The nurse has a prescription for grade vii of a medication. which amount is an accurate dose

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Terms in this set (48)

A patient is to receive cephalexin 500 mg PO. The pharmacy has sent 250-mg tablets. How many tablets should the nurse administer?

2 tablets

(250 x 2 = 500)

What are the clinical signs and symptoms of pruritus?

Itching of skin

The healthcare provider has instructed the nurse to administer 600 mg of amoxicillin to a pediatric patient. The bottle of the amoxicillin is labeled 400 mg/6 mL. How much of the medication should the nurse administer to this patient? Record your answer using a whole number. ___ mL

9

(600mg x 6mL/400mg = 9)

The healthcare provider instructs the nurse to inject 2 mg/kg of a medication to a pediatric patient. The weight of the patient is 33 lbs. How much of the medication should the nurse administer to the patient? Record your answer using a whole number. ___ mg

30

(33lbs x 1kg/2.2lbs x 1kg/2mg)

The primary health care provider prescribes pain medication to a patient with the notation "prn" in the prescription. What should the nurse interpret from the prescription?

The medication should be taken as needed

Medications undergo vigorous testing before they are made available to the public. Which regulatory agency is responsible for ensuring this process?

Food and Drug Administration

The patient has an order for 2 tablespoons of magnesium hydroxide. How much medication does the nurse give him or her?

30 mL

(1 tablespoon = 15 mL; 2 tbsp = 30mL)

Which route is used for the administration of regional analgesia for surgical procedures?

Epidural

The registered nurse is teaching a nursing student about guidelines of safe narcotic control. Which statement made by the nursing student indicates a need for further teaching?

"Unused narcotic medication should be disposed of in sharps containers."

Which statement about medication names requires correction?

The trademark for generic names is indicated by the superscript "TM."

What is the role of state's Nurse Practice Act (NPA) in nursing?

Defining the scope of nurse's professional function

The primary health care provider advises a patient to dissolve the prescribed drug in his mouth for a long time without swallowing. Which form of medication is prescribed for this patient?

Lozenge

The order is for 20 mg of a medication to a pediatric patient. The ampule of the medication has 40 mg/2 mL of the medication. What is the correct volume to be administered? Record your answer using a whole number. ______ mL

1.

(20mg x 2mL/40mg)

Using the sliding scale for insulin prescribed by the healthcare provider, 2 units of insulin is required for a blood glucose level between 150 and 200 mg/dL. The nurse finds that a patient's blood glucose level is 175 mg/dL. How much insulin should the patient be given? Record your answer using a whole number. ___ units

2

Which instruction is beneficial for a patient who receives medication through buccal mucosa?

"You should place the medication against the mucous membrane of the cheek."

A patient has been advised to use a metered dose inhaler (MDI) two puffs two times a day. The canister has a total of 200 puffs of medicine. When should the nurse ask the patient to come in for a new canister? Record your answer using a whole number. ___ days

50.

A patient who has diarrhea is dehydrated and needs 480 mL of oral rehydration solution. How can the nurse show the patient what 480 mL is using a household measurement?

Two cups are approximately equivalent to 480 mL.

A patient's prescription order calls for 30 mL of the medication to be taken. What should the nurse instruct the patient regarding the administration of the medication according to household measurement?

"You should take 2 tablespoons of the medication."

The medication administration schedule for a patient indicates that a medication is to be given once a day at 9:00 AM. The nurse finds that the medication works best when given before bedtime. Which action made by the nurse is correct in this condition?

Notifying the primary health care provider to have the administration time changed

Which class of drugs, if administered to the patient without a prescription, is punishable under the Controlled Substance law?

Opioid analgesics

The registered nurse is teaching a nursing student about time-critical medications. Which statement if made by the nursing student indicates effective learning?

"Time-critical medications should be administered within 30 minutes of the scheduled time."

While assessing a patient, the nurse observes raised, irregularly shaped skin eruptions with red margins. Which mild allergic reaction does the nurse document in the medical record?

Hives

Which statement about anaphylactic reaction requires correction?

Occurs when a patient is exposed to the allergens for the first time.

Which adverse effect involves overreaction or under-reaction to a medication effect?

Idiosyncratic reaction

The primary health care provider has prescribed naloxone (Narcan) STAT to a patient. What does the nurse interpret from the prescription?

The medication should be given immediately.

