PrepU Chapter 32

The client is prescribed a medication that needs to be taken on an empty stomach. The nurse inadvertently administers this medication with food. What are the ramifications of this error?

Absorption of the medication will be impaired.

The nurse is to administer an opioid. The prescribed dose is one half of a scored tablet. The nurse cuts the tablet in half and then:

has a second nurse witness the waste.

A client has been prescribed 300 mg of metronidazole. The supply is metronidazole 200 mg tablets. How many tablets will the nurse administer? Record your answer using one decimal place.

1.5 tablets

A physician at the health care facility orders 500 mg of a medication to be administered by the oral route, four times a day for a client. The medication is available in a liquid form of 250 mg per 5 ml. What quantity of the medication should the nurse administer to the client?

10 mL

The health care provider prescribes ciprofloxacin 500 mg PO q12h for a pediatric client with bronchial pneumonia. The nurse has liquid ciprofloxacin 250 mg/10 mL on hand. How many milliliters would the nurse dispense? Record your answer using a whole number.

20 mL

A nurse is taking care of a 56-year-old man with end-stage liver disease. The nurse has a prescription to give 20 g of lactulose every 6 hours to treat the client's hepatic encephalopathy. On hand, the nurse has containers of lactulose that have 30 g in 45 ml. How many milliliters is the nurse going to administer every 6 hours to the client?

30 mL

The nurse is administering morphine 10 mg oral solution. The medication is provided in a 100-ml container that is labeled morphine 10 mg/5 ml. Which device will the nurse use to most accurately measure the prescribed dose of morphine?

5-ml oral syringe

A nurse is caring for a client in the nursing unit when the physician, during the rounds, verbalizes a prescription for a medication. What appropriate action should the nurse take to ensure the accuracy of the verbal medication order?

Ask the physician to write out the order.

The nurse has inadvertently administered medication ordered for Client A to Client B. What is the appropriate nursing action? Select all that apply.

Assess Client B thoroughly. Complete an incident report. Contact the provider to report the error.

A nurse is providing care for a client who has a history of dementia. Which method should the nurse use in order to determine the client's identity prior to medication administration?

Check the client's identification band.

A hospital nurse is coming on shift for a night shift and is receiving a change-of-shift report from a colleague. The colleague states that one client refused a prepared medication that was scheduled for 1800. The colleague has left the medication in a paper cup in the client's drawer on the medication cart and asks the nurse to administer the medication when the client goes to bed for the night. How should the nurse respond to this scenario?

Discard the medication and administer a dose of the correct drug from a labeled container

A nurse educator is reviewing information related to medication administration documentation with a group of graduate nurses. Which guideline for documenting will the nurse discuss with the group?

Document administration of the medication immediately after administering the drug.

Which contains all the components of a valid order?

John Smith, atenolol 50 mg, twice a day, by mouth

The nurse is assessing a client who was seen 7 days ago with strep throat. The client states, "I felt better after 2 days of the antibiotic the provider prescribed, so I quit taking it." What would the nurse do to address this situation?

Provide education on taking all antibiotics for effective treatment

When the nurse administers the client's amlodipine, the client states that usually only one pill is taken instead of three pills. Which right of medication should now be triple checked before allowing the client to take the medication?

Right dose

A nurse has prepared an oral dose of acetaminophen for a client and the client has taken the medication while the nurse remained at the bedside. At what point should the nurse document the fact that the client took the medication as ordered?

as soon as the nurse is able to document this

The "rights" of medication administration help to ensure accuracy when administering medications. What are some of these rights? Select all that apply.

medication client dosage route

The client has difficulty swallowing pills and requests to have the medication crushed and mixed in applesauce. The medication the nurse can choose to administer this way is one that is a:

scored tablet

The client is to receive a medication on an empty stomach. The client is also receiving a continuous tube feeding. The nurse:

stops the feeding for 15 minutes before and after medication administration.