skittles
When admitting an older adult patient to an acute care setting, which nursing strategy is most appropriate to prevent medication errors?
Instruct the patient or family to bring in all medications the patient was taking at home.
Nurses working in a general practice setting will need to have a basic understanding of the role of the nurse in genetics. Which one of the responsibilities for nurses working in genetics?
Obtain a personal and family history.
A health care provider orders lorazepam 1 mg orally 2 times a day. The dose available is 0.5 mg per tablet. How many tablet(s) will the nurse administer for each dose?
2
When the nurse administers an intramuscular (IM) corticosteroid injection, the nurse aspirates. What is the rationale for the nurse aspirating?
Ensure proper placement of the needle.
A patient refuses medication. Which is the nurse’s first action?
Explore with the patient reasons for not wanting to take the medication.
The nurse administers a medication to the wrong patient. What is the appropriate nursing action following this error?
Notify the health care provider and document a medication error incident report.
The physician orders Methergine 0.3 mg po twice a day for postpartum bleeding. The medication is supplied in 0.2-mg tablets. How many tablets will the nurse administer?
1.5 tablets
A 28 year old adult is ordered to have eardrops daily. Which action will the nurse take?
Pull the auricle upward and outward to straighten the ear canal.
A prescription is written for phenytoin 500 mg IM q3-4h prn for pain. The nurse recognizes that treatment of pain is not a standard therapeutic indication for this drug. The nurse believes that the health care provider meant to write hydromorphone. What action should the nurse take?
Call the health care provider to clarify the order.
A nurse teaches the patient about the prescribed buccal medication. What statement by the patient indicates teaching by the nurse is successful?
“I should let the medication dissolve completely.”
A patient with atrial fibrillation requests a cup of chamomile tea. The nurse denies the patient’s request because of the medication the patient is taking. What is the medication?
Anticoagulants
The physician orders KCl 20 mEq po daily for hypokalemia. The medication is supplied in 40 mEq/15 mL. How many milliliters will the nurse administer?
7.5 mL
A patient has an order to receive 12.5 mg of hydrochlorothiazide. The nurse has on hand a 25 mg tablet of hydrochlorothiazide. How many tablet(s) will the nurse administer?
1/2 tablet
While preparing medications, the nurse knows one of the drug is an acidic medication. In which area does the nurse anticipate the drug will be absorbed?
Stomach
A patient who is being discharged today is going home with an inhaler. The patient is to administer 2 puffs of the inhaler twice daily. The inhaler contains 200 puffs. When should the nurse appropriately advise the patient to refill the medication?
6 weeks from the start of using the inhaler.
A male patient who abuses alcohol tells the nurse that he is treating himself with kava. What instruction should the nurse include in patient teaching?
Stop taking the kava now.
Docusate sodium 200 mg twice a day per gastric tube is ordered for a constipated patient. The docusate sodium syrup is supplied in a 10 mg per milliliter concentration. How many milliliters would the nurse administer with each dose?
20 ML
The patient is to receive Vancomycin at 1100. When will be the ideal time for the nurse to schedule a trough level?
1030
A patient needs assistance in eliminating an anesthetic gaseous medication (nitrous oxide). Which action will the nurse take?
Encourage the patient to cough and deep-breathe.
The nurse is caring for two patients with the same last name. In this situation which right of medication administration is the priority to reduce the chance of an error?
Right patient
The recommended dosage of amoxicillin is 20 to 40 mg/kg/day divided in equal doses q8 h. The medication is supplied as 50 mg/mL oral suspension. The child weighs 72.6 lb. Calculate the safe and therapeutic 24-hour dosage range for this child.
660 to 1320 mg/day
The physician orders testosterone 170 mg IM weekly for hormone replacement. The medication is supplied in 200 mg/mL. How many milliliters will the nurse administer?
0.85ml
What is the nurse’s priority action to protect a patient from medication error?
Reading medication labels at least 3 times before administering
The nurse has prepared a pain injection for a patient but was called to check on another patient. When asked to give the medication what action by the new nurse is best?
Refuse to give the medication.
An older-adult patient needs an intramuscular (IM) injection of antibiotic. Which site is best for the nurse to use?
Ventrogluteal