The Math of Meds
Charting the Course
Action Heroes
The Results Are In
Clinical Synthesis
100
The physician orders 150 mg of a drug. You have tablets labeled 50 mg each. Calculate the amount of tablets you will administer.
What is 3 tablets?
100
The step in the nursing process when the nurse determines the appropriate actions to take after identifying a patient's priority problem is known as this.
What is planning?
100
The nurse is preparing to administer 0.3 units of insulin. State the appropriate syringe size.
What is a 100-unit, 1 mL syringe?
100
This is the final formal step of the nursing process model.
What is evaluation?
100
The nurse teaches a patient wound care techniques (Implementation) and asks them to demonstrate the process to check their understanding (Evaluation). This is an example of...
What is a return demonstration?
200
The order is for 20 mg of medication per hour. The solution available contains 60 mg in 100 mL. Set the infusion rate in mL/hr, round to the nearest whole number.
What is 33 mL/hr?
200
A patient with a fractured right leg is learning to use crutches. The nurse and patient establish a goal for the patient to walk 20 feet with a three-point gait by the next day, and the outcome identification is known as this.
What is a short-term outcome or goal?
200
The nurse is caring for a patient with an indwelling Foley catheter and needs a sterile urine specimen. State the aseptic technique.
What is using aseptic technique, wiping the port with alcohol, and withdrawing urine using a syringe from the specimen port?
200
After teaching a client how to use a metered-dose inhaler, the nurse asks the client to demonstrate the technique.
What return demonstration? Evaluating the effectiveness of teaching or client learning
200
The nurse establishes that the patient will report a pain level of 3 or less by the end of the shift (Planning). Describe an action that involves giving the patient their prescribed oral pain medication at 0900 (Implementation).
What is medication administration?
300
A patient is to receive medication in 30 mL of fluid over 40 minutes. The drip factor is 60 gtts/mL. Calculate the drip rate in gtts/min.
What is 45 gtts/min?
300
The "M" in SMART goals stands for this.
What is measurable?
300
A nurse assists a postoperative client to a chair to promote recovery. State the type of nursing intervention that this represents.
What is assisting with ADLs or basic care and comfort intervention?
300
When writing an evaluation of an outcome, the nurse must do this to determine the next steps of care.
What is restate the outcome?
300
The nurse identified a patient outcome: "Patient will demonstrate safe use of crutches by tomorrow" (Planning/Outcomes Identification). The nurse then teaches the patient the 3-point gait (Implementation). After the teaching, explain how the outcome is evaluated.
What is by observing the patient walk with the crutches and checking for stability/safety?
400
A child weighs 11.2 kg and has an order for Acyclovir 120 mg IV every 8 hours. The safe dose range (SDR) is 25-50 mg/kg/day. Calculate the SDR in mg for this child in 24 hours.
What is 280 mg/24 hrs to 560 mg/24 hrs?
400
A common problem related to this phase is the nurse failing to involve the patient in the process.
What is outcome identification and planning?
400
When administering enteral nutrition, the nurse performs these critical interventions to ensure patient safety.
What are checking tube placement and gastric residual, and elevating the HOB?
400
The nurse assesses a patient 30 minutes after administering pain medication to determine if the intervention was effective. State the step of the nursing process that this action represents.
What is evaluation?
400
The nurse calculates a safe pediatric dose range for a medication (Dosage Calculation) and sets an outcome for the patient to receive the medication within that range (Planning).
What is the integration of dosage calculation into the planning phase to ensure patient safety?
500
Dobutamine (Dobutrex) 4 mcg/kg/min for a client weighing 82 kg. The solution available is 500 mg in 250 mL D5W. Calculate the rate on the infusion pump that will deliver the correct dose in mL/hr.
What is 9.84 mL/hr?
500
This type of nursing intervention can be performed by the nurse without a physician's order, such as elevating the head of the bed for a patient in respiratory distress.
What is an independent nursing intervention?
500
This is the specific step in the nursing process model that includes administering pain medication.
What is implementation?
500
A team debriefs over a difficult patient situation and discusses what worked well and where improvements can be made. Explain reflecting-on-action.
What is a type of evaluation in clinical judgment?
500
After implementing a new care plan for a patient at risk for falls, the nurse evaluates the patient's status and finds that the patient has fallen again. The nurse must now do this with the original plan of care.
What is revise or modify the plan of care (or reassess the situation)?