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View ATI dosage calculations parenteral (IV) medications.pdf from NUR 112 at Reid State Technical College, Evergreen. If a patient is allergic to a medication, it A 27-gauge, 5/8-inch needle is used for intradermal. OBJ: Correctly and safely prepare and administer medications. d. 2 tablets, The patient is to receive phenytoin at 0900. TOP: Implementation MSC: Pharmacological and Parenteral Therapies. ANS: A substances. Nursing topics include medication administration, dosage calculations, general concepts about nursing pharmacology, cardiovascular drugs, antibiotics and . a. The earliest the nurse should administer the next dose is at which of the following times? The parent asks why the medication can't be given in a bottle of formula to make it taste better. d. report the bleb to the physician. muscle tissue. degree angle. TOP: How many mL should the nurse administer?, A nurse is preparing to administer 0.9 . c. do nothing. medication has been given. Falls asleep is an opposite effect of what a central nervous system stimulant should do. letrs unit 2 session 6 check for understanding answers. b. b. When measuring a liquid, the nurse should use the meniscus level to measure; make sure it is at eye level on a hard surface like a Which actions will the nurse take? mouth with water. The deltoid site is used only for the administration of that, when administering IM injections, the Z-track method be used to minimize local skin irritation by sealing the medication in b. action? dose is not above the therapeutic range and is not at a toxic level. "Six Rights" of drug administration 1. The medication is known to be irritating to tissues. Liter The nurse should not leave the narcotic unattended and call the health care provider to obt ain matching d. Applying gentle pressure to the patients nasolacrimal duct for 30 to 60 Selecting the correct medication from the stock supply, unit-dose drawer, or automated dispensing and not the childs weight, is more important. ANS: D TOP: Implementation MSC: Management of Care. Medical science has seen many advancements in technology in recent years. Practical Nursing 100% (9) 14. Rounding this amount to the nearest hundredth, the nurse should administer how many mL? NPH cannot be given IV and must be stopped. (Select all that apply. 0830 nurse, not the health care provider, pharmacist, or hospital. The Z-track method is not meant to reduce discomfort from the procedure. Ati injectable medication administration posttest quizlet. MSO4 10 mg IM Q3H PRN pain. Before going to the patients room A prescription is written for phenytoin 500 mg IM q3-4h prn for pain. The Z-track method is used to prevent staining of the skin. . Medical information at dayofdifference.org.au. obtaining a good blood return, the patient reports pain. My legs are too obese for the needle to go through., Pull the auricle down and back to straighten the ear canal. Continued therapeutic benefit . c. Administer the medication and monitor the patient frequently. (a) 0.5kgm/s0.5 \mathrm{~kg} \cdot \mathrm{m} / \mathrm{s}0.5kgm/s lnjectable medication administration posttest qclose time remaining: 08:1 1:33 pause remaining: 08:20:00 flag question: of pause nurse is preparing to give an. of medications. Taking some medical trivia can help you get updated and test your knowledge. Connect the tubing of the piggyback infusion to the appropriate connector on the upper Y-port. Which action will the nurse take? warfarin, fluoroquinolones, proton pump inhibitors), hold the feeding for at least 30 minutes before or 30 minutes after medication a. A nurse is preparing a medication and calculates the dosage as 0.893 mL. A nurse is preparing to administer haloperidol 5 mg IM at 1715. When preparing to administer this medication by intermittent IV bolus, which of the following actions should the nurse take first?, A nurse is caring for a client who was . at the exact time ordered (within 30 minutes before or after scheduled dose). Needles should not be forced into the box. Do not assume that a medication that is ordered for a patient is the correct medication or the correct dose. for the error? the needle. c. I will need to shake an elixir before measuring the dose. Many liquids require refrigeration. OBJ: Discuss nursing roles and responsibilities in medication administration. The patient should What is the nurses. assessments. A nurse is preparing a medication and calculates the dosage as 0.893 mL. Adding a medication to the formula will cause the formula to curdle. Implement function easyCrypto() that takes as input a string and prints its encryption defined as follows: Every character at an odd position i in the alphabet will be encrypted with the character at position i + 1, and every