Safe Dosage

Single Order

A nurse is transcribing a provider's prescription for a client. THe prescription reads morphone 2 mg IV bolus at 1400. The nurse should recognize this as which of the following types of medication orders?

0.6 mL

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?

Assess the client.

A nurse discovers a medication error in which the client rec'd twice the prescribed amount of medication. Which of the following actions should the nurse take first?

Swollen lips

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

Obtain the client's vital signs

A nurse is caring for a client who rec'd lisinopril 30 min ago and is now reporting dizziness and headache. Which of the following actions should the nurse take first?

Withhold the medication

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?

Acetaminophen 650 mg by mouth every 6 hour for temperature greater than 38.4 C (101.2 F)

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 prescriptions?

Collecting information about a client's pain level following administration of a narcotic.

A nurse is administering medications to four clients. The nurse should identify which of the following nursing actions as part of the ecaluation phase of the nursing process?

Request extended-release sprinkles from the pharmacy

A nurse is caring for a client who is to receive topiramate XR 100mg PO daily. The client tells the nurse that the capsule is too hard to swallow. Which of the following actions should the nurse take?

Administer oxycodone immediate-release 5 mg PO now

A nurse is caring for a client who reports severe back pain at 1400. The client's prescriptions include oxycodone extended-release 20 mg PO every 12 hr (last dose rec'd at 0600) and oxycodone immediate-release 5mg PO every 4 hr PRN (last dose rec'd at 2300 the day before). Which of the following actions should the nurse take?

Anaphylaxis is a sever hypersensitivity or allergic reaction that is life-threatening

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?

Verify the dosage calculation with another nurse

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?

0700, 0830

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? (Select all that apply)

Provide client education about the medication; check the expiration date of medication; verify the dosage; ask the client is they have any allergies.

A nurse is preparing to administer an oral medication. Which of the following should the nurse take? (select all that apply)

VAlidate that the dosage is within the safe range; confirm the medication amount is appropriate for the child.

A nurse is preparing to administer digoxin 25 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)

Injecting the insulin

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?

Reporting medication errors

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?

Acetaminophen 325 mg every 6 hr PRN for headache

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

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

Sucralfate Tablets

A nurse is teaching a newly licensed nurse about crushing medications. The nurse should explain that which of the following mediations can be crushed?

Assess the client for adverse effects

A nurse manager is reviewing a client's medical record and discovers that the client rec'd a double dose of a prescribed medication. WHich of the following should the nurse manager take first

Heparin

A 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?

compare the name of 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 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 can the nure take to identify the client? (Select all that apply)

Vitamins, supplements, and OTC medications should be included in a med recon.

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?

Asking the client about a history of medication allergies.

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?