NU230 Therapeutics chapter 3 francen

The health care provider has ordered 35 mg of Demerol IM for relief of a severe migraine headache. The package insert reads meperidine hydrochloride (Demerol) 50 mg/mL. How many milliliters would the nurse administer?

0.7

A client has orders to receive 3,000 mL of IV fluid at a rate of 150 mL/hr. If the infusion starts at 0800, when would it be finished?

0400

The nurse is preparing to administer a 500-mg dose of medication. It is available as 0.5 g per tablet. How many tablets will the nurse administer to a client to achieve the prescribed dose?

1

A client's prescriber has suggested 10 mL of guaifenesin (Robitussin) PO q4h as needed. What dose using household measurement will be given?

2

A drug label reads "1 tablet equals 120 milligrams". How many grains would this be?

2

Administrations and documentation of medications.

metric

The nurse is caring for a client scheduled for surgery this morning who is not to be given anything orally. The nurse reviews the medication administration record and finds that the client has an important medication due but it is supposed to be given orally. What is the nurse's best action?

Call the ordering health care provider and clarify administration.

The nurse is preparing to administer a medication to an older adult. The nurse should consider what factor that could affect therapeutic dosing in an older adult?

Changes in the gastrointestinal (GI) system can reduce drug absorption.

A client is experiencing difficulty swallowing a large oral tablet. What action by the nurse would be most appropriate?

Check to determine whether the drug can be crushed or mixed with food.

Which must be included on the health care provider's order? Select all that apply.

Frequency of administration Dosage form Client's name Drug name Route of administration

Order: 400 mg. Cefazolin I.V. Available: Cefazolin 500 mg powder to be diluted with 5 mL of sterile saline How many mL will the nurse administer?

4

When a nurse reviews the package labeling, which of the following names will the nurse see on the drug label?

Trade name Generic name

The nurse is teaching a client about the drug therapy regimen before being discharged. The nurse is emphasizing safety in the home setting. Which statement by the client indicates a need for additional teaching?

"I will make sure to store the medications in the bathroom medicine chest."

A male client has been admitted to the hospital because of poor adherence to his medication regimen at home. He was taking Cardizem, a calcium channel blocker, twice per day. The health care provider orders Cardizem CD, a sustained-release medication. When teaching the client about the medication, which statement would indicate he needs additional teaching?

"I will take the medication as I was taking it prior to being admitted to the hospital."

The home care nurse is teaching a family member about transdermal medication administration. Which statement by the family member indicates a need for further instruction?

"I will throw the old patch away in the trash container in the kitchen."

A client calls the clinic and asks to speak to a nurse. The client questions the nurse about the use of a drug that the client saw advertised on TV. The client believes the drug will make the client feel the same way as described in the commercial. What would be an appropriate response by the nurse?

"It's important to remember that drug advertisements emphasize the positive effects of drug therapy and not the adverse effects or contraindications."

A client recently discovered that she is pregnant. She currently takes herbal medications to control her diabetes and the symptoms related to pregnancy. She asks the nurse if it is safe to take herbal medications while she is pregnant. What would the nurse tell this client?

"Most herbal and dietary supplements should be avoided during pregnancy or lactation."

A young mother asks the nurse why she cannot give her 2-year-old child an adult dose of acetaminophen. The nurse explains why this is unsafe. What statement would indicate that the mother needs further education?

"My baby's dose of acetaminophen is based on a healthy adult male."

What actions should the nurse engage when providing appropriate, effective nursing care? Select all that apply.

-assessing -diagnosing -planning -implementation

A client has been prescribed a one-time dose of 4 mg morphine IV. The medication is available in ampules of 10 mg/mL. What volume of morphine should the nurse draw up?

0.4

A client is going to have bowel surgery in the morning. The physician orders 500 mL of GoLYTELY PO to be administered at 17:00. How many liters should the nurse administer? Round to one decimal place.

