A nurse identifies that a medication is ordered for the client as twice the regular dosage. What action should the nurse take?
Administer the medication as ordered.
Administer the standard dose and notify the prescriber.
Check to see if previous nurse gave the medication as ordered.
Collaborate with the prescriber regarding the ordered dose.
The Correct Answer is D
Collaborate with the prescriber about the order. This is because the nurse has a responsibility to ensure the safety and effectiveness of the medication administration and to question any orders that seem inappropriate or unclear. The nurse should not administer the medication as ordered without verifying it first, as this could cause harm to the client or result in a medication error. The nurse should not check to see if previous shift nurses gave the medication, as this does not address the issue of the current order and could lead to missed or duplicated doses. The nurse should not administer only the standard dose of the medication, as this could be against the prescriber’s intention and could compromise the client’s treatment or outcome.
Choice A is wrong because it does not follow the principle of safe medication administration and could put the client at risk of adverse effects or overdose.
Choice B is wrong because it does not respect the prescriber’s authority and could result in underdosing or ineffective therapy for the client.
Choice C is wrong because it does not solve the problem of the current order and could cause confusion or inconsistency in the medication administration.
Choice D is correct because it demonstrates critical thinking and professional accountability, and ensures that the order is appropriate and accurate for the client’s condition and needs.
The normal ranges for medication dosages depend on various factors, such as the type of medication, the route of administration, the client’s age, weight, renal function, liver function, and other comorbidities.
The nurse should always consult reliable sources of information, such as drug guides, pharmacists, or prescribers, to determine the safe and effective dosages for each client
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
This is because diminished breath sounds indicate poor oxygenation and ventilation, which can lead to respiratory failure and hypoxia. The healthcare provider should be notified immediately to assess the client and provide appropriate interventions.
Choice A is wrong because joint pain is a common side effect of some arthritis medications, such as nonsteroidal anti-inflammatory drugs (NSAIDs). It does not require immediate attention unless it is severe or accompanied by other symptoms, such as swelling, redness, or fever.
Choice B is wrong because decreased appetite and difficulty sleeping are normal responses to grief and loss. They do not indicate a medical emergency, but rather a need for emotional support and counseling.
Choice C is wrong because a weight loss of two pounds in a client admitted with congestive heart failure is a positive sign that indicates fluid removal and improved cardiac function. It does not require immediate reporting, but rather ongoing monitoring and evaluation.
Normal ranges for vital signs are as follows :
- Blood pressure: 90/60 mm Hg to 120/80 mm Hg
- Breathing: 12 to 18 breaths per minute
- Pulse: 60 to 100 beats per minute
- Temperature: 97.8°F to 99.1°F (36.5°C to 37.3°C); average 98.6°F (37°C)
Correct Answer is A
Explanation
This is because coughing can indicate aspiration of the feeding into the lungs, which can lead to pneumonia and other serious complications. Aspiration is reported in up to 89% of patients receiving nasogastric tube feeding.
Therefore, the nurse should prioritize assessing the client for signs of aspiration and ensuring proper tube placement.
Choice B is wrong because mild abdominal cramps are a common side effect of nasogastric tube feeding and do not require immediate intervention unless they are severe or persistent.
Choice C is wrong because high-pitched bowel sounds are normal and indicate peristalsis and digestion.
They do not indicate a problem with the tube feeding.
Choice D is wrong because one to two soft bowel movements per day are desirable and indicate adequate nutrition and hydration.
They do not indicate a problem with the tube feeding.
Normal ranges for gastric residual volume are less than 200 mL for adults and less than 100 mL for children. Normal ranges for pH of gastric aspirate are 1 to 5.
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