The hospital pharmacy receives a medication order for patient Jolene Smith, DOB 4/23/1986, for Keflex 250 mg qid. The medication order is dated today and is signed electronically by Ms. Smith's physician. What additional information is needed before this medication can be administered?
AP's name
Number of refills
Patient's social security number
Route of administration
The Correct Answer is D
A. AP's name: The physician has already signed the order electronically, which fulfills the requirement for authorized prescriber identification. The specific name may be on record in the electronic health system.
B. Number of refills: Refills are typically necessary for outpatient prescriptions, not for inpatient medication orders where the dosing is managed daily by healthcare staff.
C. Patient's social security number: A social security number is not required for medication administration. Patient identification can be verified with full name and date of birth.
D. Route of administration: The route (e.g., oral, IV) is essential for proper medication administration. Without this information, the nurse cannot safely give the drug. Keflex can be administered orally or intravenously, so clarification is necessary.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["200"]
Explanation
Rationale:
- Calculate the total milligrams of amoxicillin needed for the entire prescription.
Given:
Ordered dose is 250 mg.
Frequency is three times a day (tid).
Duration is 7 days.
Total milligrams needed = 250 mg/dose × 3 doses/day × 7 days
= 5250 mg.
- Determine the concentration of the medication from the label.
The label states the concentration is 250 mg per 5 mL.
Concentration = 250 mg / 5 mL
= 50 mg/mL.
- Calculate the total volume in milliliters (mL) required for the prescription.
Total volume needed = Total milligrams needed / Concentration
= 5250 mg / 50 mg/mL
= 105 mL.
- Determine the amount to dispense based on the bottle size and dispensing instructions.
The label indicates that each reconstituted bottle contains 100 mL.
The total volume needed is 105 mL, which is more than what one 100 mL bottle contains.
The note states, "Partial bottles are not dispensed." Therefore, two bottles must be dispensed to provide the client with a full course of medication.
Amount to dispense = 2 bottles × 100 mL/bottle
= 200 mL.
Correct Answer is ["167"]
Explanation
Given values:
Total volume = 1,000 mL
Infusion time = 6 h
- Calculate the flow rate in mL/h using the formula:
Flow rate (mL/h) = Total volume (mL) / Infusion time (h)
= 1000 mL / 6 h
= 166.6667 mL/h.
- Round the answer to the nearest whole number.
= 167 mL/h.
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