Exam 20: Safe Medication Preparation

The nurse administers 100 mg of a drug at 0800.The drug's biological half-life is 4 hours.A serum drug level is drawn at 1600.The nurse should anticipate ___________ milligrams will be left in the body at 1600?

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 Ativan as which of the following?

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

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?

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

The _________________ of a drug is the blood serum concentration reached and maintained after repeated,fixed doses.

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

The nurse is preparing a liquid medication.Which action is most appropriate?

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

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 prescriber orders 3 mg/kg/d of a medication to be given in 3 equal doses.The patient weighs 44 pounds.The nurse calculates that the proper amount per dose is ___________.

A patient with a history of renal failure and liver disease has been receiving morphine sulfate every 4 hours for the past 2 weeks.The nurse finds the patient lethargic with a respiratory rate of 6 breaths per minute.The health care provider orders naloxone.The nurse anticipates which effects when naloxone is given?

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

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 reports a pain level of 7 out of 10 and receives 10 mg of morphine IV.The nurse knows that IV 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 intended or desired physiological response to a medication is known as its ____________.

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

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 _____ hours,the nurse should assess the patient to determine the maximum effectiveness of the drug.

A patient receives the usual dose of a medication for the first time and develops severe hypotension and bradycardia.The nurse reports this event as an __________ type of medication action.

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?