0.5

A client is prescribed a 12.5-mg dose of metoprolol for the treatment of high blood pressure. The nurse should administer how many 25-mg tablets?

0.5

An 81-year-old client with congestive heart failure has been sent to a cardiologist who prescribes digoxin 125 mcg PO every morning. The pharmacy dispenses pills that contain 0.25 mg of digoxin. How many pills should the nurse teach the client to take every morning?

0.5

Call the ordering health care provider and clarify administration.

0.6

A newly admitted client has orders to receive 1000 mL of normal saline IV over 8 hours. If the IV infusion set is a microdrip set that delivers 60 drops per mL, how many drops per minute should the client be receiving?

125

At 0700 (7 AM) the health care provider has ordered the nurse to begin an IV infusion and has ordered the client to receive 125 mL/hr of IV fluid. At what time will the nurse be prepared to hang the next liter of IV fluid?

1500 (3 PM) At 125 mL/hr, the client will need another liter (1000 mL) of IV fluid in 8 hours. The infusion was begun at 7 AM and the next liter will be hung at 3 PM.

A nurse is to administer 175 mg of a medication intramuscularly. The label on the multidose vial states that the concentration is 100 mg/mL. What volume of the drug should the nurse administer? (Record your answer using two decimal places.)

1.75

A nurse is preparing an insulin syringe. What is the maximum capacity the syringe can hold? Fill in the blank with a number.

100

An adult client with renal cancer, weighing 95 kg, is to receive vincristine 25 mcg/kg/day IV. What is the dosage of vincristine that the client is to receive daily?

2,375 mcg

The nurse determines that a newborn weighs 6 lb 7 oz. What would be the equivalent of this weight in grams?

2,920 g to determine ounces; 16 oz = 1 lb; multiple pounds by 16. 1 oz = 28.35 g. To covert ounces to grams, multiply grams by 28.35. In this case: 6 lb × 16 = 96 oz + 7 oz = 103 oz × 28.35 = 2920.05.

In the household measurement system, how many teaspoons are in 1 tablespoon?

3

The nurse is converting grams to milligrams. How would the nurse move the decimal point?

3 places to the right

An older adult client states that he takes 5 grains of aspirin every day. The nurse would determine that the client takes how many milligrams every day?

300 mg

The client is to be given ascorbic acid 1 g daily by mouth. The medication comes in a container labeled, "Ascorbic Acid 250 mg tablets." How much will the nurse give?

4 tablets

A nurse is required to administer a drug through the transdermal route. Which of the following responsibilities should the nurse follow for the patient?

Apply next dose to a new site.

The nurse is preparing medication for a 30-month-old with right otitis media. The child weighs 33 pounds. The health care provider has ordered cephalexin, 50 mg/kg/day in divided doses every 8 hours. The medication concentration is 250mg/5mL. How many milliliters should the nurse give the toddler?

5

A client is receiving a maintenance dose of aminophylline, 3 mg/kg PO q 6 hr. The client weighs 50 kg. How many mg should the client receive in a 24-hour period?

600 mg

Order: Ibuprofen 150 mg. orally Available: Ibuprofen 100mg/ 5ml How many mL will the nurse administer?

7.5

A health care provider instructs a nurse to administer a drug to a client STAT. What should the nurse perform in this situation?

Administer the drug as instructed by the health care provider.

What action should the nurse perform during the implementation step of the nursing process?

Administrations and documentation of medications.

Which of the following steps need to be taken by the nurse when administering a drug to a client via the oral route? Select all that apply.

Assure clients are in an upright position prior to administration. Assure that a full glass of water is readily available.

A nurse is caring for client who states, "I dislike hospitals because people die in them." What is the cause of 1 in 10,000 hospital deaths that occur each year in the United States?

Calculating a medication dose

During a medication pass, the nurse notices that the health care provider ordered a dose of medication that appears to be excessive based on the nurse's knowledge of the medication. The nurse calls the provider, and the provider instructs the nurse to administer the medication anyway. What should the nurse do?

