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QUESTION: 461 Exam Topic: Safe and Effective Care Environment

The nurse enters her first patient’s room to administer morning medications. What is the first thing she should do?

Ask the patient to verify his or her medication allergies.
Verify the patient’s full name and date of birth.
See if the patient has had breakfast.
Review medications and potential side effects.

Answer(s): B

QUESTION: 462 Exam Topic: Safe and Effective Care Environment

A physician orders the administration of ibuprofen, but the nurse notices the patient is allergic to NSAIDs. What should the nurse do?

Find out how serious the patient’s reaction is to NSAID exposure.
Administer the medication per the physician’s order.
Contact the physician to verify the order and discuss concerns.
Ask the patient if he or she feels comfortable taking the medication.

Answer(s): C

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QUESTION: 463 Exam Topic: Safe and Effective Care Environment

A nurse is caring for an elderly patient and realizes she made an error by administering an antibiotic at the drip rate ordered for normal saline.

What is the most appropriate action?

Tell the patient that a medication error occurred and about the potential side effects.
File an incident report giving objective data about what happened.
Do nothing. There are no serious risks or side effects to this type of medication error.
Tell the charge nurse the medication error occurred and that it was due to the previous nurse mislabeling the IV tubing from the antibiotic and normal saline bags.

Answer(s): B

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QUESTION: 464 Exam Topic: Safe and Effective Care Environment

The most effective way to perform hand hygiene is ______________.

washing hands after gloves are removed post patient care
using hand sanitizer and rubbing hands together for 30 seconds
either washing your hands for 30 seconds in warm, soapy water or using hand sanitizer if hands are not visibly soiled
holding hands down after washing to prevent water from rolling down your arm while drying

Answer(s): C

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