Medication, IV, and Administration

A nurse administers digoxin 0.125 mg to a client at 1400 instead of the prescribed dose of digoxin 0.25 mg. Which statement should the nurse record in the medical record? Digoxin 0.125 mg given at 1400 instead of prescribed dose of 0.25 mg. Digoxin 0.25 mg administered at 1400, physician notified. Nurse accidentally gave digoxin 0.125 mg to the client at 1400. At 1400, wrong dose of digoxin given due to heavy workload.

Digoxin 0.125 mg given at 1400 instead of prescribed dose of 0.25 mg.

The health care provider orders nitroglycerin, 5 mg by mouth twice per day, for a client. The drug is dispensed in 2.5-mg tablets. How many tablets will the nurse administer twice per day? Four Six Eight Two

Two

The health care provider prescribes 60 mEq of potassium chloride liquid as a one-time dose. The pharmacy supplies a liquid containing 20 mEq/15 ml. How many milliliters will the nurse administer? Record your answer using a whole number. ml

45 mL

The nurse is caring for an infant who is receiving I.V. therapy. The health care provider orders D5NS 400-mL to infuse in 8 hours. How much I.V. solution would the nurse place in the Buretrol? 150-mL 30-mL 50-mL 100-mL

50-mL

The nurse is caring for a 12-month-old child with otitis media. The child weighs 11 kg and has no known drug allergies. The primary health care provider has prescribed amoxicillin 200 mg PO every 12 hours. The drug available is amoxicillin suspension 250 mg/5mL. What should the nurse administer per dose? Record your answer using a whole number. mL

4

A nurse is supervising a student during medication administration to a client. Which action by the student would cause the nurse to intervene during the med pass at the bedside? Check the room number and the client's name on the bed. Ask the client's name. Compare data to the medication administration record. Check the client's identification band.

Check the room number and the client's name on the bed.

When checking a client's I.V. insertion site, the nurse notes normal color and temperature at the site and no swelling. However, the I.V. solutions haven't infused at the ordered rate; the flow rate is slow even with the roller clamp wide open. When the nurse lowers the I.V. fluid bag, no blood returns to the tubing. What should the nurse do first? Check the tubing for kinks and reposition the client's wrist and elbow. Discontinue the I.V. infusion at that site and have it restarted it in the other arm. Irrigate the I.V. tubing with 1 ml of normal saline solution. Elevate the I.V. fluid bag.

Check the tubing for kinks and reposition the client's wrist and elbow.

When preparing to give a client a prescribed drug, the nurse realizes that the drug is one the nurse has never administered before. No drug references on the nursing unit contain information about the drug in question. What is the nurse's best action? Contact a pharmacist to obtain information about the drug. Ask other nurses on the unit for information about the drug. Refuse to give the drug because no written information exists. Consult the physician for information about the dr

Contact a pharmacist to obtain information about the drug.

A client with a fluid volume deficit is receiving an I.V. infusion of dextrose 5% in water and lactated Ringer's solution at 125 ml/hour. Which data collection finding indicates the need for additional I.V. fluids? Serum sodium level of 136 mEq/L Neck vein distention Temperature of 99.6° F (37.6° C) Dark amber urine

Dark amber urine

What is the first action that a nurse should take after accidentally failing to administer an ordered medication? Give an extra dose at the next scheduled time. Write an incident report. Document the omission and the reason. Notify the prescriber, nursing supervisor, and pharmacist.

Notify the prescriber, nursing supervisor, and pharmacist.

A client is receiving furosemide, 40 mg by mouth twice per day. In the plan of care, the nurse should emphasize teaching the client about the importance of consuming: bananas and oranges. fresh green vegetables. creamed corn. low-fat milk.

bananas and oranges.

