Exam 20: Safe Medication Preparation

The nurse is aware that a patient with liver disease and a decreased albumin level may develop which of the following effects?

The prescriber orders an IV antibiotic every 8 hours.The nurse administers the medication at 0900.The medication's onset of action is 5 minutes, peak action is 30 minutes, and duration is 6 to 24 hours.An order for peak and trough levels is written.The nurse will have the peak level drawn at _________.

To prevent medication errors, which action should be taken by the nurse?

A patient is receiving vancomycin IV every 8 hours at 0800, 1600, and 2400.A serum peak and trough level is ordered after the third dose, which will be given at 1600.When should the nurse order the trough level?

When medications are administered, which action by the nurse is appropriate?

The patient reports taking an opioid medication in large dosages for the past several years.While in the hospital, the patient is not prescribed the medication and develops tachycardia, hypertension, sweating, and tremors.He becomes confused and experiences visual hallucinations.The nurse recognizes these signs as indicative of _____________.

______________ are predictable and often unavoidable secondary effects of a medication produced at a usual therapeutic drug dose.

The hospital has implemented a computerized physician order entry system ( CPOE ) to eliminate the need for written orders.The benefits of this system include which of the following? (Select all that apply.)

The patient is to receive 200 mg of a medication.There are 100-mg scored tablets available.The nurse prepares _________ tablets.

A patient is prescribed diltiazem tablets, which have an onset of 30 minutes, a peak of 2 to 3 hours, and a duration of 6 to 8 hours.The nurse anticipates that the medication will be prescribed ____________ per day.

The nurse is teaching a patient how to measure medication dosages at home.The prescription is written for 30 mL of the medication.Which household measurement will the nurse teach the patient to use?

A patient with chronic back pain has been taking oral morphine sulfate (MS Contin) for the past 2 years.Upon admission to the hospital, the patient receives morphine sulfate for back pain but reports no pain relief.The nurse notifies the health care provider, recognizing that the reason for the lack of pain relief is which of the following?

When controlled substances are administered, which action is required by the nurse?

The nurse administers a medication to the wrong patient but the patient suffers no harm from the medication error.What actions should the nurse take? (Select all that apply.)

The nurse calculates that the proper dosage of a medication is 2 tsp.The nurse prepares _______ mL to administer to the patient.

A medication distribution system that uses individual patient drawers and whereby medication is packaged according to what the patient would receive at one time is known as the _______ system.

The dose ordered for a patient is 75 mg IM.The medication is available in a 50-mg/mL solution.The nurse prepares ________________ mL.

A patient admitted to the hospital with pneumonia has IV antibiotics ordered.He receives the first dose with no problem, but during the second dose, he begins to complain of shortness of breath and difficulty breathing.The nurse notes wheezes throughout the lung fields.The nurse documents these symptoms as which of the following?

The nurse is preparing to administer medication to a patient who is alert and oriented.When medications are reviewed with the patient, the patient states that he does not take metoprolol.Which action by the nurse is most appropriate?

The nurse is calculating a medication dosage using the metric system.A vial contains 1 mL of fluid, and the nurse calculates the correct dosage to be half of the medication in the vial.How should the nurse document the correct dosage?