Safe Dosage Test

A nurse working in a medical surgical 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 should the nurse take to identify the client? (select all that apply) - Compare the name on the client's wristband with the name on the MAR - Ask the client to state their date of birth - Check the room number on the MAR with the room number on the chart - Ask the client to state their name - Use the bar code scan to identify the client

- Compare the name on the client's wristband with the name on the MAR - Ask the client to state their date of birth - Ask the client to state their name - Use the bar code scan to identify the client

A nurse is planning atraumatic care for a preschooler who has a prescription for an IM med. A parent is with the child. Which of the following actions should the nurse include in the plan of care? (select all that apply) - Provide an explanation of the hospital alarm system - Leave the door to the child's room open - Ask the parent to leave the room - Suggest that the parent bring the child's favorite toy to the hospital - use a doll to demonstrate how the nurse will administer the IM medication

- Provide an explanation of the hospital alarm system - Suggest that the parent bring the child's favorite toy to the hospital - use a doll to demonstrate how the nurse will administer the IM medication

A nurse is preparing to administer potassium chloride 40 mEq PO daily. Available is potassium chloride 20 mEq effervescent tablets. In addition to checking the correct dosage before administering the medication, the nurse should check which of the following? (select all that apply) - The amount of liquid in which to dissolve the tablets - The type of liquid in which to dissolve the tablets - The client's blood glucose level - The client's blood pressure - The acceptable dose range of the medication

- The amount of liquid in which to dissolve the tablets - The type of liquid in which to dissolve the tablets - The acceptable dose range of the medication

A nurse is preparing to administer a medication subcutaneously. Which of the following should the nurse use? A. 5/8 inch, gauge needle B. 1-inch, 22 gauge needle C. 1 1/2- inch, 19 gauge needle D. 1- inch, 18 gauge needle

A

A nurse is assisting with the orientation of a newly licensed nurse. The nurse should explain that it is important to have a second nurse review the dosage of high-alert medications, such as heparin and insulin, for which of the following reasons? A. Dosage errors have the potential for significant harm to the client B. The provider prescribes high-alert medications in small amounts C. The nurse making an error may lose his job D. The health care facility may lose its accreditation

A.

A nurse is caring for a client who received lisinopril (Zestril) 30 min ago and is now reporting dizziness and headache. Which of the following actions should the nurse take first? A. Obtain the clients vital signs B. Notify the provider C. Document the client's response in the medical record D. Tell the client to change positions slowly

A. Explanation: The first step of the nursing process is to assess the patient

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? A. .4 mL B. 0.6 mL C. 8.0 mL D. 125.0 mL

B

A nurse is caring for a client who is to receive omerprazole (prilosec) 40 mg PO daily. The client tells the nurse that the pill is too hard to swallow. Which of the following actions should the nurse take? A. Crush the medications and put them in food B. Request a liquid form from the pharmacy C. Ask the charge nurse to clarify the prescription with the provider D. Withhold the medication until the time for the next dose

B Explanation: A nurse can admin a liquid form orally. There is no change in route

A nurse is reviewing a client's prescriptions. The nurse should contact the provider to clarify which of the following prescriptions? A. Pheytoin (Dilantin) 100 mg PO every 8 hr B. Morphine 2.5 mg IV bolus PRN for incisional pain C. Regular insulin (Humulin R) 7 units subcutaneous 30 min before breakfast and dinner D. Lisinopril (Zestril) 20 mg PO every 12 hr. Hold for systolic BP less than 110 mm Hg

B Explanation: The prescription does not have a frequency

A nurse is preparing to administer insulin subcutaneously to a patient. The nurse should document the administration of the medication immediately after which of the following actions? A. Taking the insulin from the automated dispense machine B. Injecting the insulin C. Checking the clients blood glucose level D. Checking the dosage of the insulin

B. Explanation: The nurse wants to document administration of a drug so that another co-worker knows that the patient has already received the drug. This prevents the chance of overdose or double dose

