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. The nurse is caring for a patient who is experiencing severe pain. Morphine su

ID: 138550 • Letter: #

Question

. The nurse is caring for a patient who is experiencing severe pain. Morphine sulfate (MS) 10 mg IM is ordered every 4 hours as needed. The patient asks the nurse to administer the medication via an existing IV line because he hates the pain of an IM injection. The nurse should: explain to the patient that the nurse cannot change the route of a medication and that the patient can receive the medication IM as prescribed now or wait until the nurse pages the prescriber for the patient's request. a. b. administer the medication IM. c. administer the medication via the IV line. d. determine if the dose is safe for IV administration and administer it IV if it is safe. . The nurse is preparing to administer 0900 medications on an assigned patient. The MAR states Celebrex 20 mg once a day. The medication supplied is Celexa 20 mg tablets. What should the nurse do? (Choose all that apply.) a. Research the original drug order b. Inform the prescriber and pharmacy of the discrepancy c. Follow the institution policy to complete an internal incident report describing the discrepancy d. Research the error to determine how future errors can be prevented e. Report the error to www.usp.org Describe measures that the nurse can take to prevent medication errors including specific actions for the three most common types of fatal medication errors. a. Measures that apply to all types of errors 7. b. Giving an overdose c. Giving the wrong drug d. Using the wrong route Your patient is receiving penicillin G and probenicid for a systemic infection. would the health care provider give these two drugs in combination? a. Probenicid and penicillin G, in combination, have a synergistic effect. b. Probenicid interacts with the kidneys and prevents renal excretion of penicillin G 78. Why c. Probenecid and penicillin G have a drug-drug interaction, which binds them d Penicillin G is destroyed in the acidic environment in the stomach. Probenecid thus prolonging its duration. together, resulting in an antagonistic effect. inhibits its destruction.

Explanation / Answer

Ans.) Determine if the dose safe for IV line administration and administer it, if it is safe.

Ans.) Follow the institutional policy to complete an internal incident report describing the discripency

Ans.) Three most common type of medical errors –

Ans.) Probenecid interacts with the kidney and prevents renal excretion of penicillin G, thus proloning its duration.