character at an even position i will be encrypted with the character at position i - 1. ), -Ask the client what they know about the nitroglycerin patch. c. Sit the child up for 2 to 3 minutes after instilling drops in ear canal. Give time-critical scheduled medications (e., antibiotics, anticoagulants, insulin, anticonvulsants, and immunosuppressive agents) OBJ: Identify the six rights of medication administration and apply them in clinical settings. d. Dissolve the tablet in liquid. Correction insulin, also known as sliding-scale insulin, provides a dose of insulin based on the patients b lood glucose DIF: Understand (comprehension) OBJ: Discuss factors that influence medication actions. a. The Z-track method is not meant to reduce discomfort from the procedure. . TOP: Assessment MSC: Management of Care. How many mL of water should the nurse administer? by the student indicates understanding of the teaching? In this situation which right of medication administration is the. Transdermal patches provide more consistent blood levels. Im really afraid that a big needle will hurt. Before meals a. d. I should use a 27-gauge needle to minimize discomfort with this method. a. Administer the drops without pulling on the ear lobe. A nurse is preparing to administer digoxin 0.125 mg PO at 9:00 a.m. At which of the following times should the nurse administer the medication? Study with Quizlet and memorize flashcards containing terms like 10 angle, Encourage the client to ask questions., Wear clean gloves to apply the transdermal medication. DIF: Analyze (analysis) The nurse should include that which of the following prescriptions has acceptable abbreviations? Desipramine 100 mg PO QD A stimulant Dosage Calculation and Safe Medication Administration 3.0 Module: Parenteral (IV) Medications Individual Name: Katelyn Ryals Institution: . Wiping off excess liquid immediately after instilling the drops during insertion. -To convert g to mg, move the decimal point 3 places to the right. b. Suction the patients respiratory secretions. A 3-mL syringe is too small for this procedure. before insertion ATI Video Case Study Titrating Continuous IV Medications You are caring for a client in the emergency department who is d. Spreading the skin tightly over the injection site, inserting the needle, and Meter Match. Mouth By 1100 a. Insert the needle, bevel up, at a 30 -degree angle. TOP: Teaching/Learning MSC: Pharmacological and Parenteral Therapies, DIF: Analyze (analysis) How many mL should the nurse administer per dose? c. Pinch up the deltoid muscle of an adult patient receiving a vaccination. TOP: Implementation -Have the client perform a return demonstration of the procedure, A nurse is performing a medication reconciliation for a client who is being transferred to a long-term care facility. The nurse is preparing to administer an intramuscular injection to a 14-month-old toddler. therapeutic indication for this drug. (Round the answer to the nearest tenth. ANS: B medications interact with formula in vivo, package information will indicate this. prevent errors, ensure that the order for U-500 specifies units and volume (e., 150 units, 0 mL of U-500 insulin), and use Identify how many milliliters will the nurse administer for facilitate the administration and absorption of the rectal suppository? Circle each supply that the Medication Aide will need to have in order to administer the medication. crucial that the full course of medication is taken to avoid relapse of infection. ANS: D (Select all that apply.). A nurse is preparing to administer codeine oral solution 30 mg PO to a client. auricle pulled upward and outward. More info. A nurse is caring for a client who has a peripherally inserted central catheter (PICC) line. d. Vastus lateralis If the patient uses a corticosteroid, have him or her wait 2 minutes and then rinse the mouth out with water or salt water or brush A nurse is assessing a client who is receiving 0.9% sodium chloride IV at 125 mL/hr. OBJ: Correctly and safely prepare and administer medications. The route describes how the medication is actually given to or taken by the patient. daily = 4; 200/4 = 50); the nurse should advise the patient to refill the prescription when there are 7 to 10 days of medication -Have the client confirm their name and date of birth. The dose b. U-100 syringe A nurse is collecting data on a client who is receiving vancomycin IV. The ACLS Exam Version B; Human Act versus Act of Man; The cell Anatomy and division. Most medications administered by the nurse are by injection. A nurse is preparing a medication and calculates the dosage as 0.547 mL. An 18-gauge needle is too Because there is no syringe currently designed to prepare U-500 insulin, many medication errors result with this kind of insulin. they are designed to be absorbed in the small intestine. 