The label of a drug package reads "hydralazine, 20 mg/ml." How many milliliters would the nurse give a client for a 25-mg dose? 0.5 1.25 1.0 1.5

1.25

The physician prescribes a loop diuretic for a client. When administering this drug, the nurse anticipates that the client may develop which electrolyte imbalance? Hypernatremia Hypokalemia Hyperkalemia Hypervolemia

Hypokalemia

A client is scheduled for surgery at 8 a.m.(0800). While completing the preoperative checklist, the nurse sees that the surgical consent form isn't signed. It's time to administer the preoperative analgesic. Which nursing action takes the highest priority in this situation? canceling the surgery notifying the surgeon that the client hasn't signed the consent form giving the client the preoperative analgesic at the scheduled time asking the client to sign the consent form

notifying the surgeon that the client hasn't signed the consent form

The nurse knows which drug administration routes provides the most rapid response in a client? intramuscular (I.M.) oral sublingual subcutaneous (subQ)

sublingual

The student nurse is caring for a client who has an order for 2 units of packed red blood cells. The nurse educator asks the student, "Prior to the administration of blood, another nurse must do what?" What would be the most appropriate responses from the student? Select all that apply. "Check the healthcare provider's order." "Check that the blood has not been in the care area for more than 1 hour." "Check the ABO compatibility." "Check that the I.V. size is adequate." "Check the blood."

"Check the blood." "Check the healthcare provider's order." "Check the ABO compatibility."

A client diagnosed with cardiomyopathy saw a posting on the Internet describing research about a new herbal treatment for the disorder. When the client asks about this research, which response is most appropriate? "Cardiomyopathy means there is a condition of the heart, which are best treated with modern medicine." "Herbal remedies have been used for other disorders." "While the Internet can provide valuable information, most medically related information should be considered false." "Research found on the Internet should be verified with a health care provider."

"Research found on the Internet should be verified with a health care provider."

A client is prescribed heparin 6,000 units subcutaneously every 12 hours for deep vein thrombosis prophylaxis. The pharmacy dispenses a vial containing 10,000 units/1 mL. How many milliliter(s) of heparin should the nurse administer? Record your answer using one decimal place. mL

0.6 mL

The health care provider prescribes 60 mEq of potassium chloride liquid as a one-time dose. The pharmacy supplies a liquid containing 20 mEq/15 ml. How many milliliters will the nurse administer? Record your answer using a whole number. ml - unit of entry

45

A nurse inadvertently transcribes a client's medication order that was written as "Ampicillin 250 mg four times a day" as "Ampicillin 2500 mg four times a day." The nurse gives two doses as transcribed to the client. Another nurse gives one dose before the pharmacist questions the reorder of the medication. What should the two nurses do in this situation? Both nurses must acknowledge making the medication error. Tell the pharmacist that the wrong quantity of medication was sent to the unit. Adjust the medication administration record to reflect the correct dose only. Only the nurse who transcribed the order should be accountable for the error.

Both nurses must acknowledge making the medication error.

While preparing to start a stat I.V. infusion, a nurse notices a broken ground wire on the infusion pump's plug. What would the nurse do first? Report the problem to central supply. Pull the pump out of service. Obtain another pump from central supply. Continue to use the infusion pump.

Obtain another pump from central supply.

A nurse administers the client's prescribed antibiotic. The client tells the nurse, "I usually take a white tablet, not a yellow tablet." What is the priority action by the nurse? Tell the client that the yellow tablet is from a different manufacturer. Reassure the client that the tablet is the correct medication. Perform a recheck of the medication name and strength. Withhold the medication and notify the health care provider.

Perform a recheck of the medication name and strength.

A nurse has discovered a colleague pocketing a partial dose of an opioid despite documenting it as a waste. When confronted, the colleague acknowledges the behavior. What is the nurse's best action? Initiate a dialogue with the colleague about the problem of substance misuse among nurses. Report the colleague's actions because of legal and ethical obligations. Encourage the colleague to seek outside help for substance misuse. Explain to the colleague that this is a serious violation of policy.

Report the colleague's actions because of legal and ethical obligations.

The nurse is caring for a client who is taking an anticoagulant. The nurse should teach the client to: use a straight razor when shaving. report incidents of diarrhea. take aspirin for pain relief. avoid foods high in vitamin K.

avoid foods high in vitamin K.

While administering medication, the client tells the nurse, "I've never seen this pill before." The nurse should: reassure the client that the health care provider has ordered this medication. teach the client about the effects of the medication. check the medication orders. inform the client that pills often look different because of different brands.

check the medication orders.

