Kaplan Pharmacology A NGN Exam Questions With Correct Answers A client with a diagnosis of metastatic lung cancer is prescribed a transdermal fentanyl patch. Which information must the nurse understand to ensure the client achieves effective pain relief? - Answer Answer - The client will require administration of pain medication for several hours after application of the patch.**Case study question** 0800: The nurse from the behavioral health unit is pulled to the medical surgical unit due to staffing shortages. The nurse gets a brief report on two clients and prepares to pass morning medications.Client 1: M. Smith is an adult client admitted for nausea and vomiting three days ago. Alert and oriented, no significant history. No known allergies. Able to swallow pills whole, regular diet, up ad lib. Possible discharge today. Vital signs: BP 108/60, HR 64, Temperature 98.6° F (36.7° C), RR 14, SpO2 98% on room air. The client's armband fell off and is taped to the head of the bed. A new one has not been ordered because the client is likely going home. The client needs the metoclopramide as soon as possible before breakfast, which is being served in a few minutes.Client 2: N. Smith is an older adult client who was admitted yesterday for a recent fall resulting in soft tissue injury to the left ankle. The client has a history of hypertension, hyperlipidemia, anxiety and gastroesophageal reflux disease (GERD). Alert and oriented. The client is allergic to tape and shellfish.The client uses a cane and is up with one assist. The client is on a low fat, 2 gram sodium diet. Vital signs: BP 150/82, HR 91, Temperature 98.7° F (37.1° C), RR 18, SpO2 97% on room air.The nurse enters the room of Client 1 to administer medications. The client looks at the medications and says, "Those pills look different from the ones I have been taking and there are so many!" The nurse states, "These are the pills for Smith. That's you, right?" Client 1 takes the medications. The nurse goes back to the medication room and discovers Client 1 has received the medications intended for Client 2.Which factor increases the risk of a medication error occurring? - Answer Answer - The nurse is hurrying to pass a medication before breakfast, The behavioral health nurse is unfamiliar with the unit and clients, The nurse fails to use two client identifiers, The client's armband is not attached to the client, The two
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