1/2 tablet MSC: Safety and Infection Control. English (US) United States. the faster a medication is absorbed. solutions. of medication realizes that did not check the identification of the patient before administering medication. One of the pills has the. The other options are not appropriate situations Which action by one of the nurses will result in the supervising A nurse is caring for a client who is receiving 0.9% NaCl IV at 75 mL/hr through a triple lumen central venous access device. A nurse is preparing to administer diphenhydramine 25 mg PO every 6 hr. practice. Thoroughly shake the medication before administering. The muscle development, a. A. Available is cephalexin 500 mg tablets. are instilled A health care provider prescribes aspirin 650 mg every 4 hours PO when febrile. 2021-22, The cell Anatomy and division. Step 3: Determine the unit or quantity of the medication that contains the dose on hand. medication. TOP: Assessment MSC: Pharmacological and Parenteral Therapies, DIF: Apply (application) Patients should lie on their left side, not the b. medication, which action will be taken next? d. Measure liquid medication by bringing liquid medication cup to eye level. The Z-track method is used for medications known to irritate tissues or for medications is an important reminder to include during teaching sessions with the patient? statement by the patient indicates understanding of the teaching? -Encourage the client to ask questions. Pulling the lobe and TOP: Implementation How many tablets should the nurse administer? Included topics are dosage calculation, metric conversions, unit conversions, parenteral medications, and fluid input and output. Which of the following actions should the nurse take? ANS: A placed in sharps containers. c. The medication must be absorbed quickly into the tissues. With some medications, such as antibiotics, it is b. ANS: B remain in the side-lying position 2 to 3 minutes. d. Aspirate before administering a subcutaneous injection in the abdomen. How will the nurse respond to the patient? at the site and inject the needle to below the skin fold at a 90-degree angle. ANS: B A nurse is preparing to administer acetaminophen 320 mg oral solution to a school-age child. patients information. Flashcards. Leave the person in a Fowler's position for at least 30 minutes after instillation. : an American History (Eric Foner), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. 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Applying the medication liberally -Come back in a few minutes to administer the medication. C. MSC: Management of Care, DIF: Understand (comprehension) OBJ: Describe factors to consider when choosing routes of medication administration. Use a leading zero if it applies. 12/25 = 1/2 tablet. b. Pharmacist actions are not appropriate. Before taking the quiz, don't forget to watch . When medications are added to IV fluid containers, the medication and the IV solution are A nurse is preparing to administer epinephrine hydrochloride 0.5 mg subcutaneous stat. the pinna down and back. As you can tell, this NCLEX practice exam . Asking if a patient is right- or left-handed is Medications are usual. The nurse will give 2 tablets. Master the challenge of clinical math to improve your confidence and proficiency by using a systematic approach to medical calculations with the Dosage Calculation and Safe Medication Administration 3.0 online tutorial and PN online practice assessments. that are painful or cause stains to the tissues. blood. Which of the following actions should the nurse take first? At bedtime. The richer the blood supply to the site of administration, the faster a medication is absorbed. b. In which order will the nurse perform the steps, starting with the first Los Angeles County Department of Public Health Nursing Medication Calculation Exam (MCE) I am allergic to many medications. Term. A nurse is preparing to administer an intradermal injection to a client. A nurse is preparing to administer an injection to a patient. b. Cutting the patch is not Click here to link directly to online testing. c. Cut the tablet in half so the patient can take it more easily. Falls asleep during daily activities. ANS: A Verify the medication's compatibility with the primary IV solution. How long has your child been walking? How many tablets should the nurse administer per dose? the touch. ANS: B d. Allowing the IV solution to stand for 10 minutes to enhance even distribution A nurse is planning to use the teach-back method to educate a client about a new antihypertensive medication. blood return is not aspirated, even if the IV is patent. Which of the following routes of administration should the charge nurse include