Which information must be included in a medication order? possible adverse reactions health care provider's signature drug class client allergies

health care provider's signature

The nurse is obtaining vital signs from a client who is receiving an intravenous antibiotic for the first time. Which observation made by the nurse requires immediate intervention? Select all that apply. heart rate of 86 rash on skin of face, chest, and arms reports mouth is dry inspiratory wheezes reports severe itching all over

rash on skin of face, chest, and arms reports severe itching all over inspiratory wheezes

A nurse is administering 500 mg of ampicillin IM every 6 hours to a 122-lb (55-kg) client with a respiratory tract infection. The drug label reads, "The recommended dose for a client weighing more than 40 kg is 250 mg to 500 mg IM or IV at 6-hour intervals." The drug concentration is 250 mg/2 mL. Which nursing interventions are appropriate at this time? Select all that apply. Draw up 10 mL ampicillin to administer. Administer the medication at 10:00 a.m. (1000), 2:00 p.m. (1400), and 10:00 p.m. (2200). Evaluate the client for allergies to penicillin. Administer the medication because it is within the dosing recommendations. Question the primary care provider about the prescription because the amount is more than recommended. Obtain a sputum culture before administering the first dose of the medication.

Evaluate the client for allergies to penicillin. Administer the medication because it is within the dosing recommendations. Obtain a sputum culture before administering the first dose of the medication.

A nurse prepares to administer eardrops to an adult client. Which action should the nurse take before instilling the drops? Identify the client by calling the client's name. Direct the medication toward the base of the ear canal. Gently pull the auricle up and back. Warm the eardrops in tepid water.

Gently pull the auricle up and back.

The nurse is admitting a client directly from a healthcare clinic. The healthcare provider's orders are illegible. What should the nurse do next? Select all that apply. Start implementing orders. Call the healthcare provider to clarify orders. Call the pharmacist to clarify orders. Have the nursing supervisor help you interpret the orders. Hold all orders.

Hold all orders. Call the healthcare provider to clarify orders.

The nurse is administering medications to a client when the client indicates that the name of the medication does not sound familiar. What should the nurse do? Hold the medication and verify that the client should receive the medication. Inform the client that he or she probably knows the medication by a different name. Crush the medication and give it without the client knowing. Encourage the client to take the medication because the doctor ordered it.

Hold the medication and verify that the client should receive the medication.

A nurse practitioner (NP) orders an antibiotic to which the client is allergic. The nurse preparing the medication notices the allergy alert and contacts the NP by phone. The NP does not return the call and the first dose is due to be given. Which action by the nurse is the best solution? Call the pharmacist and discuss a substitution for the medication. Ask if the client is really allergic to the medication. Hold the medication until speaking with the NP. Give the medication as ordered by the NP.

Hold the medication until speaking with the NP.

Which nursing intervention takes highest priority when caring for a client who's receiving a blood transfusion? Documenting blood administration in the client care record Checking the client's vital signs when the transfusion ends Informing the client that the transfusion usually takes 1½ to 2 hours Instructing the client to report any itching, swelling, or dyspnea

Instructing the client to report any itching, swelling, or dyspnea

A nurse is teaching a client about a newly prescribed drug. What physiological changes does the nurse recognize that could cause a geriatric client to have difficulty learning about prescribed medications? Decreased drug excretion Fixed income Sensory deficits Lack of family support

Sensory deficits

The nurse is caring for a client with a blood pressure of 210/94 mm Hg. The health care provider prescribes enalapril 20 mg b.i.d. Which nursing action is best when instructing on the new medication regimen? State the new medication, including name, use, and reason for the new medication. Teach the client the name and frequency of the new medication. Use the package insert for medication instruction. Inform the client about the new medication and provide a handout on the use.

State the new medication, including name, use, and reason for the new medication.

The nurse is caring for a client on an oncology unit who is refusing further chemotherapy treatment after the rationale for the treatment has been clearly explained. What is the nurse's best action? Involve the client's family for encouragement to continue treatment. Tell the client that it is wrong not to accept treatment. Support the client's decision and hold all treatments. Continue to provide treatment because it will benefit the client.

Support the client's decision and hold all treatments.