The patient is to receive 120 mg of PO Lasix (furosemide). The drug book states that the usual dosage is 20 to 40 mg. What steps should the nurse take to avoid medication errors in this situation? (Select all that apply.)

Only administer 40 mg.

Use at least two patient identifiers whenever administering a medication.

Read labels at least two times to make sure it is the correct medication.

Double-check all calculations.

Question unusually large or small doses.

Answer and Explanation

Correct Answer : B,C,D,E

A) Only administer 40 mg: This option is not appropriate without consulting the healthcare provider. Simply administering a smaller dose without confirming the rationale behind the prescribed 120 mg could result in inadequate treatment for the patient.

B) Use at least two patient identifiers whenever administering a medication: Utilizing two patient identifiers (such as name and date of birth) is essential to ensure that the medication is administered to the correct patient. This step is a key practice in medication safety to prevent errors.

C) Read labels at least two times to make sure it is the correct medication: Carefully reading labels at least twice helps confirm that the nurse is administering the correct medication and dosage. This practice reduces the risk of errors and ensures that the right drug is given.

D) Double-check all calculations: Verifying calculations is critical, especially when dealing with high doses or unusual orders. This step ensures accuracy in the dosage administered and helps prevent medication errors that could lead to toxicity or ineffective treatment.

E) Question unusually large or small doses: It is essential to question any dosage that appears significantly outside the usual range, such as the prescribed 120 mg of Lasix, which exceeds the standard dosing guidelines. Consulting with the healthcare provider for clarification is crucial in such cases to ensure patient safety.

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Free Nursing Study Resources

Correct Answer is ["A","C"]

Explanation

A. Offer the patient some crackers and see if the patient has any medications that could help relieve nausea: This approach addresses the patient's immediate concern about feeling unwell. Offering crackers can help settle the stomach, and checking for any available anti-nausea medication demonstrates attentiveness to the patient's comfort and needs.

B. Leave the medications at the patient's bedside and check on him later: While this action may seem appropriate, it does not ensure that the patient will take the medications later, and it could lead to potential safety concerns if the medications are left unattended.

C. Have the patient take the medications at this scheduled time with a small sip of water: Encouraging the patient to take their medications at the scheduled time with a small sip of water is a good practice. However, given the patient's expressed discomfort, this option may need to be reconsidered based on further assessment of their readiness to take the medications.

D. Document the patient is noncompliant in following the medication regimen: Labeling the patient as noncompliant without fully understanding their reasons could foster a negative therapeutic relationship. It's essential to explore the patient's concerns and address them appropriately before making such a judgment.

E. Lock the patient's medications up temporarily and document the incident: This action could be viewed as punitive and may not support a collaborative approach to care. It is more beneficial to engage with the patient to understand their reluctance to take the medications.

A. Administer 2.5 mL of amoxicillin per dose. B. Administer 10 mL of amoxicillin per dose. C. Administer the amoxicillin at 0800, 1200, and 1800. D. Compare the patient's name and date of birth on the armband with the MAR. E. Administer the medication by the parenteral route.

Correct Answer is ["C","D"]

Explanation

A) Administer 2.5 mL of amoxicillin per dose: This option is incorrect because administering 2.5 mL would only provide 62.5 mg of amoxicillin (since 125 mg is in 5 mL). The prescribed dose is 250 mg, so this volume is insufficient.

B) Administer 10 mL of amoxicillin per dose: This option is also incorrect. Administering 10 mL would provide 250 mg of amoxicillin (since 125 mg is in 5 mL, 10 mL equals 250 mg). However, this option may confuse the correct volume with a miscalculation if misunderstood in context, so it should not be selected without a proper calculation verification.

C) Administer the amoxicillin at 0800, 1200, and 1800: This option is correct. Administering the medication every 8 hours at these times ensures that the medication is given according to the prescribed schedule, maintaining appropriate therapeutic levels.

D) Compare the patient's name and date of birth on the armband with the MAR: This action is crucial for ensuring patient safety. Verifying patient identifiers against the MAR helps prevent medication errors and ensures that the right patient receives the correct medication.

E) Administer the medication by the parenteral route: This option is incorrect. The order specifies oral (PO) administration of amoxicillin, so administering it parenterally would not align with the prescribed route and could lead to incorrect dosing or complications.

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The patient is to receive 120 mg of PO Lasix (furosemide). The drug book states that the usual dosage is 20 to 40 mg. What steps should the nurse take to avoid medication errors in this situation? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse brings the patient's medications but the patient refuses to take them, stating, "I'll take them later. Right now my stomach feels a little upset. Could you please bring me some crackers?" What is the best action the nurse should take? (Select all that apply.)

Correct Answer is ["A","C"]

Explanation

The health care provider has ordered amoxicillin 250 mg PO q8h. The drug label states 125 mg amoxicillin per 5 mL. Based on this information, which of the following would be correct actions by the nurse? (Select all that apply.)

Correct Answer is ["C","D"]

Explanation

The patient who is to receive a medication BID will receive the medication:

The health care provider has ordered allopurinol 0.05 g PO BID. Drug available: The nurse should give _____ tablet(s) for each dose.

The health care provider has ordered prochlorperazine (Compazine) 2.5 mg IM q4h prn. The medication available is Compazine 5 mg/mL. The nurse should give ___ mL for each dose.

If the patient refuses a medication, what should the nurse do? (Select all that apply.)

The health care provider has ordered Amikin (amikacin) 500 mg, IM q8h. Drug available: The nurse should give___mL for each dose.

Which of the following patients are at risk for developing drug toxicity? (Select all that apply.)

The home care nurse is reviewing the patient's prescribed medications. The patient reports he doesn't take his antihypertensive (blood pressure) medication anymore. What is the best response by the nurse?