Study Guide for Fundamentals of Nursing The Art and Science of Nursing Care

(Barry) #1
12.See medication chart below.

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376 ANSWER KEY


Method Xanax Zantac Cipro

Dosage 0.25–0.5 mg 150–300 mg 250–750 mg

Route of administration PO PO PO

Frequency/schedule tid bid bid

Desired effects Relief of anxiety Cure/relief of peptic ulcer Cure/treat infection

Possible adverse effects Drowsiness, lightheadedness, Malaise, rash, GI upset GI upset, nausea,
dry mouth, constipation diarrhea

Signs and symptoms of Diminished reflexes, Tachycardia, GI upset CNS stimulation
toxic drug effects somnolence, confusion

Special instructions No alcohol None No antacids

Recommended course of Gastric lavage None None
action with problems

REFLECTIVE PRACTICE USING CRITICAL


THINKING SKILLS


Sample Answers
1.How might the nurse use blended nursing skills to
respond to this medication error?
The nurse would use the five rights of medication
administration ([1] Give the right medication [2] to
the right patient [3] in the right dosage [4] through
the right route [5] at the right time) to determine
that the medication was labeled incorrectly. The
nurse could then call the pharmacy and have new
medication delivered with the right patient name.
2.What would be a successful outcome for this patient?
Mr Baptiste receives the prescribed medication with
his name on the label.
3.What intellectual, technical, interpersonal, and/or
ethical/legal competencies are most likely to bring
about the desired outcome?

Intellectual: knowledge of intravenous antibiotic
therapy including correct dosages for IV medications
Technical: ability to safely administer IV antibiotics
to a patient
Legal/Ethical: ability to provide patient safety via
accurate patient identification to ensure medications
are delivered in the right dosage to the right patient.

CHAPTER 30


PRACTICING FOR NCLEX
MULTIPLE CHOICE QUESTIONS
1.a 2.c 3.b 4.d 5.b
6.a 7.c 8.c 9.a 10.c
11.b 12.d 13.b 14.a 15.c
16.a

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