Another nurse on the unit meets you as you leave the medication room and states ' really need to go to break now or I will not get one, can you administer this morphine that I have ready for you?" The nurse hands you an empty vial of morphine and a syringe containing 2 mL of clear fluid. What is your best response?

"I know it is really busy but I do not have time to help you either. I have my own clients."

"Are you sure the doctor ordered that much morphine? It seems like a lot to give all at once.":

"I can give your client their pain medications, but I need to draw up and prepare it myself."

"Sure thing, give me that syringe and I will give it for you while you are on break.":

Answer and Explanation

The Correct Answer is C

A) "I know it is really busy but I do not have time to help you either. I have my own clients.": While it may be tempting to express frustration due to being busy, this response lacks professionalism and does not address the situation appropriately. As healthcare professionals, it is important to communicate effectively and collaborate with colleagues to ensure safe patient care, even when busy. Instead, the nurse should express the need to follow protocols while offering help in a safe manner.

B) "Are you sure the doctor ordered that much morphine? It seems like a lot to give all at once.": Although questioning the dosage is part of safe nursing practice, this response is unnecessary in this situation. If there is a concern about the prescribed amount of morphine, it should be verified with the healthcare provider. However, this question does not directly address the issue of administering the medication safely. It also does not ensure that the nurse is following correct protocols for preparing and administering medication.

C) "I can give your client their pain medications, but I need to draw up and prepare it myself.": This response is the most appropriate because it ensures the nurse is adhering to safe medication administration practices. The nurse should always prepare and administer medications themselves to verify the correct dosage, route, and patient. Allowing another nurse to prepare medication and administering it without proper verification can lead to medication errors. This response also shows willingness to help while maintaining safety standards.

D) "Sure thing, give me that syringe and I will give it for you while you are on break.": This response is inappropriate because it involves accepting medication from another nurse without verifying that the correct drug, dose, and preparation have been followed. It is unsafe to administer medications prepared by others without reviewing the medication and ensuring that everything is accurate. Nurses must always prepare and administer their own medications to prevent potential medication errors.

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Correct Answer is C

Explanation

Here’s the step-by-step process:

After the first half-life (1 half-life), 50% of the initial drug is left.

200 mg → 100 mg (half is eliminated, 100 mg remains).

After the second half-life (2 half-lives), 50% of the remaining drug is eliminated again.

100 mg → 50 mg (half of 100 mg is eliminated, 50 mg remains).

After the third half-life (3 half-lives), 50% of the remaining drug is eliminated again.

50 mg → 25 mg (half of 50 mg is eliminated, 25 mg remains).

Correct Answer is ["4"]

Explanation

Convert micrograms (mcg) to milligrams (mg):

The prescribed dose is 200 mcg.

We know that 1 mg = 1000 mcg.

Therefore, 200 mcg = 200 / 1000 = 0.2 mg.

Calculate the number of tablets:

Each tablet contains 0.05 mg of levothyroxine.

The desired dose is 0.2 mg.

We can use the following formula: (Desired dose) / (Tablet strength) = Number of tablets

(0.2 mg) / (0.05 mg/tablet) = 4 tablets

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The client receives one dose of 200 mg of a medication. How much drug is in the body at 3 half-lives?

Correct Answer is C

Explanation

A client is prescribed levothyroxine 200 mcg PO daily before breakfast. In the medication room are tablets labelled 0.05 mg/tablet. How many tablet(s) will you administer to the client? Fill in the blank with a numeric value. Answer to the nearest whole tablet

Correct Answer is ["4"]

Explanation

The healthcare provider has ordered 5 mg morphine intravenously for pain control. At home, the client takes 30mg of morphine sulfate by mouth twice daily. The client asks the nurse why they are receiving such a small dose. What is the best response by the nurse?

The client is ordered to receive 40 mg of atorvastatin PO daily. In the medication cabinet, you find 10 mg tablets. How many tablets will you administer to the client? (Enter a numerical value only)

When given a scheduled morning medication, the client states, "I haven't seen that pill before. Are you sure it's correct?" The nurse checks the medication administration record and verifies that it is listed. Which is the nurse's best response?

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A client currently prescribed a medication highly metabolized by the CYP 450 recently began smoking due to a stressful life event. True or False: The level of medication will increase in this client.

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