A patient arrives to the Emergency Department (ED) from a Skilled Nursing Facility (SNF) (nursing home).  The health care provider (HCP) recognizes that the patient was prescribed haloperidol (Haldol) two weeks ago and is now presenting with Neuroleptic Malignant Syndrome (NMS).  Which statement by the HCP would warrant the nurse to offer clarification?   

You are preparing to administer your patient’s morning medications who has been diagnosed with primary adrenal insufficiency. You notice that you are to administer two corticosteroids including fludrocortisone (Florinef) and prednisone (Rayos). What priority action should you take?

A patient on your unit is experiencing nausea and vomiting post-surgery.  The nurse has administered ondansetron (Zofran) 4mg sublingual without any relief noted by the patient.  The nurse reviews the Medication Administration Record (MAR) and notes that prochlorperazine (Compazine) 5mg po q6 hours PRN for nausea/vomiting is available as second line for nausea and vomiting.  You prepare to administer prochlorperazine (Compazine).  The nurse understands which statement to be true regarding the antiemetic (antinausea) medications that the patient is being administered?

A pediatric patient was diagnosed with asthma and you are providing medication education to the patient’s caregiver prior to discharge.  You evaluate that learning has occurred when the patient’s caregiver makes which correct statement?

A biological male patient has been prescribed finasteride (Proscar) for Benign Prostatic Hyperplasia (BPH). What patient education should the nurse provide?

A pediatric patient was diagnosed with asthma and you are providing medication education to the patient’s caregiver prior to discharge.  You evaluate that learning has occurred when the patient’s caregiver makes which correct statement?

You have been assigned a patient was recently diagnosed with heart failure and prescribed bumetanide (Bumex). What priority education should the nurse provide to the patient?

A patient with a severe bacterial infection is on streptomycin.  You are aware of the antibiotics side effects so you decide to trend the patient’s Basal metabolic panel (BMP) to determine if the labs are improving, worsening or stable.  Note: Full credit can only be obtained by selecting only all correct choices. Sodium is [Result1] Potassium is [Result2] Calcium is [Result3] Creatinine is [Result4] BUN is [Result5]   Basal Metabolic Panel (BMP) Lab 1 week ago    4 days ago   Today         Normal Range Sodium 143  147 138 135-145 Potassium 5.7 5.4 5.2 3.5-5.3 Calcium 8.7 8.5 8.3 8.2-10 Creatinine 1.01 1.19 1.58 0.61-1.21 BUN 23 24 27 8-21

You have been assigned a patient was recently diagnosed with heart failure and prescribed bumetanide (Bumex). What priority education should the nurse provide to the patient?

You are precepting a recent graduate nurse on a hospital unit that has been assigned to a patient diagnosed with Clostridium Difficile-Associated disease (CDAD) and started on vancomycin po.  You review with the recent graduate nurse the nursing implications and side effects prior to administering the antibiotic.  What statement by the recent graduate nurse would warrant you to provide additional education?