·ð The nursery nurse is putting erythromycin ointment in the newborn s eyes to prevent infection. She places it in the following area of the eye:
under the eyelid
on the cornea.
in the lower conjunctival sac
by the optic disc.
C. The ointment is placed in the lower conjunctival sac so it will not scratch the eye itself and will get well distributed.
·ð The physician orders penicillin for a patient with streptococcal pharyngitis. The nurse administers the drug as ordered, and the patient has an allergic reaction. The nurse checks the medication order sheet and finds that the patient is allergic to penicillin. Legal responsibility for the error is:
only the nurse's-she should have checked the allergies before administering the medication.
only the physician's-she gave the order, the nurse is obligated to follow it.
only the pharmacist's-he should alert the floor to possible allergic reactions.
the pharmacist, physician, and nurse are all liable for the mistake
D. The physician, nurse, and pharmacist all are licensed professionals and share responsibility for errors.
·ð James Perez, a nurse on a geriatric floor, is administering a dose of digoxin to one of his patients. The woman asks why she takes a different pill than her niece, who also has heart trouble. James replies that as people get older, liver and kidney function decline, and if the dose is as high as her niece's, the drug will tend to:
have a shorter half-life.
accumulate.
have decreased distribution.
have increased absorption.
B. The decreased circulation to the kidney and reduced liver function tend to allow drugs to accumulate and have toxic effects.
·ð The nurse is administering Augmentin to her patient with a sinus infection. Which is the best way for her to insure that she is giving it to the right patient?
Call the patient by name
Read the name of the patient on the patient s door
Check the patient's wristband
Check the patient's room number on the unit census list
C. The correct way to identify a patient before giving a medication is to check the name on the medication administration record with the patient's identification band. The nurse should also ask the patient to state their name. The name on the door or the census list are not sufficient proof of identification. Calling the patient by name is not as effective as having the patient state their name; patients may not hear well or understand what the nurse is saying, and may respond to a name which is not their own.
·ð The most important instructions a nurse can give a patient regarding the use of the antibiotic Ampicillin prescribed for her are to
call the physician if she has any breathing difficulties.
take it with meals so it doesn't cause an upset stomach.
take all of the medication prescribed even if the symptoms stop sooner.
not share the pills with anyone else.
C. Frequently patients do not complete an entire course of antibiotic therapy, and the bacteria are not destroyed