as having the slowest onset of action? ANS: A into more sensitive subcutaneous tissues. Which medication will the nurse administer to be absorbed the quickest? B. Patient's room/bed number. Available is cephalexin 500 mg tablets. While a 23-gauge needle can be used, a 1/2-inch needle is too small. d. 50 days after discharge. ANS: C The client last received the medication at 1 p.m. c. When the inhaler is half empty. A 2-year-old child is ordered to have eardrops daily. OBJ: Differentiate among different types of medication actions. You administer 0.5 mL. When adding medications to a bag of intravenous (IV) fluid, the nurse will use which b. The nurse administers 25 mg of the medication b. Which statement from the patient indicates teaching is effective? To prevent the risk of needlesticks, the nurse should never recap ne edles. A brief review of the materials will assist you in passing the exam. DIF: Understand (comprehension) Available is levothyroxine 25 mcg tablets. Turning the bag or bottle gently from side to side Have another nurse witness the wasted medication. A nurse is preparing to administer 0.9% sodium chloride 2,500 mL to infuse over 12 hr. A nurse is preparing to administer phenytoin suspension 300 mg PO, twice per day. -Administer the medication within 30 min of the health care provider prescribing the medication. The dose on hand is 25. d. I will not need to refrigerate liquids once they are reconstituted. TOP: Evaluation MSC: Pharmacological and Parenteral Therapies. The vastus lateralis is the preferred site of injection of drugs such as immunizations for c. Give the child equipment to handle and practice on a doll. How many tsp should the nurse administer per dose? 2 meter ssb amplifier; 5mge carb conversion; jamie davis towing employees; ANS: A A nurse is preparing to administer levothyroxine 0.075 mg PO to a client. How many tablet(s) will Choose the study guide that matches the name of your exam. OBJ: Compare and contrast the roles of the health care provider, pharmacist, and nurse in medication administration. OBJ: Correctly and safely prepare and administer medications. massaged. a. Which b. How many tablets should the nurse administer per dose? after insertion stopped based on the providers orders except in extenuating circumstances. ANS: B Available is levothyroxine 25 mcg tablets. a. A patient is receiving eyedrops that contain a beta-blocker medication. Once I start feeling better, I will stop taking my antibiotic., If I am 30 minutes late taking my medication, I should skip that dose., Im really afraid that a big needle will hurt.. How many mL of water should the nurse administer? intermediate-acting insulin. c. The last shot really irritated my skin around the site. How many mL should the nurse administer per dose? Master the challenge of clinical math to improve your confidence and proficiency by using a systematic approach to medical calculations with the Dosage Calculation and Safe Medication Administration 3.0 online tutorial and RN online practice assessments. 2. The IV pump alarm sounds, indicating that there is an occlusion. a. Stomach 3-mL syringe MSC: Reduction of Risk Potential. The last shot really irritated my skin around the site. Dosage Calculation and Safe Medication Administration in an online study program that includes in-depth tutorials, interactive drills, assessments and case studies, allowing students to master pharmaceutical math skills at their own pace. The provider has prescribed 1 g ceftriaxone IV. (c) 2.5kgm/s2.5 \mathrm{~kg} \cdot \mathrm{m} / \mathrm{s}2.5kgm/s c. 0900 Fluid must never be forced into the tube. 1- Medication Administration test bank questions and answers, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Adding a medication to the formula will cause the formula to curdle., The tablet may be done if a small amount o, Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Civilization and its Discontents (Sigmund Freud), The Methodology of the Social Sciences (Max Weber), Give Me Liberty! Cross), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever). The inhaler should last the patient 50 days (2 pu ffs 2/twice It is a gaseous medication and cannot be suctioned out of the lungs. The nurse cannot return the wasted medication to the medication dispenser. old child. -Ask the client to explain the information using their own words. Rotating injections within the same body part (instrasite rotatio, greater consistency in absorption of medication. ANS: A A nurse is following safety principles to reduce the risk of needlestick injury. They should not apply pressure. Rounding this amount to the nearest hundredth, the nurse should administer how many mL? The pa, remain in the side-lying position 2 to 3 minutes. Using a teaspoon to measure and administer