ATI: Safe Dosage Dosage Calculation 3.0 Safe Dosage Test

Sucralfate tablets The nurse should explain that certain medications, such as those that are scored, can be safely crushed and mixed with food or water for a client who has difficulty swallowing. The nurse should check with the pharmacist before crushing a medication to make certain it can safely be crushed.

Administer oxycodone immediate-release 5 mg PO now. It has been 15 hr since the previous dose of oxycodone immediate-release, and the medication is prescribed every 4 hr as needed, so the nurse should prepare to administer a dose now to treat the client's pain.

Morphine 2.5 mg IV bolus PRN for incisional pain This prescription requires clarification because it is missing the frequency of medication administration.

Provide client education about the medication. Check the expiration date of the medication. Verify the dosage of the medication. Ask the client if they have any allergies. The nurse should provide education for the client regarding the name and purpose of each medication when administering them to the client. The nurse should review the package information prior to administering the medication, including the expiration date. The nurse should review the package information prior to administering the medication, including the medication name and dosage. The nurse should ask the client about any allergies that they have to decrease the risk of an adverse reaction.

"Anaphylaxis is a severe hypersensitivity or allergic reaction that is life-threatening." Anaphylaxis is a severe allergic reaction that can result in severe bronchoconstriction with laryngeal edema and a precipitous drop in blood pressure.

Assess the client. When using the nursing process framework, the first action the nurse should take after discovering a medication error is to assess the client's status. This ensures that any adverse effects of the medication error are identified and that relevant interventions are implemented.

Validate that the dosage is within the safe range. Confirm the medication amount is appropriate for the child. The nurse should validate that the dosage is within the safe range by using the child's current weight and a medication reference text that indicates appropriate dosage parameters. Closely adhering to the rights of medication administration, which include the right medication, right dose, right time, right route, right client, and right documentation, helps to reduce medication errors. The nurse should confirm the medication amount is appropriate when ensuring administration of the right dose to the child. Closely adhering to the rights of medication administration, which include the right medication, right dose, right time, right route, right client, and right documentation, helps to reduce medication errors.

Verify the dosage calculation with another nurse. To ensure client safety and prevent harm, the nurse should always have another nurse verify dosage calculation prior to administering a high-alert medication. This occurs during the planning stage of medication administration.

Assess the client for adverse effects. When using the nursing process, the first step the nurse should take is to assess the client. By checking the client for adverse effects, the nurse can provide prompt treatment to minimize harm to the client.

0745 0830 The nurse should follow facility policy when selecting the time to administer medication to the client. Typically, facility policy permits the nurse to administer a time-critical medication 30 min before or after the scheduled time for administration. 0745 is within 30 min of the 0800 administration time. 0830 is within 30 min of the 0800 administration time. Administering time-critical medications, such as antibiotics, in a timely manner helps to maintain therapeutic levels of the medication in the client's blood.

Acetaminophen 650 mg by mouth every 6 hr for temperature greater than 38.4° C (101.2° F) A standing prescription is protocol-based and contains directions for administration based upon specific situations, such as the development of a fever.

0.6 mL The nurse should place a leading zero to the left of the decimal point when the dose is less than 1 and should not use a trailing zero at the end of the number. This ensures the number is read as "six tenths" of a milliliter.

Collecting information about a client's pain level following administration of a narcotic The nurse should identify that collecting information from a client regarding a medication's therapeutic response is part of the evaluation phase of the nursing process. The nurse should include in the evaluation phase the client's therapeutic response, adverse effects, and client adherence to the medication therapy.

Vitamins, supplements, and over-the-counter (OTC) medications should be included in a medication reconciliation. The nurse needs to include a list of all medications that the client takes, both prescribed and OTC. Medication reconciliation can identify potential interactions between medications and help avoid possible adverse effects.

Heparin The nurse should have a second nurse check the dosage of high-alert medications, such as heparin, because serious client harm can occur if the dosage is excessive. High-alert medication classes include central nervous system drugs, chemotherapeutic agents, and anticoagulants.

Asking the client about a history of medication allergies The nurse should identify that data collection is part of the assessment phase of the nursing process. The nurse should collect data regarding the client's prior adverse reactions to medications, laboratory data, use of other medications, and pertinent vital signs as part of the assessment phase to ensure safe medication administration.

Obtain the client's vital signs. The first action the nurse should take when using the nursing process is to assess the client; therefore, the first action the nurse should take is to obtain the client's vital signs.

Request extended-release sprinkles from the pharmacy. The nurse can administer topiramate XR in sprinkle form, if available. This is not changing the route of the medication. The sprinkle capsules can be opened and mixed with food for ease of swallowing while still remaining extended release.

Withhold the medication. The nurse should withhold the medication due to the client's nausea and notify the provider. If nausea persists, the nurse should contact the provider to prescribe an antiemetic.

Reporting medication errors A nurse is legally responsible for reporting medication errors according to facility policy.

Single order A single (one-time) order stipulates to administer the medication one time either at a specific time the provider indicates or as soon as possible.

Swollen lips The nurse should identify that swollen lips is a manifestation of an anaphylactic reaction. Other manifestations include stridor, dyspnea, wheezing, urticaria, and pruritis. The nurse should notify the rapid response team, elevate the client's head off the bed, apply high-flow oxygen, and prepare to administer epinephrine.

Injecting the insulin The nurse should document interventions, such as medication administration, immediately after they occur. The nurse should not delay documentation because this could lead to errors, such as omission of the documentation or administration of a second dose of medication to the client by another nurse. The nurse should never document an action prior to implementation.

Compare the name on the client's wristband with the name in the medication administration record (MAR). Ask the client to state his date of birth. (MAR) with the room number of the client. Ask the client to state his name. Use the bar code scan to identify the client. Verifying the data on the client's wrist band is an acceptable method of identification. The client's date of birth is an acceptable identifier. The client's full name is an acceptable identifier. Scanning the client's bar code is an acceptable method of identification.

Acetaminophen 325 mg every 6 hr PRN for headache This prescription contains name of medication, dosage, frequency, and circumstance for administration, but not the route.