Exam 20: Safe Medication Preparation

The hospital uses a unit-dose system for medication distribution.The nurse recognizes that this system includes which safety feature?

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

An 80-year-old patient who complains of feeling "anxious" is given lorazepam.The patient becomes agitated and delirious.The nurse documents this reaction to lorazepam as which of the following?

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 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 ____________ times per day.

A patient reports a pain level of 7 out of 10 and receives 10 mg of morphine intravenously.The nurse knows that intravenous morphine has an onset of 1 to 2 minutes,a peak of 20 minutes,and a duration of 4 to 5 hours.The patient asks when he will start to feel some pain relief.The nurse should respond that relief should begin in _____________.

The nurse reviews a medication administration record for an anticoagulant that is prescribed at 0900 daily.The medication record indicates that the medication was given at the following times over the past 4 days.Which times follow the "right time" of medication administration? (Select all that apply.)

The nurse is caring for several patients.The patient in which situation can safely receive oral medications?

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

The prescriber orders an intravenous (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.A prescription for peak and trough levels is written.The nurse will have the peak level drawn at _________.

The nurse receives a prescription to give a medication parenterally.The nurse will administer this medication by which route?

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 administers 650 mg of acetaminophen orally to a patient with a pain level of 4 out of 10.The nurse is aware that the onset of action is 30 minutes to 1 hour,the peak action is 1 to 3 hours,and the duration of action is 3 to 8 hours.After _____,the nurse should assess the patient to determine the maximum effectiveness of the medication.

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?

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

A medication interaction in which the combined effect of medications is greater than the sum of the effects of each individual agent acting independently is known as a _____________.

A patient with persistent back pain has been taking oral morphine sulphate for the past 2 years.On admission to the hospital,the patient receives morphine sulphate 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?

The patient is to receive a medication via the sublingual route.Which action by the nurse is appropriate?

The patient is complaining of severe leg pain.No pain medication is prescribed,so the nurse calls the health care provider.A prescription for Tylenol with Codeine prn is given,in addition to a one-time prescription for morphine sulphate to be given stat.Which action by the nurse is most appropriate?

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