The following medication is ordered for the patient:

Calcitriol Oral Solution 2 µg PO Daily

After reading the order, the nurse initially demonstrates safe practice by

Asking the patient about the daily dose taken at home

Looking up the dose in a drug reference book

Identifying the written components of the medication order

Clarifying the written medication order of 2 µg

Answer and Explanation

The Correct Answer is C

A. Asking the patient about the daily dose taken at home: While obtaining a medication history is important, the initial step in safe practice is to review and verify the written order itself before considering the patient’s prior regimen.

B. Looking up the dose in a drug reference book: Consulting a reference is useful for confirming dosing, side effects, and interactions, but it comes after correctly identifying and interpreting the written order. Initial verification focuses on the order itself.

C. Identifying the written components of the medication order: Reviewing the medication order—drug name, dose, route, frequency, and units—is the first step in safe medication administration. It ensures the nurse understands the prescription and can detect any errors or ambiguities before proceeding.

D. Clarifying the written medication order of 2 µg: Clarification is necessary only if the order appears unclear or unsafe. In this case, the order specifies 2 µg clearly, so initial safe practice is focused on proper identification, not immediate clarification.

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Free Nursing Study Resources

Correct Answer is D

Explanation

A. 2.5 kg = 1 lb: This conversion overestimates the weight in kilograms. One pound is actually equal to approximately 0.454 kg.

B. 2.5 lb = 1 kg: This incorrectly suggests that 1 kilogram equals 2.5 pounds, which underestimates the weight in pounds. The accurate conversion requires 1 kg ≈ 2.2 lb.

C. 2.2 kg = 1 lb: This incorrectly reverses the relationship. One pound is approximately 0.454 kg, not 2.2 kg.

D. 2.2 lb = 1 kg: This is the correct conversion factor. One kilogram equals approximately 2.2 pounds, which the nurse can use to convert 80 lb to kilograms safely.

A. Ondansetron 4 mg IVP stat B. Benadryl 50 mg PO PRN every 6 hr for itching C. Enoxaparin 80 mg SUBQ every 12 hours D. Regular insulin 5 u SUBQ now

Correct Answer is D

Explanation

A. Ondansetron 4 mg IVP stat: This is a standard antiemetic order with a clear dose, route, and timing. There is no ambiguity, so clarification is not required before administration.

B. Benadryl 50 mg PO PRN every 6 hr for itching: The dose, route, and frequency are clearly specified, and PRN parameters are provided. The order is safe to administer as written.

C. Enoxaparin 80 mg SUBQ every 12 hours: This is a typical prophylactic or therapeutic anticoagulant dose with a clear route and schedule. No immediate clarification is needed unless there are patient-specific concerns.

D. Regular insulin 5 u SUBQ now: Insulin orders, especially when written with “u” for units, carry a high risk of dosing errors. The nurse should clarify with the prescriber or pharmacy to confirm the dose and prevent potential hypoglycemia.

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The following medication is ordered for the patient: Calcitriol Oral Solution 2 µg PO Daily After reading the order, the nurse initially demonstrates safe practice by

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Naxlex Comprehensive Predictor Exams

The nurse is preparing to record the patient's weight (80 lb) in kilogram (kg). Which of the following equivalent measurements would the nurse use to convert pounds to kilograms?

Correct Answer is D

Explanation

When practicing safety in the administration of medication, the nurse is correct to seek clarification prior to the administration of which of the following medication orders?

Correct Answer is D

Explanation

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The nurse reads the following drug label: Cyanocobalamin Injection, USP 1,000 mcg per mL For IM or SUBQ Use Only 1 mL Multi-Dose Vial Contains a preservative. Protect from light. The nurse demonstrates safe practice when the routes of administration are identified as:

All of the following medication orders are found in a patient's MAR. Select the medication order that requires clarification prior to administration.

The following medication is ordered for the patient:

Calcitriol Oral Solution 2 µg PO Daily

After reading the order, the nurse initially demonstrates safe practice by