A nurse is preparing to administer a liquid medication to a toddler. Which of the following actions should the nurse take? A. Mix the medication in 120 ml (4oz) of milk B. Offer the child a choice of taking the meds with either a cup or a spoon C. Obtain the medication in the form of a flavored tablet D. Explain the medication's purpose to enhance cooperation

B. Explanation: Toddlers respond well to choosing between two options

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? A. Prescribing the correct dosage B. Modifying the medication regimen C. Reporting medication errors D. Delegating administration to assistive personnel

C Explanation: Facility policy requires medication errors to be reported for further evaluation of the incident

A nurse is in a client's room preparing to administer docusate sodium (Colace) PO and acetaminophen (Tylenol) PO. The client refuses to take the medication because of nausea. Which of the following actions should the nurse take? A. Administer the medications in suppository form B. Ask the pharmacist to change the route of administration for the client C. Withhold the medications D. Offer the client dry crackers to take with the medications

C Explanation: the client has the right to refuse a medication. The pharmacist cannot change the route of administration; only the provider

A nurse is transcribing a provider's prescription for a client. The prescription reads morphine 2 mg IV bolus at 1400. The nurse recognizes this as which of the following types of medication orders? A. Routine B. Stat C. PRN D. Single order

D

A nurse is reviewing the medication administration record for an adult client's new prescriptions. Which of the following prescriptions should the nurse clarify with the provider? A. Ampicillin 500 mg by mouth every 6 hr B. Phenytoin (Dilantin) 300 mg PO daily C. Metronidazole (Flagyl) 500 mg intermittent IV bolus every 8 hr D. Acetaminophen (Tylenol) 325 mg by mouth PRN for headache

D Explanation: Does not contain prescription frequency

A nurse is caring for a client who states that their provider told them that they are at risk for anaphylaxis following administration of amoxicillin (Amoxil) and that he does not understand what this means. Which of the following is an appropriate response by the nurse? A. Anaphylaxis is a predictable and often unavoidable secondary effect that can occur at a usual therapeutic dose B. Anaphylaxis will cause you to experience withdrawal symptoms when you discontinue taking the medication C. Anaphylaxis is an unusual response that can occur due to an inherited predisposition D. Anaphylaxis is a severe hypersensitivity or allergic reaction that is life-threatening

D.

A nurse is preparing to administer medication to a client who has a prescription for doxycycline (Vibramycin) 100 mg PO daily 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 -0830 Explanation: within 30 min of administration time

A nurse on the medical surgical unit is caring for a client who has type 2 DM and has a prescription for metformin (Glucophage) 500 mg PO every 12 hours. The client is scheduled for a chest X-ray in the morning. Which of the following is an appropriate action by the nurse? A. Administer the morning dose after the client has the X-ray B. Ask the dietician to decrease the percentage of carbs in the client's meals C. Administer the medication as prescribed D. Ask the pharmacist to substitute a different hypoglycemic agent

C Explanation: the procedure did not require contrast

A nurse is caring for a client who has a prescription got merperdine (Demerol) 75 mg PO every 3 hr PRN for severe pain and hydroxyzine (Vistaril) 50 mg PO every 6 hr for breakthrough pain. At 1200, the client reports back pain rated at an 8. The client received merperdine 75 mg PO at 0700 and hydroxyzine 50 mg PO at 1000. Which of the following actions should the nurse plan to take? A. Administer hydroxyzine 50 mg PO now B. Administer hydroxyzine 50 mg PO at 1300 C. Administer merperdine 75 mg PO now D. Administer merperdine 75 mg PO at 1300

C. Explanation: The client is due for merperdine. THey received it at 0700. It is now 1200. The frequency is every 3 hours as needed

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? A. Complete an incident report B. Notify the provider about the information error C. Assess the client for adverse effects D. Report the error to the risk manager

C. Explanation: the first step to the nursing process is to asses for adverse effects