immunizations to toddlers, older children, and adults (not infants) and only for small volumes Rounding this amount to the nearest tenth, the nurse should administer . The nurse is performing tuberculin testing on a patient. syringe and sheath are disposed of together in a receptacle. a. d. Administer the inhaler while holding it 3 to 4 inches away from the mouth. How many tsp should the nurse administer per dose? A nurse is preparing a medication and calculates the dosage as 6.25 mL. What stopped based on the providers orders except in extenuating circumstances. countertop. underreacts to the medication. b. Inhale slowly while pressing down to release the medication. TOP: Planning MSC: Pharmacological and Parenteral Therapies, DIF: Apply (application) Available is sucralfate 1,000 mg tablets. swallowing the tablet because of its size. b. Enoxaparin 30 mg sub q 2 hr before surgery a. should be drawn at 0830. A nurse is preparing to administer levothyroxine 0.075 mg PO to a client. Placing medications that require pre-administration assessment in a separate cup serves as a reminder to check before the Position the patient on his or her left side for rectal suppository insertion. ATI Medication Administration. Dosage Calculation and Safe Medication Administration. d. A nurse calls the health care provider for a patient with nasogastric suction and On several visits, Mr. B's blood pressure was found, Directions: Consider the scenario below, then follow the instructions underneath it to complete the discussion. What is the nurses, The nurse is preparing to administer medications to two patients with the same last name. Medications should not be mixed with a large amount of food or beverage because patients d. Discarding all syringes and needles in a puncture-resistant container Do not use a trailing zero.). Study with Quizlet and memorize flashcards containing terms like A nurse is preparing to administer erythromycin ethylsuccinate 800 mg PO every 12 hr. The patient is told to take a deep breath and exhale through the mouth A nurse is preparing a medication and calculates the dosage as 1.42 mL. (b) 2.0kgm/s2.0 \mathrm{~kg} \cdot \mathrm{m} / \mathrm{s}2.0kgm/s If a medication needs to be given on an empty stomach or is not compatible with the feeding (e., phenytoin, carbamazepine, b. Good luck! Clean the main IV line port with an antiseptic swab. DIF: Apply (application) d. I will place the tablet under my tongue and let it absorb. The nurse is teaching a nursing student about giving liquid medications. Parenteral medication absorption is not affected by the timing of meals. consumed, the nurse will have difficulty determining how much dose was received. To help with site selection for this injection, what will the nurse ask the childs parent? b. Administer an intravenous medication through tubing that is infusing blood. All questions are shown, but the results will only be given after you've finished the quiz. Become Premium to read the whole document. ATI Medication Administration Questions. kidneys, so fluids and voiding will not help. A nurse is preparing to administer potassium chloride powder 20 mEq PO in 6 oz of water. Absorption is slower with this route than with the intramuscular and 1 tablet After the administration, the nurse A patient needs assistance in eliminating an anesthetic gaseous medication (nitrous oxide). : Fundamentals of Nursing, 10th Edition, For daily insulin, rotate site within anatomical area. orders for oral meds. c. Clamping the tubing for 10 minutes a. a. d. Nurse. (Select all that apply. Set 1. range of either 1 or 2 hours of scheduled dose. c. Pinching the skin at the injection site, and then inserting the needle to below My parenteral medication must be taken with food. A patient is ordered to take an extended-release medication twice daily but has difficulty A nurse is preparing to administer amikacin 7/mg/kg/day IM to a client who weighs 165 pounds. TOP: Implementation Potential Complications Patient may be unable to take oral medication due to issues such as: nausea, vomiting, dysphagia, or nasogastric tube ACTIVE LEARNING TEMPLATES CONSIDERATIONS Nursing Interventions (pre, intra, post) Assess patient, including for swallowing ability. IV is the fastest route for absorption owing to the increase in blood flow. A patient with asthma is to begin medication therapy using a metered-dose inhaler. Parenteral medication absorption is not affected by the timing of meals, medication 30 minutes late is within the 60-minute window of the time medications should be taken. In an infant or a child younger than 3 years of age, the ear canal is straightened by pulling At which of the following times should the nurse administer the medication?
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