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The nurse is having difficulty reading a physician's order for a medication. The nurse knows the physician is very busy and does not like to be called. The nurse should
Call the physician to have the order clarified
The client has an order for 2 tablespoons of Milk of Magnesia. The nurse converts this dose to the metric system and gives the client:
A client is to receive cephalexin (Keflex) 500 mg PO. The pharmacy has sent 250-mg tablets. The nurse gives:
When identifying a new client before administering medications, the nurse asks the client to state his name. The client does not state the correct name. The nurse asks again, and the client states still another name. What is the nurse's next action?
Investigate the client's mental status before administering any further medications.
A client is transitioning from the hospital to the home environment. A home care referral is obtained. What is a priority, in relation to safe medication administration, for the discharge nurse?
Ensure the home care agency is aware of medication and health teaching needs.
A nursing student takes a client's antibiotic to his room. The client asks the nursing student what it is and why he should take it. The nursing student's reply includes the following information:
The name of the medication and a description of its desired effect
The nurse is administering a sustained-release capsule to a new client. The client insists that he cannot swallow pills. The best course of action for the nurse is to:
Ask the physician to change the order
The nurse takes a medication to a client, and the client tells the nurse to take it away because she is not going to take it. The nurse's first action should be to:
Ask the client's reason for refusal
A client is receiving an IV push medication. If this type of drug infiltrates into the outer tissues, the nurse will:
Follow facility policy or drug manufacturer's directions
If a client who is receiving IV fluids develops tenderness, warmth, erythema, and pain at the site, the nurse suspects:
A nurse administering medications has many responsibilities. Among these responsibilities is a knowledge of pharmacokinetics. Which statement is the best description of pharmacokinetics?
The study of how medications enter the body, reach their site of action, metabolize, and exit the bod
The following orders were written by a prescriber (physician, advanced practice nurse, physician's assistant). Which order is written correctly?
CORRECT ANSWER IS C
A) Aspirin 2 tablets prn
B) Haloperidol (Haldol) ½ tablet at bedtime
C) Zolpidem (Ambien) 5 mg PO at bedtime prn
D) Levothyroxine (Synthroid) 0.05 mg 1 tablet
To better control the client's blood glucose level, the physician orders a high regular insulin dosage of 20 units of U-500 insulin. The nurse has only a U-100 syringe. How many units will be given
U-500 insulin is 5 times as strong as U-100 insulin. Therefore the amount of U-500 insulin should be divided by 5; 20 units ÷ 5 = 4 units.
The nurse is administering an intramuscular (IM) injection. The Z-track method is recommended for IM injections because:
It minimizes local skin irritation by sealing the medication in muscle tissue.
What is the best nursing practice for administrating a controlled substance if part of the medication must be discarded?
The nurse documents on the medication administration record and the control inventory form, and has a second nurse witness the medication being discarded.
When administering medications, it is essential for the nurse to have an understanding of basic arithmetic to calculate doses. The physician has ordered 250 mg of a medication that is available in 1-g amount. The vial reads 2 ml = 1 g. What dose would be given by the nurse?
0.5 ml = 250 mg of this medication.
(Dose ordered/dose on hand) × amount on hand = amount administered
[250 mg/1000 mg (1 g)] × 2 ml = 500/1000 = ½ ml or, in decimals, 0.5 ml
While the nurse is administering medication, the client says, "This pill looks different from what I usually take." What is the nurse's best action?
Go recheck the medication order, taking along the medication.
The client is a 40-year-old man who weighs 160 lb and is 5 feet 9 inches tall. The order is for 5 ml of a medication to be given as a deep intramuscular (IM) injection. What size of syringe and gauge and length of needle should the nurse use for best practice?
Two 3-ml syringes, 20- to 23-gauge, 1½-inch needle
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