NCLEX quiz: Medication and treatment safety

The IV hospital team has noted an increase in IV infiltrations. As part of a Plan, Do, Study, Act quality improvement project, which step would come FIRST?

During insertion of a peripherally inserted catheter, a nurse notes that the inserter has contaminated a sterile glove. The family is present in the room. The nurse should:

A child with spastic cerebral palsy is admitted with vomiting and dehydration. The parents report that the child’s intrathecal baclofen pump was scheduled to be refilled today, but they had to cancel the appointment due to the child’s sudden illness. The nurse should:

A client with history of hypertension had an aortofemoral bypass graft. On postoperative day 1, the client is alert and oriented, vital signs pulse 128, respirations 18, blood pressure 128/78, temperature 37.2 C, and urine output 50 mL/hr. The nurse should notify the health care provider because this client:

The nurse is drawing a partial thromboplastin time (PTT) test on a client taking heparin. The nurse should do all of the following EXCEPT:

Which of the following strategies would NOT help decrease pediatric medication errors?

A nurse is unfamiliar with a medication prescribed to a client with sarcoidosis. To find the most up-to-date information, the nurse should consult:

A health care provider orders cephalexin (Keflex) 500 mg for a client with pneumonia. The nurse notes that the pharmacy sent cefazolin (Kefzol) instead. The nurse should do all of the following EXCEPT:

A client with juvenile idiopathic arthritis (JIA) is admitted for evaluation of increasing symptoms. He is currently taking cetirizine hydrochloride (Zyrtec) and ibuprofen 200 mg every 4 hours for pain. The health care provider writes orders for ibuprofen for pain 200 mg every 4 hours for pain and methotrexate 10 mg PO every Monday. The nurse should:

The nurse prepares to administer an antibiotic capsule to a client. In the client’s medication box, the nurse recognizes the shape and color of the capsule, but the dosage of the capsule is not present. The nurse should: