Dosage calc: safe dosage
A nurse is preparing to administer a time-critical medication to a client at 0800. Which of the following times are appropriate for the nurse to administer the med? (select all that apply) -0700 -0745 -0830 -0845 -0900
-0745 -0830
A nurse is reviewing a client's prescriptions. The nurse should contact the provider to clarify which of the following prescriptions? -Ampicillin 100mg/kg/day by mouth in 4 equally divided doses -Phenytoin 300 mg by mouth every 12 hours -Metronidazole 500 mg IV bolus every 6 hr -Acetaminophen 325 mg every 6 hr PRN for headache
-Acetaminophen 325 mg every 6 hr PRN for headache
A charge nurse is reviewing the types of prescriptions with a newly licensed nurse. Which of the following prescriptions should the nurse include as an example of a standing prescription? -Oxycodone 5 mg by mouth every 4 hr as needed for pain -Furosemide 30 mg IV stat -Acetaminophen 650 mg by mouth every 6 hr for temp. greater than 38.4C (101.2F) -Diazepam 10 mg IV 30 min prior to procedure
-Acetaminophen 650 mg by mouth every 6 hr for temp. greater than 38.4C (101.2F)
A nurse is caring for a client who reports severe back pain at 1400. The client's prescriptions include oxycodone extended-release 200 mg PO every 12 hr (last dose received at 0600) and oxycodone immediate-release 5 mg PO every 4 hr PRN (last dose received at 2300 the day before). Which of the following actions should the nurse take? -Contact the provider to request an order for a different pain med. -Administer oxycodone immediate-release 5 mg PO at 1600 -Administer oxycodone immediate-release 5 mg PO now -Contact the provider to request an increase in the oxycodone extended-release dose
-Administer oxycodone immediate-release 5 mg PO now
A nurse is caring for a client who states that his provider told him he is at risk for anaphylaxis following administration of amoxicillin and that he does not understand what this means. Which of the following is an appropriate response by the nurse? -Anaphylaxis is a predictable and often unavoidable secondary effect that can occur at a usual therapeutic dose -Anaphylaxis will cause you to experience withdrawal symptoms when you discontinue taking the med -Anaphylaxis is an unusual response that can occur due to an inherited predisposition -Anaphylaxis is a severe hypersensitivity or allergic reaction that is life-threatening
-Anaphylaxis is a severe hypersensitivity or allergic reaction that is life-threatening
A nurse is preparing to administer a med to a newly admitted client. The nurse should identify which of the following actions as a part of the assessment phase of the nursing process? -Asking the client about a history of medication allergies -Instructing the client about the medication's adverse effects -Determining whether the med should be administered with or w/o meals -Monitoring the client's response to the med
-Asking the client about a history of medication allergies
A nurse discovers a medication error in which the client received twice the prescribed amount of med. Which of the following actions should the nurse take first? -Notify the provider -Complete an incident report -Assess the client -Report the error to the nurse manager
-Assess the client
A nurse manager is reviewing a client's medical record and discovers that the client received a double dose of a prescribed medication. Which of the following actions should the nurse manager take first? -Complete an incident report -Notify the provider about the med error -Assess the client for adverse effects -Report the error to the risk manager
-Assess the client for adverse effects
A nurse is administering medications to 4 clients. The nurse should identify which of the following nursing actions as a part of the evaluation phase of the nursing process? -Collecting information about a client's pain level following admin. of a narcotic -Taking the BP of a client before administering an antihypertensive med -Lowering the level of a client's bed before administering a benzodiazepine med -Instructing a client to rinse their mouth following admin. of an inhalation corticosteriod
-Collecting information about a client's pain level following admin. of a narcotic
A nurse working in a medical-surgical unit is preparing to administer meds to a client. The nurse plans to use two forms of identification to verify that she has the right client. Which of the following actions can the nurse take to identify the client? (select all that apply) -Compare the name of the client's wristband with the name in the medication administration record (MAR) -Ask the client to state his date of birth -Check the room number in the medication administration record (MAR) with the room number of the client -Ask the client to state his name -Use the car code scan to identify the client
-Compare the name of the client's wristband with the name in the medication administration record (MAR) -Ask the client to state his date of birth -Ask the client to state his name -Use the car code scan to identify the client
A nurse on a medical unit is assisting with the orientation of a newly licensed nurse. The nurse should remind the newly licensed nurse to have a second nurse review the dosage of which of the following meds prior to administration? -Heparin -Acetaminophen -Acetylcysteine -Hydroxychloroquine
-Heparin
A nurse is preparing to administer insulin subcutaneously to a client. The nurse should document the administration of the medication immediately after which of the following actions? -Taking the insulin from the automated dispensing machine -Injecting the insulin -Checking the client's blood glucose level -Checking the correct dosage of the insulin
-Injecting the insulin
A nurse is reviewing a client's prescriptions. The nurse should contact the provider to clarify which of the following prescriptions? -Phenytoin 100 mg PO every 8 hr -Morphine 2.5 mg IV bolus PRN for incisional pain -Regular insulin 7 units subcutaneous 30 min before breakfast and dinner -Lisinopril 20 mg PO every 12 hr. Hold for systolic BP less than 110 mm Hg
-Morphine 2.5 mg IV bolus PRN for incisional pain
A nurse is caring for a client who received lisinopril 30 min ago and is now reporting dizziness and headache. Which of the following actions should the nurse take first? -Obtain the client's vital signs -Notify the provider -Document the client's response in the medical record -Tell the client to change positions slowly
-Obtain the client's vital signs
A nurse is preparing to administer an oral medication. Which of the following actions should the nurse take? (select all that apply) -Provide client education about the med -Check the expiration date of the med -Verify the dosage of the med -Call the client by name to confirm their identity -Ask the client if they have any allergies
-Provide client education about the med -Check the expiration date of the med -Verify the dosage of the med -Ask the client if they have any allergies
A nurse is providing teaching regarding medication administration to a group of newly licensed nurses. Which of the following is a legal responsibility of a nurse? -Prescribing the correct dosage -Modifying the medication regimen -Reporting medication errors -Delegating administration to assistive personnel
-Reporting medication errors
A nurse is caring for a client who is to receive topiramate XR 100 mg PO daily. The client tells the nurse that the capsule is too hard to swallow. Which of the following actions should the nurse take? -Crush the contents of the capsule to administer in a small amount of pudding -Request extended-release sprinkles from the pharmacy -Ask the charge nurse to clarify the prescription with the provider -Withhold the med until the time for the next dose
-Request extended-release sprinkles from the pharmacy
A nurse is transcribing a provider's prescription for a client. The prescription reads morphine 2 mg IV bolus at 1400. The nurse should recognize this as which of the following types of medication orders? -Routine order -Stat order -PRN order -Single order
-Single order
A nurse is teaching a newly licensed nurse about crushing meds. The nurse should explain that which of the following meds can be crushed? -Extended-release oxycodone -Sublingual nitroglycerine -Enteric-coated aspirin -Sucralfate tablets
-Sucralfate tablets
A nurse is assessing a client following administration of an antibiotic. The nurse should identify that which of the following findings is a manifestation of an anaphylactic reaction to the med? -Swollen lips -Hypertension -Low heart rate -Constipation
-Swollen lips
A nurse is preparing to administer digoxin 225 mcg for a pediatric client who has a heart rate above 90/min. Which of the following actions should the nurse take to ensure administration of the right dose? (select all that apply) -Validate that the dosage is within the safe range -Confirm the medication amount is appropriate for the child -Verify that the medication is not expired -Check the client's heart rate prior to administration -Document the administration in the medication administration record
-Validate that the dosage is within the safe range -Confirm the medication amount is appropriate for the child
A nurse is preparing to administer a high-alert pain med to a client. Which of the following actions should the nurse perform during the planning stage of medication administration? -Assess the effectiveness of the pain med -Verify the dosage calculation with another nurse -Teach the client about the action of the med -Ask the client to state their name and birthdate
-Verify the dosage calculation with another nurse
A charge nurse is teaching a newly licensed nurse about medication reconciliation. Which of the following information should the charge nurse include in the teaching? -Perform medication reconciliation daily during a client's hospitalization -Only newly prescribed meds need to be reviewed during a medication reconciliation -Vitamins, supplements, and OTC meds should be included in a med reconciliation -The goal of a med reconciliation is to minimize the financial impact of the prescription medications to the client
-Vitamins, supplements, and OTC meds should be included in a med reconciliation
A nurse is preparing to administer medication to a client who has a prescription for docusate sodium 50 mg capsule PO twice daily. The client refuses to take the med because of nausea. Which of the following actions should the nurse take? -Administer a docusate sodium capsule rectally -Withhold the med -Administer 100 mg docusate sodium with the next scheduled administration -Encourage the client to take the med as the provider prescribed
-Withhold the med
A nurse is transcribing medication prescriptions for a group of clients. Which of the following is the appropriate way for the nurse to record medications that require the use of a decimal point? .4 mL 0.6 mL 8.0 mL 125.0 mL
0.6 mL
