elevation, not pain, so the nurse cannot legally administer the Tylenol to treat the client’s headache.

Rationale 2: In the hospital setting, the nurse can only administer medications that are prescribed for the client and can only administer those medications according to the specifics of the prescription. In this case, the medication was ordered for temperature elevation, not pain, so the nurse cannot legally administer the Tylenol to treat the client’s headache.

Rationale 3: The nurse should never document false information in regard to medication administration.

Rationale 4: The fact that this is an over-the-counter medication and is used both for fever and headache is not pertinent to the nurse’s decision.

Global Rationale:

 

Cognitive Level: Analyzing

Client Need: Physiological Integrity

Client Need Sub: Pharmacological and Parenteral Therapies

QSEN Competencies: I.A. 1.  Integrate understanding of multiple dimensions of patient centered care

AACN Essentials Competencies: IX. 8. Implement evidence-based nursing interventions as appropriate for managing the acute and chronic care of patients and promoting health across the lifespan

NLN Competencies: Quality and Safety; Ethical Comportment; Commit to a generative safety culture

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 2. Describe legal aspects of administering medications.

MNL Learning Outcome: 4.14.3. Apply the correct principles and procedures for safe administration of medications to clients.

Page Number: 773