Safe dosage ATI – Flashcards
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a nurse is assisting w/ 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 & insulin, for what reason?
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dosage errors have the potential for significant harm to the client
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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. what action should the nurse take?
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request a liquid form of the medication from the pharmacy
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a nurse is preparing to administer insulin subcutaneously to a client. the nurse should document the administration of the medication immediately after what action?
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injecting the insulin
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a nurse is caring for a client who has a prescription for meperidine (Demerol) 50 mg PO every 3 hr PRN for moderate pain, & meperidine 75 mg PO every 3 hr PRN for severe pain. at 1200, the client reports back pain rated as 8 on a pain scale of 0-10. the client received 75 mg PO at 0700 & 50 mg PO at 1000. what action should the nurse take?
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administer meperidine 75 mg PO now (it's been 5 hrs since the previous dose so this is the appropriate action)
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a nurse is in a client's room preparing to administer docusate sodium (Colace) PO & acetaminophen (Tylenol) PO. the client refuses to take the medications because of nausea. what action should the nurse take?
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withhold the medications
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a nurse is reviewing a client's prescriptions. the nurse should contact the provider to clarify what prescription?
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Morphine 2.5 mg IV bolus PRN for incisional pain (prescription contains name of med, dosage, route, circumstance of administration, but no frequency ... therefore needs clarification)
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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 what?
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1. the amount of liquid in which to dissolve the tablets 2. the type of liquid in which to dissolve the tablets 3. the acceptable dose range of the medication
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a nurse is preparing to administer a medication subcutaneously. what should the nurse use?
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5/8-inch, 25 gauge needle
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a nurse working in a medical surgical unit is preparing to administer medications to a client. the nurse plans to use 2 forms of ID to verify that she the right client. what actions should the nurse take to ID the client?
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1. compare the name on the client's wristband with the name on the MAR 2. ask the client to state his DOB 3. ask the client to state his name 4. use the bar code scan to ID the client
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a nurse is caring for a client who received lisinopril (Zestril) 30 min ago & is now reporting dizziness & headaches. what actions should the nurse take first?
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obtain the client's vital signs
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a nurse is preparing to administer a liquid medication to a toddler. what action should the nurse take?
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offer the child a choice of taking the medication with either a cup or a spoon
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a nurse is planning atraumatic care for a preschooler who has a prescription for an intramuscular medication. a parent is with the child. what actions should the nurse include in the plan of care?
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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
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a nurse is transcribing medication prescriptions for a group of clients. what is an example of the appropriate way for the nurse to record medications that require the use of a decimal point?
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0.6 mL
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a nurse is transcribing a provider's prescription for a client. the prescription reads morphine 2mg IV bolus at 1400. the nurse recognizes this as which of the following types of medication orders?
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single order
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a nurse is reviewing a client's prescriptions. the nurse should contact the provider to clarify what prescription?
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acetaminophen (Tylenol) 325 mg by mouth PRN for headache (prescription contains name of med, dosage, route, circumstance of administration, but no frequency)
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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. what is an appropriate response?
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"anaphylaxis is a severe hypersensitivity or allergic rxn that is life-threatening"
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a nurse is providing teaching regarding medication administration to a group of newly licensed nurses. what is a legal responsibility of a nurse?
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reporting medication errors
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a nurse manager is reviewing a client's medical record & discovers that the client received a double dose of a prescribed medication. what action should the nurse manager take first?
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assess the client for adverse effects
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a nurse on a med surg unit is caring for a client who has type 2 diabetes mellitus & has a prescription for metformin (Glucophage) 500 mg PO every 12 hr. the client is scheduled for a chest X-ray in the morning. what is an appropriate action by the nurse?
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administer the medication as prescribed
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a nurse is preparing to administer medication to a client who has a prescription for doxycycline (Vibramycin) 100 mg PO daily at 0800. what times are appropriate for the nurse to administer the medication?
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anywhere within 30 min of the scheduled time (ex: 0745 or 0830)
