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Fundamental Nursing 2
Total Questions : 25
Showing 25 questions, Sign in for moreDirections: Refer to the diagram of the syringe provided to answer the following question The nurse needs to withdraw 0.65 mL of medication into a syringe. The nurse fills the medication to which area on the syringe?
Which of the following is not considered a unique when establishing the identification of a client?
A nurse is administering a medication at the bedside. Which of the following actions should be the first priority?
The "six rights” of medication administration are:
The generic name for this medication is:
When a verbal order is received by an authorized individual, the individual must do the following:
What would be the appropriate interpretation for the following order? Demerol 50 mg IM stat
Which of the following correctly indicates the order below:
A nurse who administers a medication that is unsafe is liable for the error
The nurse can safely administer medications that are prepared by another nurse
A prn order must indicate the minimum time between doses such as q4h
Directions: Refer to the diagram of the syringe provided to answer the following question The nurse needs to withdraw 1.7 mL of medication into a syringe. The nurse fills the medication to which area on the syringe?
The 30-minute rule refers to
A client refuses a po medication and provides the nurse with a reason for refusing the medication. What should the nurse’s action be?
Medication errors can result in prolonged hospitalization for a client.
Round dose and weight to the nearest tenth as indicated. Order. Albuterol 1.2 mg p.o. t.i.d. is ordered for a child weighing 27 lb. The recommended dose is 0.3 mg/kg/24 hr divided q8h. Available:
Explanation
First, let's calculate the child's weight in kilograms:
27 lb ÷ 2.205 lb/kg = 12.25 kg
Next, we can calculate the total daily dose of albuterol that the child should receive:
0.3 mg/kg/24 hr x 12.25 kg = 3.675 mg/24 hr
We need to divide this total daily dose into three equal doses to be given every 8 hours: 3.675 mg/24 hr ÷ 3 doses = 1.225 mg/dose
The available Albuterol syrup is 2mg/5ml, which means each 5ml of syrup contains 2mg of albuterol. To administer 1.225 mg of albuterol, we need to calculate the volume of syrup required using the following formula:
Volume (ml) = (dose (mg) ÷ concentration (mg/ml))
Volume (ml) = (1.225 mg ÷ 2 mg/ml)
Volume (ml) = 0.6125 ml
Therefore, the child should receive 0.6 ml (rounded to the nearest tenth) of Albuterol syrup per dose, to be given orally three times a day.
The correct abbreviation twice a day is:
Explanation
The correct abbreviation for "twice a day" is "BID," which stands for "bis in die" in Latin.
Round dose and weight to the nearest tenth as indicated Use labels where provided.
Order: Ceclor (cefaclor) 100 mg p.o. q8h is ordered for a child weighing 32 lb.
The recommended dose is 20 to 40 mg/kg/day divided q8h.
Available:
Explanation
First, we need to convert the child's weight from pounds to kilograms:
32 lb ÷ 2.2 lb/kg = 14.54 kg (rounded to the nearest hundredth)
Next, we'll calculate the recommended daily dose range for this child:
20 mg/kg/day × 14.54 kg = 290.8 mg/day
40 mg/kg/day × 14.54 kg = 581.6 mg/day
So the recommended dose range for this child is 290.8 to 581.6 mg/day.
To calculate the dose for each individual dose, we'll divide the total daily dose by 3 (since it's divided into three equal doses per day):
290.8 mg/day ÷ 3 = 96.9 mg/dose (rounded to the nearest tenth)
581.6 mg/day ÷ 3 = 193.9 mg/dose (rounded to the nearest tenth)
Since the available cefaclor suspension is 125 mg per 5ml, we'll need to calculate how much volume of suspension to give for each dose:
96.9 mg/dose ÷ 125 mg/5ml = 2.46 ml/dose (rounded to the nearest hundredth)
193.9 mg/dose ÷ 125 mg/5ml = 3.10 ml/dose (rounded to the nearest hundredth)
Therefore, the child should receive 2.5 ml of cefaclor suspension for each dose of 100 mg and 3.1 ml of cefaclor suspension for each dose of 200 mg.
The client is to receive phenytoin 100 mg q8h.
What is the correct military time that the nurse should document in the chart for the last dose of the day if the first dose was given at 0600?
Explanation
If the first dose of phenytoin was given at 0600, the next dose should be given 8 hours later at 1400 (2:00 PM) and the third dose should be given 8 hours after that at 2200 (10:00 PM).
To convert these times to military time, we can add 12 to any time after 12:00 PM (noon). Therefore, the correct military times for administering the phenytoin doses would be:
1st dose = 0600 (6:00 AM)
2nd dose = 1400 (2:00 PM)
3rd dose = 2200 (10:00 PM)
The last dose of the day should be given at 2200 (10:00 PM).
To document the administration of the medication in military time, the nurse should record the time as 2200 in the client's chart.
A medicine ordered q4h would be given how many times a day?
Explanation
6 times a day . If a medication is ordered to be given "q4h," it means that it should be administered every 4 hours. Therefore, the medication would be given 6 times a day, as there are 24 hours in a day and 24 divided by 4 equals 6.
The correct abbreviation for immediately is
Explanation
“STAT”. The correct abbreviation for immediately in medicine is "stat".
Here are some similar abbreviations used in medicine:
stat: immediately (from Latin "statim")
qd: every day (from Latin "quaque die")
qid: four times a day (from Latin "quater in die")
qh: every hour (from Latin "quaque hora")
q2h: every 2 hours (from Latin "quaque secunda hora")
ac: before meals (from Latin "ante cibum")
pc: after meals (from Latin "post cibum")
tid: three times a day (from Latin "ter in die")
hs: at bedtime (from Latin "hora somni")
prn: as needed (from Latin "pro re nata")
Enteric-coated tablets and time-released tablets should never be?
Explanation
Enteric-coated tablets and time-released tablets should never be crushed or broken before administration. Here are reasons why enteric-coated tablets and time-released tablets should never be crushed: 1. Effectiveness: Enteric-coated tablets are designed to resist the acidic environment of the stomach and dissolve in the alkaline environment of the small intestine. Crushing these tablets will alter their absorption pattern and effectiveness.
2. Safety: Time-released tablets are designed to slowly release the medication over an extended period, which helps to maintain a consistent therapeutic level in the body. Crushing these tablets can result in an immediate release of the entire dose, which can cause an overdose or adverse reactions.
3. Irritation: Crushing enteric-coated or time-released tablets can cause irritation to the throat, mouth, and airways, leading to coughing, choking, or breathing difficulties.
4. Accuracy: When tablets are crushed, the amount of medication that is delivered may be inaccurate, which can lead to underdosing or overdosing.
The nursing instructor is facilitating a clinical group discussion about the adrenal glands including the cortex and the medulla. The instructor asks about the physiological changes that happen when norepinephrine and epinephrine are released. The students show good understanding of physiological changes when they state they include: (select all that apply).
Medication errors can result in prolonged hospitalization for a client.
The correct abbreviation for every 4 hours is
Explanation
The correct abbreviation for every 4 hours is "q4h".
Here are some other similar medication administration abbreviations:
ac: before meals
pc: after meals
qd: once daily
qod: every other day
qh: every hour
qid: four times daily
tid: three times daily
hs: at bedtime
prn: as needed
stat: immediately
po: by mouth
IV: intravenous
IM: intramuscular
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