ATI - 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 (Amoxil) 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." Anaphylaxis is a severe reaction and 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 The nurse should place a leading zero to the left of the decimal point when the dose is less than 1.

A nurse is planning atraumatic care for a preschooler who has a prescription for an intramuscular medication. A parent is with the child. Which of the following actions should the nurse include in the plan of care? (Select all that apply.)

1. provide an explanation of the hospital alarm system 2. suggest the parent bring the child's favorite toy to the hospital 3. use a doll to demonstrate how the nurse will administer the IM medication

A nurse is preparing to administer a medication subcutaneously. Which of the following should the nurse use?

5/8-inch, 25 gauge needle This is the appropriate size needle for the nurse to use when giving a subcutaneous injection.

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

Acetaminophen (Tylenol) 325 mg by mouth PRN for headache This prescription contains name of medication, dosage, route, and circumstance for administration, but not the frequency.

A nurse is caring for a client who has a prescription for meperidine (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 as 8 on a pain scale of 0 to 10. The client received meperidine 75 mg PO at 0700 and hydroxyzine 50 mg PO at 1000. Which of the following actions should the nurse plan to take?

Administer meperidine 75 mg PO now. The client is reporting severe pain and can receive another dose of meperidine now. The client last received meperidine 75 mg PO at 0700.

A nurse on a medical surgical unit is caring for a client who has type 2 diabetes mellitus and has a prescription for metformin (Glucophage) 500 mg PO every 12 hr. The client is scheduled for a chest X-ray in the morning. Which of the following is an appropriate action by the nurse?

Administer the medication as prescribed. The nurse should withhold metformin when a client is scheduled for a procedure that requires the use of contrast dye. Because routine chest X-rays do not require contrast dye, the nurse should administer the medication as prescribed.

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. Using the nursing process, the first step the nurse should take is to assess the client for adverse effects.

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 his date of birth. Ask the client to state his name. Use the bar code scan to identify the client.

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?

Dosage errors have the potential for significant harm to the client. The nurse should have a second nurse check the dosage of high-alert medications because serious harm with excessive dosing can occur. Heparin overdose can lead to hemorrhage, and insulin overdose can lead to shock.

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 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 nurse.

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 This prescription requires clarification because it is missing the frequency of medication administration.

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?

Obtain the client's vital signs. The first action the nurse should take using the nursing process is to assess the client. Therefore, the first action the nurse should take is to obtain the client's vital signs.

A nurse is preparing to administer a liquid medication to a toddler. Which of the following actions should the nurse take?

Offer the child a choice of taking the medication with either a cup or a spoon. 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?

Reporting medication errors The nurse is legally responsible for reporting medication errors according to facility policy.

A nurse is caring for a client who is to receive omeprazole (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?

Request a liquid form of medication from the pharmacy. The nurse can administer a liquid form of an oral medication if available. This is not changing the route of the medication.

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?

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

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 acceptable dose range of the medication

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

Withhold the medications. The client has the right to refuse the medications. The nurse should collect data to determine the cause of the nausea before taking any further action. The nurse should also document the client's refusal and the reason in the medical record.

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.)

anywhere within 30 min of the scheduled time (ex: 0745 or 0830)