NUR 117 Final

The nurse is hanging an iv piggyback medication. The nurse knows that the secondary bad ivpb should be hung

Higher than the primary bag

A nurse is going to administer several oral medications to a client at the same time. Which nursing instruction or action is appropriate in this situation?

Tell the client the name and action or use of each medication before administering it.

The nurse is educating a clients family regarding administering medications through the clients new jejunostomy tube. Which of the following statements by the family indicate a need for further teaching?

I should use at least one cup of water with each medication to prevent dehydration

The student nurse is preparing to administer medications through a gastrostomy tube. Which of the following statements by the student nurse shows a need for further teaching?

I will check for gastric residual after medication administration

The nurse is caring for a client who has continuous iv fluids of NS at 100ml/hr. The client is to receive Zithromax 500 mg in 100 ml NS ivpb. The nurse knows to give the dose over 2 hours, what will the rate be for this ivpb?

50 ml/hr

A client is receiving iv antibiotic therapy. The order is for methicillin 750 mg iv. The nurse has a vial on hand that contains 1 g. The instructions for reconstitution say to add 1.5 ml sterile water. Reconstituted solution will contain 500 mg methicillin per milliliter. How much will the nurse give?

1.5 ml

The student nurse is preparing to administer an antibiotic as an iv piggyback to a client. Which action shows a need for further teaching?

Administering the medication as fast as possible to avoid kidney injury

The nurse is preparing to administer an iv Antibiotic. The client has continuous iv fluids of d5ns running at 50 ml/hr. After identifying the client using 2 identifiers, what should the nurse do next prior to hanging the ivpb?

Check for drug compatibility

The nurse is administering morning medications to a client with peg tube. The client complains of nausea. What should the nurse do first?

Check peg tube residual

A new nurse is preparing to dispense medications to the assigned clients. The medications are provided by the pharmacy in individualized single dose packaging. Which of the following steps is most important to ensure that each client receives the correct medication?

Compare the prescribers original order with the label on the pharmacy package

A nurse is working on a new unit is required to administer a unfamiliar medication to a client. How should the nurse proceed with the medication administration?

Consult a formulary or drug handbook to learn about the medication

The nurse caring for a client with a gastrostomy when the physician orders enteric coated aspirin 325 mg daily. Which of the following actions is most appropriate?

Contact the health care provider and clarify the medication order

The nurse administer ampicillin 500 mg orally to client with a ruptured appendix. The nurse checks the capsule in the clients medication box, which is located inside the patients room. The dosage of the medication is not labeled, but the nurse recognizes the color and shape of the capsule. The nurse should next:

Contact the pharmacy to bring a properly labeled medication

A physician writes an order for a client that says digoxin .125 mg po once daily. To prevent a dosage error how should the nurse transcribe this order onto the medication administration record?

Digoxin 0.125 mg po once daily

Before administering the evening dose of an ordered medication, a nurse on the evening shift finds an unlabeled, filled syringe in a clients medication drawer. What should the nurse do?

Discard the syringe to avoid medication error

The nurse must wear sterile gloves when giving medications

False

A client is in the bathroom when the nurse enters to give a prescribed medication. What should the nurse do?

Return shortly (few minutes) to the client's room and remain there until the client takes the medication.

The nurse is preparing to administer and iv antibiotic which is not compatible with the clients primary fluids. The antibiotic will be given over 1 hour. Which action should the nurse take?

Start another iv site to give the antibiotic

The nurse is preparing to administer a 'High alert' drug. What does this indicate?

The drug is prone to error and should be double checked with a second nurse before administering.

When a client reports being allergic to amoxicillin even though the medication administration record and armband do not indicate medication allergies, the nurse should:

Withhold the amoxicillin