Safe Dosage
A nurse is caring for a client who states that his provider told him he is at risk for anaphylaxis following the 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 severe hypersensitivity or allergic reaction that is life-threatening."
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?
Vitamins, supplements, and OTC medications should be included in a medication reconciliation
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?
0.6mL
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 medication?
0830
A nurse is preparing to administer a medication 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
A nurse discovers a medication error in which the client received twice the prescribed amount of medication. Which of the following actions should the nurse take first?
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?
Assess the client for adverse effects
A nurse is administering medications to four 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 administration of a narcotic
A nurse working in a med surg unit is preparing to administer medications 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?
Compare the name on the client's wristband with the name in the MAR, ask the client to state his DOB, ask the client to state his name, use the bar code scan to identify the client
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?
Injecting the insulin
A nurse is reviewing a client's prescriptions. The nurse should contact the provider to clarify which of the following prescription?
Morphine 2.5mg 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 clients vital signs
A nurse is preparing to administer an oral medication. Which of the following actions should the nurse take?
Provide client education about the medication, check the expiration date of the medication, verify the dosage, 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?
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?
Request extended-release sprinkles from the pharmacy
A nurse is transcribing a providers prescription for a client. The prescription reads morphine 2mg IV bolus at 1400. The nurse should recognize this as which of the following types of medication orders?
Single order
A nurse is teaching a newly licensed nurse about crushing medications. The nurse should explain that which of the following medications can be crushed?
Sucralfate tablets
A nurse is assessing a client following the administration of an antibiotic. The nurse should identify that which of the following findings is a manifestation of an anaphylactic reaction to the medication?
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?
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 medication to a client. Which of the following actions should the nurse perform during the planning stage of medication administration?
Verify the dosage calculation with another nurse
A nurse is reviewing a clients prescriptions. The nurse should contact the provider to clarify which of the following prescriptions?
Acetaminophen 325mg every 6hr 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?
Acetaminophen 650 mg by mouth every 6 hr for temperature greater than 38.4 (101.2)
A nurse is caring for a client who reports severe back pain at 1400. The client's prescriptions include oxycodone extended-release 20mg PO every 12 hr (last dose received at 0600) and oxycodone immediate-release 5mg PO every 4 hr PRN (last dose received at 2300 the day before). Which of the following actions should the nurse take?
Administer oxycodone immediate-release 5mg PO now
