A nurse is reviewing a client's admission record. The nurse notes that there are prescriptions for several medications. Which of the following factors should the nurse recognize is of primary consideration when determining the schedule of administration?

Institutional policies regarding routine medications

Time at which the medication can be available from the pharmacy

Specific characteristics of the medications

Schedule of administration that the client follows at home

Answer and Explanation

The Correct Answer is C

A. While institutional policies are important, they are not the primary consideration.
B. Availability from the pharmacy is necessary but not the primary factor.
C. Specific characteristics of the medications, such as their pharmacokinetics and pharmacodynamics, are the primary consideration to ensure efficacy and safety.
D. The client's home schedule is important for continuity but must be secondary to the medication's specific requirements.

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Correct Answer is ["0.25"]

Explanation

To calculate the volume of haloperidol to administer, you would use the formula: Volume = Dose / Concentration. The dose required is 5 mg, and the concentration available is 20 mg/mL. Dividing the required dose by the concentration gives: 5 mg / 20 mg/mL = 0.25 mL.

A. "I gave my client a bolus dose of morphine when I initiated the PCA pump." B. "I noted that my client pushed the PCA button six times in the last hour, and the PCA lockout is set for 10 minutes." C. "I told the client's family that they must not push the PCA button for the client." D. "I discarded the remaining 2 milligrams of morphine from the PCA pump. Please document that you witnessed it."

Correct Answer is D

Explanation

A. Administering a bolus dose of morphine at PCA initiation is a common practice.
B. Monitoring the frequency of button presses and understanding the lockout period is appropriate.
C. Educating the family not to push the PCA button is correct and ensures patient safety.
D. Discarding the remaining medication should be witnessed and documented correctly, but the process should follow the institution’s protocol, and witnessing should have been done before discarding, not after.

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A nurse is reviewing a client's admission record. The nurse notes that there are prescriptions for several medications. Which of the following factors should the nurse recognize is of primary consideration when determining the schedule of administration?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer haloperidol 5 mg IM to a client. The amount available is haloperidol 20 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest hundredth. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["0.25"]

Explanation

A charge nurse is supervising a newly licensed nurse provide care for a client who has a PCA pump. Which of the following statements made by the nurse requires further action by the charge nurse?

Correct Answer is D

Explanation

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