Author Question: The nurse has returned from an in-service in which high-alert drugs were discussed. For which drugs ... (Read 59 times)

cookcarl · **on:** Jul 23, 2018

The nurse has returned from an in-service in which high-alert drugs were discussed. For which drugs should the nurse be particularly alert?

1. IV epinephrine
2. Heparin
3. Digoxin
4. IV morphine
5. Oral propranolol

Question 2

A client newly diagnosed with diabetes mellitus is being prepared for discharge. The nurse knows discharge teaching on how to reduce the risk of at-home medication errors is successful when the client makes which statement?

1. I know all about my new medications, including their names, what they do, and how to take them.
2. I know what side effects need to be reported immediately to my doctor.
3. I have a list of all my medications right here in my wallet.
4. I know I can call anytime I have a question about any of my medications.
5. First thing in the morning, I will take all my prescriptions to the pharmacy to make sure they are safe for me to take.

lauravaras · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 1,2,3,4
Rationale 1: An incorrect dose of IV epinephrine can result in a dangerous dysrhythmia.
Rationale 2: An incorrect dose of heparin can cause a client to hemorrhage.
Rationale 3: Digoxin has a narrow therapeutic range and is considered a high-alert drug.
Rationale 4: An incorrect dose of IV morphine can stop a client's respirations, resulting in death.
Rationale 5: IV, not oral, propranolol is on the high-alert list. Giving an incorrect dose of propranolol IV can result in hypotension and circulatory collapse.
Global Rationale: An incorrect dose of IV epinephrine can result in a dangerous dysrhythmia. An incorrect dose of heparin can cause a client to hemorrhage. Digoxin has a narrow therapeutic range and is considered a high-alert drug. An incorrect dose of IV morphine can stop a client's respirations, resulting in death. IV, not oral, propranolol is on the high-alert list. Giving an incorrect dose of propranolol IV can result in hypotension and circulatory collapse.

Answer to Question 2

Correct Answer: 1,2,3,4
Rationale 1: Clients should know each medication's name, what it is for, what it does, and how to take it.
Rationale 2: It is important for clients to know what adverse effects need to be immediately reported.
Rationale 3: Clients should carry a list of all medications for quick reference or in case of an unexpected hospital or clinic visit.
Rationale 4: Clients should be encouraged to call and ask any questions.
Rationale 5: These particular medications should be safe to take. If the client decides to add a supplement or nutrient, that medication profile should be checked by the health care provider or pharmacist for interactions with the other medications.