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

Three times a day

Twice a day

After meals

Four times a day

Answer and Explanation

The Correct Answer is B

A) Three times a day: This option suggests administering medication at intervals that would total three doses in a 24-hour period. However, "BID" specifically refers to taking a medication twice a day, typically at evenly spaced intervals.

B) Twice a day: The abbreviation "BID" stands for "bis in die," which is Latin for "twice a day." This means that the patient will receive the medication two times within a 24-hour period, often recommended to maintain consistent therapeutic levels.

C) After meals: While some medications are taken after meals for better absorption or to minimize gastrointestinal side effects, the term "BID" does not specify timing relative to meals. Therefore, this option does not accurately describe the frequency of administration.

D) Four times a day: This option indicates administering medication four times within a 24-hour period, which would be represented by the abbreviation "QID" (quater in die) rather than "BID." Thus, it does not align with the definition of taking medication twice daily.

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Correct Answer is B

Explanation

A) 1.0: Administering 1.0 mL of Amikin would provide only 250 mg of amikacin, as the concentration is 1 g per 4 mL (or 250 mg per mL). This dosage is insufficient for the ordered dose of 500 mg.

B) 2.0: Administering 2.0 mL of Amikin is correct. With the available concentration of 1 g per 4 mL, 2.0 mL would deliver 500 mg of amikacin (2 mL x 250 mg/mL = 500 mg), fulfilling the healthcare provider's order for the medication.

C) 2.5: Giving 2.5 mL would result in a total of 625 mg of amikacin, which exceeds the prescribed dose of 500 mg. It's critical to adhere to the prescribed dosage to prevent potential toxicity and ensure patient safety.

D) 1.5: Administering 1.5 mL would provide 375 mg of amikacin, which is still less than the required 500 mg. Accurate dosing is essential in achieving the therapeutic effect and avoiding complications.

A. By looking at the MAR B. By asking the patient C. By looking at the patient's allergy bracelet D. By looking at the front of the chart or in the patient's electronic health record (EHR) E. By administering a dose and monitoring the patient's response

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

Explanation

A. By looking at the MAR: The Medication Administration Record (MAR) is primarily for documenting medications administered, and while it may note some allergies, it is not a comprehensive source for a patient's allergy history.

B. By asking the patient: Directly inquiring about a patient's allergies is one of the most effective methods to gather accurate and specific information. Patients can detail their allergies to medications, foods, and other substances, which might not be documented elsewhere.

C. By looking at the patient's allergy bracelet: An allergy bracelet provides immediate visual identification of known allergies. It serves as an important safety mechanism for healthcare providers to avoid administering any allergens.

D. By looking at the front of the chart or in the patient's electronic health record (EHR): This is a reliable way to find documented allergies. The front of the chart or the EHR often contains essential information about a patient's allergies, which helps inform safe medication administration and treatment planning.

E. By administering a dose and monitoring the patient's response: This method is unsafe and inappropriate. Administering a medication without prior knowledge of allergies could lead to serious and potentially life-threatening reactions. It is critical to know allergy history before any medication administration

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is B

Explanation

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

Correct Answer is ["B","C","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?

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.)

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.

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

What is the best way for nurses to prevent medication errors?

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