A nurse is administering a medication at the bedside. Which of the following actions should be the first priority?
Establish the identity of the client
Document the administration of the medication
Recheck the medication label
Obtain orange juice for the client to take with the medication.
The Correct Answer is A
Establish the identity of the client should be the first priority when a nurse is administering a medication at the bedside.
It is essential to verify the identity of the client before administering any medication to ensure that the medication is being given to the right person. This can be done by asking the client to state their name and verifying it with their medical record or identification band. Once the nurse has established the client's identity, they can proceed to administer the medication.
Documenting the administration of the medication is important but should not take priority over verifying the client's identity. Rechecking the medication label is also important but can be done after the nurse has established the client's identity and is preparing to administer the medication. Obtaining orange juice for the client to take with the medication is not a priority action and can be done after the medication has been administered.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["2200"]
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.
Correct Answer is ["3.10"]
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.
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