The healthcare provider has instructed the nurse to administer 4 mg of morphine sulfate intravenously to a patient. The ampule of morphine contains 1 mL of the solution with a concentration of 10 mg/mL. What volume of the medication should the nurse administer to this patient? Record your answer to one decimal place. ___ mL

0.4 mL

(4mg/10mg x 1 mL)

A medication has a minimum effective concentration of 25 mg/dL and the therapeutic range is 25 to 100 mg/dL. What is the plasma concentration above which the toxic effects of the drug may appear? Record your answer using a whole number. ___ mg/dL

100

The highest reading of a therapeutic range corresponds to the toxic range of plasma concentration. Any drug levels above this concentration are toxic. The highest value of the therapeutic range of the drug in question is 100 mg/dL, so plasma concentration of the drug above 100 mg/dL is toxic.

Which statement is true regarding systems of medication measurement?

The apothecary system is used infrequently today

Which statement about various routes of drug administration requires correction?

Intradermal injection deposits the medication just below the dermis of the skin.

(subcutaneous injection deposits the medication just below the dermis of the skin.) Chemotherapeutic agents are the most common medications administered through intrapleural injection. Subcutaneous injection deposits the medication just below the dermis of the skin. The intraosseous method of medication administration involves the infusion of medication directly into the bone marrow. It is used most commonly in infants and toddlers who have poor access to their intravascular space. Patients taking medication through the sublingual route are instructed not to swallow or drink water until the tablet dissolves.

A primary health care provider prescribed an antihistamine to a pediatric patient and informed the caretakers that the child may become drowsy after taking this medication. However, on the contrary, the child became extremely agitated and excited after taking the medication. What is this reaction called?

Idiosyncratic reaction

A patient is taking albuterol through a pressurized metered-dose inhaler (pMDI) that contains a total of 200 puffs. The patient takes two puffs every 4 hours. How many days will the pMDI last? Record your answer using a whole number. _____ days

16

Two puffs × 6 times a day = 12 puffs per day; 200 puffs/12 puffs per day = 16.67 days, or about 16 days. This cannot be rounded up since the inhaler will not last a total of 17 days.

The nurse is educating a diabetic patient about how to administer insulin. Which statements pertaining to use of insulin are appropriate? Select all that apply.

1. The insulin vial should be shaken well before drawing the injection
2. Insulin should not be mixed with any other medication
3. Insulin detemir should not be mixed with any insulin
4. Insulin glargine should be mixed only with regular insulin
5. Rapid-acting insulin mixed with NPH insulin should be given along with meals

2, 3

The nurse is responsible for the storage and safe usage of drugs. Which guidelines should the nurse follow for the safe use of narcotics? Select all that apply.

1. Store narcotics in locked containers
2. Preserve unused portion of the drug
3. Frequently count narcotics, especially during shift change
4. Do not report discrepancies in narcotic count
5. Document and record patient details.

1, 3, 5

The registered nurse is teaching a nursing student about the various factors that affect drug absorption. Which statement if made by the nursing student indicates a need for further teaching? Select all that apply.

1. "Patients with malnutrition and liver disease are at risk of drug toxicity."
2. "The larger the surface of drug absorption, the less the drug is absorbed."
3. "Drugs given through the intravenous route are absorbed faster than the oral route."
4. "The tablet form of medication is more readily absorbed than the solution form."
5. "The greater the blood supply to the site of administration, the faster the drug is absorbed."

2, 4

The nurse is teaching a nursing student about parenteral routes. Which statement made by the nursing student indicates a need for correction?

"Intrapleural administration is common in toddlers who have poor access to intravascular space."

Which medication forms are commonly prepared for administration by parenteral routes? Select all that apply.

1. Elixir
2. Troche
3. Extract
4. Powder
5. Solution

4, 5

The nurse is preparing a medication ordered by the physician. The physician ordered 250 mg of Tylenol to be given to the patient. The medication comes from the pharmacy in dosage strength of 1 gram of Tylenol in 2 mL. How many mL should the nurse administer? Record your answer using one decimal place. ____________ mL

0.5 mL

By using the formula method: (Dose ordered/Dose on hand) x amount on hand = Amount to administer. (250 mg/1000 mg) x 2 mL = ½ mL = 0.5 mL.