Consult with the nursing supervisor, refuse to administer the medication, and notify the provider.

Which medication prescription by the health care provider will require the nurse to seek clarification?

Heparin 5,000 u SC every day

Assessment of a client receiving drug therapy reveals that the client has been experiencing gastrointestinal upset related to the drug. The client states, "My stomach has been so upset that all I've been able to eat is soup and dry crackers." Which nursing diagnosis would be most likely?

Imbalanced nutrition: Less than body requirements

A client is being evaluated for reports of alteration in sleep pattern. When asking a client about current medications and supplements being taken, what is the nurse's best approach?

Inquire about all prescription medications, over the counter drugs, herbs and supplements.

Oral tablets and capsules with names that include CR, SR, or XL indicate a drug delivery system that:

Maintains more consistent serum drug levels and allows less frequent administration.

A nurse notes a medication error. Which action would be most appropriate?

Make a report to the institution.

The nurse in the intensive care unit is providing care for a client who was just admitted with multiple trauma. What action should the nurse prioritize with relation to drug therapy?

Monitor the client's response to treatment closely.

When assessing a client before starting a drug regimen, how should the nurse best assess the client's ability to excrete medications?

Review laboratory values indicative of kidney function

A client has begun taking an antidepressant that causes the client to be drowsy. What nursing diagnosis should the nurse prioritize related to drug therapy?

Risk for injury

What represents the different types of orders that may be given by a health care provider? Select all that apply.

Standing order PRN order Single order STAT order

Ms. Lisa Evans, age 35, is a patient about to be discharged from hospital care. Ms. Evans will self-administer her medications at home. Which method of self-administration would a nurse expect to be ordered for her?

Tablets and syrups

When providing drug therapy to a client, what is a responsibility of the nurse?

Teach the client how to cope with the effects of the drug to ensure the best outcome.

Make a report to the institution.

The client's drug excretion may be slower than normal.

The nurse assigned to take care of a client is unable to read the primary care provider's handwriting. Which intervention is the most appropriate in this situation?

The nurse should question the order with the primary care provider.

What is the procedure for dividing fractions?

The second fraction is inverted and the fractions are multiplied.

The nursing student has learned that drug labels contain two names: trade name and generic name. The student demonstrates an understanding of the differences between the two when stating which of the following?

The trade name is the same as the brand name.

Which client should the nurse assess most closely for swallowing difficulties prior to administering an oral medication?

an older adult diagnosed with Parkinson disease

The nurse is preparing to administer a prescribed drug and scans the client's hospital identification band, the drug unit dose package, and the identification badge. Which type of drug distribution system is the nurse using?

bar-coded point-of-care medication system

After admitting a client to the unit, the nurse is organizing times to administer ordered medications. In addition to the prescriber's orders, what factor should the nurse prioritize?

client's comfort

The client has been prescribed an oral medication. Prior to administration of this medication, what should the nurse do first?

evaluate the client's ability to swallow.

In the metric system, what is the unit of weight?

gram

A nurse should recognize what as a metric system unit? (Select all that apply.)

gram milliliter kilogram

The nurse checks a client's temperature before administering a standing prescription for acetaminophen for temperatures over 100°F (37.8°C). The client's temperature is 98.9°F (37.2°C), so the nurse decides to withhold the dose of acetaminophen. Withholding the dose represents which phase of the nursing process?

implementation

The nursing student is studying drug dosage and has learned that there are three systems of measurement associated with drug dosing. What are these systems? (Select all that apply.)

metric system apothecary system household measurement system

A nurse in a nutrition clinic is to give 2 cups of organic prune juice to a client every night. The nurse is to document this on the nursing chart. What unit will the nurse use to document the amount of juice according to the metric system of measurement?

milliliter

The nurse, when using the method of dispensing drugs in which each tablet or capsule is packaged separately. Which dispensing method is this?

unit-dose method