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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Correct Answer is D

Explanation

A) 2: Administering 2 mL of Compazine would provide a total dose of 10 mg (since the concentration is 5 mg/mL), which exceeds the ordered dose of 2.5 mg. This option is incorrect as it would administer too much medication.

B) 1.5: This option suggests giving 1.5 mL, which would equate to 7.5 mg (1.5 mL x 5 mg/mL). This dosage also exceeds the ordered 2.5 mg and is therefore not appropriate.

C) 1: Administering 1 mL would deliver 5 mg of Compazine. This amount is higher than the prescribed 2.5 mg and is not the correct dose.

D) 0.5: This option is correct. Administering 0.5 mL of Compazine would provide a dose of 2.5 mg (0.5 mL x 5 mg/mL). This matches the ordered dosage perfectly, ensuring that the patient receives the correct amount of medication.

A. "You could create problems for your family if you don't manage your health." B. "You could possibly suffer a stroke if you don't manage your blood pressure" C. "Have you had your blood pressure checked since discontinuing this medication?" D. "What is the reason you are no longer taking the blood pressure medication?"

Correct Answer is D

Explanation

A) "You could create problems for your family if you don't manage your health.": While this statement highlights the potential impact on family, it may not effectively address the patient's concerns or motivations. This response could come across as judgmental rather than supportive.

B) "You could possibly suffer a stroke if you don't manage your blood pressure.": Although this response underscores the seriousness of uncontrolled hypertension, it might induce fear without encouraging a constructive dialogue about the patient's reasons for discontinuing the medication.

C) "Have you had your blood pressure checked since discontinuing this medication?": This question is relevant but does not directly address the patient's decision to stop taking the medication. It misses an opportunity to explore the underlying reasons behind the patient's choice.

D) "What is the reason you are no longer taking the blood pressure medication?": This response is the most effective because it opens a dialogue for the patient to express his feelings or concerns about the medication. Understanding the patient's perspective allows the nurse to provide better education and support tailored to the patient's needs, potentially addressing any misconceptions or side effects that may have influenced the decision.

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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 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.

Correct Answer is D

Explanation

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?

Correct Answer is D

Explanation

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

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

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.)

The health care provider has ordered Amoxil (amoxicillin) 0.05 g, PO tid. Drug available: The nurse should give ____ mL for each dose.

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

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.)

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

How can the nurse determine a patient's history of allergies? (Select all that apply.)