The nurse is attending to a patient with a pulmonary infection. The healthcare provider prescribes antibiotics for the patient. Which instructions should the nurse give to the patient regarding antibiotic treatment? Select all that apply.

1. Emphasize taking the full prescription
2. Explain that improper treatment may worsen the patient's condition
3. Emphasize discontinuing the treatment once the patient attains symptomatic relief.
4. Explain that improper treatment may cause development of bacterial resistance
5. Emphasize continuation if the condition does not improve with a full course of medication

1, 2, 4

A patient has been prescribed enoxaparin. Which points should the nurse keep in mind when administering enoxaparin? Select all that apply.

1. The injection should be given in the abdomen
2. The injection should be given over a bony prominence
3. Air should be expulsed from the syringe before administration.
4. The injection site should be pinched while the needle is being inserted.
5. The injection should be given over large underlying muscles.

1, 4

The nurse who is responsible for dispensing medications understands that every patient requires a different dosage for a given drug. Various factors affect the absorption of drugs. Which factors influence absorption? Select all that apply.

1. Total body weight
2. Body temperature
3. Route of administration
4. Lipid solubility of the drug
5. Blood flow to the site of administration

3, 4, 5

Which nursing actions are appropriate for safe narcotic administration? Select all that apply.

1. Making a note of a discrepancy in the record
2. Obtaining the signature of the witness nurse in the paper record
3. Storing the medication in the drawer near the patient
4. Disposing of the unused part in the presence of another nurse
5. Dispensing wasted parts of medications in sharps containers

2, 4

A patient has to be given a bladder irrigation with 100 mL of medicated solution with 1/1000 dilution. How much of the medication should the nurse dissolve in 100 mL of solvent? Record your answer using a whole number. ___ mg

100mg

1/1000 solution indicates the presence of 1 gram of medication in 1000 mL of solution. This means that each mL of the solution contains 1 mg of the medication. Because the nurse has to prepare 100 mL of the solution, the nurse should dissolve 100 mg of medication in 100 mL of solvent.

The nurse works in a geriatric unit. Which physiological changes affecting the metabolism of medication should the nurse be aware of in these patients? Select all that apply.

1. Reduced liver function
2. Reduced absorptive capacity
3. Reduced functioning of brain receptors
4. Shortening of half-life of drugs excreted through the kidneys
5. Reduced function of the immune system

1, 2

The nurse has been asked to administer a medication in the dose of 10 mg/kg for a pediatric patient weighing 44 lb. What dose should the nurse administer? Record your answer using a whole number. __________ mg

200mg

First convert the patient's weight to kilograms. Because 2.2 lb equals 1 kg and the patient weighs 44 lb, the patient's weight is 20 kg. The formula is 44 lb/2.2 = 20 kg. Because the medication has to be administered at the dose of 10 mg/kg body weight, the dose of medication to be administered is 200 mg

The primary health care provider prescribes a suppository form of medication to a patient. What are the probable routes of administration advised for the patient? Select all that apply.

1. Oral route
2. Rectal route
3. Topical route
4. Vaginal route
5. Intravenous route

2, 4

The nursing instructor is talking to nursing students about the unit-dose system used in medication distribution. Which statements accurately describe the unit-dose system? Select all that apply.

1. It uses carts for distribution
2. It has labeled drawers
3. It has controlled substances kept in foil
4. It does not contain pen and stock medication
5. It includes ordered doses of medication for a full course

1, 2

The nurse has been asked to prepare a 1% solution of medication in distilled water. How much of the medication should the nurse dissolve in 100 mL of distilled water? Record your answer using a whole number, and, please note, no comma is needed. ___ mg

1000mg

A 1% solution contains 1 gram of the medication dissolved in 100 mL of the solution. Because the unit is mg, and 1 gram is 1000 mg, the nurse should dissolve 1000 mg of the medication in 100 mL of water.

A registered nurse is teaching a nursing student about medications in patients with renal disease. Which statements, if made by the nursing student, indicate a need for further teaching? Select all that apply.

1. "Renal failure may lead to drug toxicity in the body."
2. "Adequate fluid intake promotes proper elimination of medications through the kidneys."
3. "Most drugs undergo biotransformation in the kidney before they are excreted."
4. "Health care providers should decrease the medication dose in patients with renal disease."
5. "Enemas will accelerate excretion of the drug through the kidneys in patients with renal failure."

3, 5

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