CHAPTER 17

The following information is included in a health care provider's order: Jane Doe September 23 Amoxicillin 250 mg PO every 6 hours for 10 days Dr. John Smith The essential component missing is the __________.

Time

What screening test is accomplished by performing an intradermal injection? Diabetes Tuberculosis Hepatitis Meningitis

Tuberculosis

Which of the following fractions is the smallest? 1/8 1/4 1/2 3/4

1/8

A 35-lb child is to receive an IM medication. The average adult dose is 75 mg. Using the Clark rule, what dosage should the nurse administer? 30.5 mg 25.5 mg 20.5 mg 17.5 mg

17.5 mg

Which is the same ratio as 2:100? 1:50 5:300 1:20 4:25

1:50

What is expressed as a percent? 50% 20% 10% 5%

20%

The average adult dose of Phenergan is 50 mg. Using the Young rule for a 10-year-old, what is the correct dosage for the child? 23mg 25mg 30mg 35mg

23mg

0.5 L is equal to how many mL? 0.0005 mL 0.05 mL 50mL 500 mL

500 mL

What is 6.147 rounded to the nearest tenth? 6.2 6.15 6.14 6.1

6.1

A 150-lb man is to receive a medication based on milligrams/kilograms. He is to receive 1 mg/kg. What dosage should the nurse administer? 50mg 68mg 75mg 80mg

68mg

What is the correct conversion for the improper fraction? 7 8 7.79 79.7

8

Tylenol gr V is ordered. The available tablet is 0.3 g. What dosage should the nurse administer? 1 tablet 1.5 tablets tablet 2 tablets

1.5 tablets

When the patient complains about his IV lines and asks if he can have the medication by mouth, what is the most appropriate response by the nurse? "Pills are difficult for many patients to swallow." "Medication by mouth is absorbed more slowly than by any other route." "It takes more time for the nurse to prepare and administer oral medications." "It leads to more errors to give pills, because the pills all look alike."

"Medication by mouth is absorbed more slowly than by any other route."

Lanoxin 0.125 mg is to be given. The nurse converts the dose to how many grams? 1.250 g 1250 g 0.000125 g 0.00125 g

0.000125 g

What is 0.9% expressed as a decimal? 9 0.9 0.09 0.009

0.009

The health care provider has ordered furosemide 20 mg stat. The ampule is labeled 40 mg/mL. What dose should the nurse administer? 0.8 mL 0.5 mL 2.0 mL 8.0 mL

0.5 mL

What is 3/8 divided by 1/4? 1 1/2 1 1/3 1 3/4 1 2/3

1 1/2

Atropine 0.4 mg is to be given. Ampule is labeled gr 1/150/mL. What dose should the nurse administer? 1.5 mL 0.25 mL 0.5 mL 1mL

1 mL

What is 4.5 divided by 3? 0.75 1.5 5 0.66

1.5

The medication order reads "Ibuprofen 600 mg PO tid." The bottle is labeled "Ibuprofen 200 mg/tab." How many tablets should the nurse administer? 1 2 3 6

3

What is 2.34 + 0.77? 0.01 90.4 2.417 3.11

3.11

Which of the following fractions is the largest? 3/4 1/4 1/2 1/8

3/4

What is the product of 1/2 X 3/4? 3/8 4/5 2/3 1/4

3/8

0.5 g of medication is ordered. The label reads 125 mg/mL. What is the correct dose to be administered? 1mL 2mL 3mL 4mL

4 mL

What is 2.5 (+ inside the O) 2? 1.25 5 50 22.5

5

When a patient comes into the emergency department with a narcotic overdose, the nurse anticipates that the patient will be treated with Narcan. What drug classification is Narcan? Enhancer Substitute Control Antagonist

Antagonist

What should the nurse do with an injection of 2 mL of Demerol that the patient has refused? (Select all that apply.) A. Independently waste the drug in a secure place. B. Record in the narcotic log that the drug was wasted. C. Chart in the patient's record the reason the medication was refused. D. Get any staff member to sign the narcotic log as witness to the drug being wasted. E. Confirm the count is correct on the narcotic log.

B. Record in the narcotic log that the drug was wasted. C. Chart in the patient's record the reason the medication was refused. E. Confirm the count is correct on the narcotic log.

What landmarks are used for the administration of an intramuscular injection into the gluteal site? The tip of the coccyx and the greater trochanter Between the center of the gluteus and the iliac spine Between the posterior iliac crest and the greater trochanter On an imaginary line between the center of the gluteus and the greater trochanter

Between the posterior iliac crest and the greater trochanter

To help relax the anal sphincter during the insertion of a suppository, the nurse should ask the patient to __________.

Exhale

What important principle should be taken to prevent medication errors? Placing an unlabeled syringe on the medication cart Following the six rights of medication administration Leaving a medication with the patient only when family is there Always charting medications before the end of the shift

Following the six rights of medication administration

The nurse administered a sedative to an older adult who was having difficulty sleeping. Later, the patient was walking the halls and becoming agitated. What is this drug response known as? Expected Untoward Idiosyncratic Hypersensitive

Idiosyncratic

What is the main organ that inactivates and metabolizes drugs? Spleen Liver Lungs Pancreas

Liver

The nurse who was going off shift had prepared the medications for the nurse who was going to relieve her to save the oncoming nurse time. What would be the correct action of the oncoming nurse? Give the medications when ordered. Recheck the medications. Never give medications another person has prepared. Identify each medication as it is given.

Never give medications another person has prepared.

When giving a subcutaneous injection to a very thin patient, how does the nurse alter the injection technique? Using a 23-gauge needle Spreading the skin before injection Pinching up the skin and inserting the needle at a 45-degree angle Injecting the medicine quickly to reduce pain

Pinching up the skin and inserting the needle at a 45-degree angle

In some health care facilities, the LPN/LVN is allowed to take telephone orders from a health care provider. What is one precaution the nurse must take when receiving a verbal order? Write quickly. Repeat the order to the health care provider. Have another nurse listen on an extension. Sign and initial the health care provider's name on the order.

Repeat the order to the health care provider.

The nurse cautions a patient taking an anticoagulant that he should avoid taking aspirin because one drug may increase the action of the other drug. What is the correct term for this effect? Compatibility Antagonism Synergism Cooperation

Synergism

When giving a tubal medication, the nurse should flush the tubing with 30 to 50 __________ of water.

mL

The order is for 100 mL to run over 8 hours as a "piggyback." The drop factor of the secondary unit is 15. The nurse should set the drop control to deliver 3 gtts/__________ .

min