Safe Dosage

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 severe hypersensitivity or allergic reaction that is ste-threatening CORRECT My Answer Anaphylaxis is a severe allergic reaction that can result in severe bronchoconstriction with laryngeal edema and a precipitous drop in blood pressure.

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?

0.6 ml

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? (Select all that apply.) 0700 0745 0830 0845 0900

0745 is correct. The nurse should follow facility policy when selecting the time to administer medication to the client. Typically, facility policy permits the nurse to administer a time-critical medication 30 min before or after the scheduled time for administration. 0745 is within 30 min of the 0800 administration time. 0830 is correct. 0830 is within 30 min of the 0800 administration time. Administering time-critical medications, such as antibiotics, in a timely manner helps to maintain therapeutic levels of the medication in the client's blood.

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 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. CORRECT The nurse can administer topiramate XR in sprinkle form. If available. This is not changing the route of the medication. The sprinkle capsules can be opened and mixed with food for ease of swallowing while still remaining extended release

nurse should contact the provider to clarify which of the prescriptions?

Acetaminophen 325 mg every 6 hr PRN for headache This prescription contains name of medication, dosage, frequency, and circumstance for administration, but not the route.

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 Instructing the client about the medication's adverse effects Determining whether the medication should be administered with or without meals Monitoring the client's response to the medication

Asking the client about a history of medication allergies

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 medication error. Assess the client for adverse effects. Report the error to the risk manager.

Assess the client for adverse effects. When using the nursing process, the first step the nurse should take is to assess the client. By checking the client for adverse effects, the nurse can provide prompt treatment to minimize harm to the client.

A nurse is reviewing a client's prescriptions. The nurse should contact the provider to clarify which of the following prescriptions?

Morphine 2.5 mg IV bolus PRN for incisional pain CORRECT This prescription requires clarification because it is missing the frequency of medication administration.

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. CORRECT The first action there should take when using the nursing process is to assess the chent therefore, the first action the nurse should take to obtain the Clients vital signs

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 20 mg IV stat Acetaminophen 650 mg by mouth every 6 hr for temperature greater than 38.4° C (101.2° F) Diazepam 10 mg IV 30 min prior to procedure

Oxycodone 5 mg by mouth every 4 hr as needed for pain (as needed) Furosemide 20 mg IV stat (emergency one time order) Acetaminophen 650 mg by mouth every 6 hr for temperature greater than 38.4° C (101.2° F)(based upon specific situation ) Diazepam 10 mg IV 30 min prior to procedure(single one time)

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 medication. Check the expiration date of the medication. Verify the dosage of the medication. Call the client by name to confirm their identity. Ask the client if they have any allergies.

Provide client education about the medication. Check the expiration date of the medication. Verify the dosage of the medication. 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 teaching a newly licensed nurse about crushing medications. The nurse should explain that which of the following medications can be crushed? Extended-release oxycodone Sublingual nitroglycerine. Enteric-coated aspirin Sucralfate tablets.

Sucralfate tablets CORRECT My Answer The nurse should explain that certain medications, such as those that are scored can be safely crushed and mixed with food or water for a client who has difficulty swallowing. The nurse should check with the pharmacist before crushing a medication to make certain it can safely be crushed. Have a line down the middle to split easier

A nurse is assessing a client following administration of an antibiotic. The nurse should identify that which of the following findings is manifestation of an anaphylactic reaction to the medication?

Swollen lips CORRECT The nurse should identify that swollen lips is a manifestation of an anaphylactic reaction. Other manifestations include stridor, dyspnea, wheezing, urtican pruritis. The nurse should notify the rapid response team, elevate the client's head off the bed, apply high-flow oxygen, and prepare to administer epinep Hypertension INCORRECT The nurse should identify that hypotension, rather than hypertension, is a manifestation of an anaphylactic reaction. Low heart rate INCORRECTMy Answer The nurse should identify that tachycardia, rather than bradycardia, is a manifestation of an anaphylactic reaction. Nausea and vomiting are reaction

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 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. CORRECT To ensure client safety and prevent harm, the nurse should always have another nurse verify dosage calculation prior to administering a high-alert medication. This occurs during the planning stage of medication administration.

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 medication because of nausea. Which of the following actions should the nurse take?

Withhold the medication. CORRECT The nurse should withhold the medication due to the client's nausea and notify the provider. If nausea persists, the nurse should contact the provider to prescribe an antiemetic

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 CORRECT My Answer The nurse The nurse should document interventions, such as medication administration, immediately after they occur. The nurse should not delay documentation because this could lead to errors, such as omission of the documentation or administration of a second dose of medication to the client by another should never document an action prior to implementation

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 Asinge (one-time) order stipulates to administer the medication one time either at a specific time the provider indicates or as soon as possible.

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 medications prior to administration?

© Heparin CORRECT The nurse should have a second nurse check the dosage of high-alert medications, such as heparin, because serious client harm can occur if the dosage is excessive. High-alert medication classes include central nervous system drugs, chemotherapeutic agents, and anticoagulants.