A nurse is preparing a medication for a client and is converting grams to milligrams. Which of the following actions should the nurse take?

Move the decimal point 2 places to the right

Move the decimal point 3 places to the left.

Move the decimal point 3 places to the right

Move the decimal point 2 places to the left.

Answer and Explanation

The Correct Answer is C

A. Move the decimal point 2 places to the right: To convert grams to milligrams, the decimal is moved 3 places to the right (1 gram = 1000 mg).

B. Move the decimal point 3 places to the left. This action would convert milligrams to grams, not the other way around.

C. Move the decimal point 3 places to the right.

When converting from grams (g) to milligrams (mg), the nurse must recognize that 1 gram = 1,000 milligrams. Grams to milligrams: To convert grams to milligrams, the nurse must multiply by 1,000, which involves moving the decimal point 3 places to the right.

D. Move the decimal point 2 places to the left. This would incorrectly convert from grams to a smaller unit.

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Correct Answer is D

Explanation

A. Notify the charge nurse. After ensuring the client’s safety, the nurse should then notify the charge nurseto inform them of the situation and seek guidance.

B. Fill out an incident report. While an incident report is necessary, it should be completed after ensuring the client's safety.

C. Document the client's condition in the electronic medical record. Documentation should follow assessment and intervention to address the error.

D. Check the client's vital signs. This immediate assessment helps determine if the client is experiencing any negative effects from the medication error.

A. Notify the provider immediately if urine turns red-brown in color. B. Obtain an annual flu vaccine while taking phenytoin. C. Shake the suspension vigorously prior to pouring the medication. D. Take an antacid with the medication to avoid gastric upset.

Correct Answer is C

Explanation

A. Notify the provider immediately if urine turns red-brown in color. Phenytoin can cause urine discoloration, but this is not typically a cause for immediate concern.

B. Obtain an annual flu vaccine while taking phenytoin. While vaccinations are important, there is no specific requirement for flu vaccination solely based on phenytoin use.

C. Shake the suspension vigorously prior to pouring the medication. Phenytoin suspension should be shaken gently to ensure even distribution of the medication.

D. Take an antacid with the medication to avoid gastric upset. Antacids should not be taken simultaneously with phenytoin, as they can decrease its absorption.

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A nurse is preparing a medication for a client and is converting grams to milligrams. Which of the following actions should the nurse take?

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