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ATI: SAFE DOSAGE DOSAGE CALCULATION 3.0 SAFE DOSAGE TEST
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ATI: SAFE DOSAGE DOSAGE CALCULATION 3.0 SAFE DOSAGE TEST
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ATI: SAFE DOSAGE DOSAGE CALCULATION 3.0 SAFEDOSAGE TEST
A nurse is teaching a newly licensed nurse about crushing medications. The nurse
should explain that which of the following medications can be crushed?
Extended-release oxycodone
Sublingual nitroglycerine
Enteric-coated aspirin
Sucralfate tablets - Answers-Sucralfate tablets
The nurse should explain that certain medications, such as those that are scored, can
be safely crushed and mixed with food or water for a client who has difficulty
swallowing. The nurse should check with the pharmacist before crushing a medication
to make certain it can safely be crushed.
A nurse is caring for a client who reports severe back pain at 1400. The client's
prescriptions include oxycodone extended-release 20 mg PO every 12 hr (last dose
received at 0600) and oxycodone immediate-release 5 mg PO every 4 hr PRN (last
dose received at 2300 the day before). Which of the following actions should the nurse
take?
This prescription requires clarification because it is missing the frequency of medication
administration.
A nurse is preparing to administer an oral medication. Which of the following actions
should the nurse take? (Select all that apply.)
Provide client education about the medication.
Check the expiration date of the medication.
Verify the dosage of the medication.
Call the client by name to confirm their identity.
Ask the client if they have any allergies. - Answers-Provide client education about the
medication.
Check the expiration date of the medication.
Verify the dosage of the medication.
Ask the client if they have any allergies.
The nurse should provide education for the client regarding the name and purpose of
each medication when administering them to the client.
The nurse should review the package information prior to administering the medication,
including the expiration date.
The nurse should review the package information prior to administering the medication,
including the medication name and dosage.
, The nurse should ask the client about any allergies that they have to decrease the risk
of an adverse reaction.
A nurse is caring for a client who states that his provider told him he is at risk for
anaphylaxis following administration of amoxicillin and that he does not understand
what this means. Which of the following is an appropriate response by the nurse?
"Anaphylaxis is a predictable and often unavoidable secondary effect that can occur at a
usual therapeutic dose."
"Anaphylaxis will cause you to experience withdrawal symptoms when you discontinue
taking the medication."
"Anaphylaxis is an unusual response that can occur due to an inherited predisposition."
"Anaphylaxis is a severe hypersensitivity or allergic reaction that is life-threatening." -
Answers-"Anaphylaxis is a severe hypersensitivity or allergic reaction that is life-
threatening."
Anaphylaxis is a severe allergic reaction that can result in severe bronchoconstriction
with laryngeal edema and a precipitous drop in blood pressure.
Contact the provider to request an order for a different pain medication.
Administer oxycodone immediate-release 5 mg PO at 1600.
Administer oxycodone immediate-release 5 mg PO now.
Contact the provider to request an increase in the oxycodone extended-release dose. -
Answers-Administer oxycodone immediate-release 5 mg PO now.
It has been 15 hr since the previous dose of oxycodone immediate-release, and the
medication is prescribed every 4 hr as needed, so the nurse should prepare to
administer a dose now to treat the client's pain.
A nurse is reviewing a client's prescriptions. The nurse should contact the provider to
clarify which of the following prescriptions?
Phenytoin 100 mg PO every 8 hr
Morphine 2.5 mg IV bolus PRN for incisional pain
Regular insulin 7 units subcutaneous 30 min before breakfast and dinner
Lisinopril 20 mg PO every 12 hr. Hold for systolic BP less than 110 mm Hg - Answers-
Morphine 2.5 mg IV bolus PRN for incisional pain
A nurse discovers a medication error in which the client received twice the prescribed
amount of medication. Which of the following actions should the nurse take first?
Notify the provider.
Complete an incident report.
Assess the client.
Report the error to the nurse manager. - Answers-Assess the client.
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