Relias medication administration
A pediatric patient received an order for prednisone 0.5 mg/kg/dose oral solution. The patient weighs 30 pounds and the medication concentration is five MG/ML what is the correct dose in ML?
1.4 mL
A clinical order states "infuse 0.9% normal saline 1000 ML over four hours." What route would you enter into the IV pump?
250 mL
A stat or now medication order must be given within what period of time?
30 minutes
A medication list the expiration date as 03-2022 when does the medication expire?
31 March,2022
You received an order for Iv cefazolin (Ancef) 1G to be infused over 30 minutes but cannot locate an IV pump to program the medication. The concentration listed on the label is 1G/100 mL using micro drip tubing with a 10 ggt/mL drip factor, calculate the flow rate per hour.
33 ggt/min
The nurse is reviewing an order for furosemide (Lasix). The order is written as 40.0 mg Q6 hours IV. What place is this order at risk for medication error?
A trailing zero after the decimal point
Which of the following is a reportable medication error?
Administering a medication that is expired
When a patient feels coursed by a clinician to accept a specific treatment. What ethical principle is violated?
Autonomy
A patient complains of 7 out of 10 of abdominal pain and request additional opioids. Current vital signs are heart rate 50 blood pressure 91/72, respiratory rate 11/min and oxygen saturation at 93% and 3 L nasal cannula. The patient has received all scheduled and PRN pain medication's and you explain that they're vital signs do not support for their medication due to the risk for harm what ethical principle is being of held in this interaction.
Beneficence
What term best describes balancing the good and bad when providing treatment?
Double effect
Your adult patient is having difficulty sleeping and the physician orders a 6.2 MG tablet of PO zolpidem controlled release (ambien cr) the patient request to have the medication crushed in their yogurt. What is the appropriate response?
Explain to the patient that the medication can't be crushed
Judgment, on, redosing a medication can be assessed by knowing what about the medication?
Half life
And this is running behind on those scheduled medication's and asked the patient sitter to please go to the patient room and inject a subcutaneous tuberculin syringe of insulin while they give medication's to another patient. The nurse states it's OK because you're in nursing school I've already documented it was done. Was this the correct response?
I cant give medications while working as a sitter
A two week old infant is brought to the emergency department with a fever of 39.4°C (103°F) which of the following is a relative contraindication for use with this child?
Ibuprofen (Motrin)
A patient arrives in the emergency department with multiple penetrating knife injuries to the abdomen. He is loudly screaming, writhing in pain, and grasping the rails of the stretcher. Attempts to console and calm the patient do not change the behavior. Which of the following is the most appropriate route of pain medication for this patient?
Intravenous
A patient is brought to the emergency department with moderate burn injury over the arms and chest during medication reconciliation. The patient reports long-standing use of topical nitroglycerin purchase. What is the most appropriate action for this medication?
Notify the provider that alternate route will need to be ordered
A 16 year old patient with a history of asthma, has audible, expiratory wheezing. Their oxygen saturation is 88% on room, air the provider orders a nebulized corticosteroid which of the following is an appropriate action when administering this medication.
Sot the patient upright at 45 degrees
An empty of commander, or Director may authorize advanced medication administration capabilities to a clinician when the task is covered under the states, scope of practice for the profession, and:
The clinician has appropriate training and competence
Which of the following best describes bio availability?
The extent to which a dose of a drug reaches its site of action
A patient ordered a belladonna and opium (B&O) rectal suppository following prostate resection, which of the following is an absolute contraindication to receive this medication
The patient has thrombocytopenia
What patient rate is considered when treatment options are explained to patients in a language in which they are fluent and using verbiage that they can understand
The right to informed consent
True or false requirements for maintenance of licensure are regulated on state level
True
The clinician caring for an 86-year old patient experiencing severe hypertension receives a verbal order for hydralazine (Apresoline), an antihypertensive. When removing the medication, the clinician grabs hydroxyzine (Vistaril), an antiemetic and antihistamine that can only be given intramuscularly as it is in an adjacent tray. Luckily, the clinician catches the error while performing the rights of medication administration. What other safety standard may have been utilized to prevent this potentially dangerous medication error?
Verifying the medication with mixed-case letting on the vial
