The nurse is reviewing the patient's medication orders and finds an order stating "amoxicillin 250 mg every 8 hours." What would the nurse question regarding this order?
A) Dose
B) Route
C) Frequency of administration
D) Allowance for generic substitution
B
Feedback:
For the nurse to administer a medication, all essential components of a medication order must be written by the prescriber including drug name, dosage, route, frequency, and patient name. This order is missing the route and the drug could be given IV, IM, or PO. The nurse should call the ordering health care provider and clarify what route the medication is to be administered.
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Order: Heparin 40,000 units in 1000 mL 0.9% NS, infuse at 40 mL/h. Calculate the units per day and determine if the dose is within the normal daily range (20,000–40,000 units in 24 h)
1. 1600 units/d, which is lower than the normal daily range 2. 38,400 units/d, which is within the normal daily range 3. 38,400 units/d, which is not within the normal daily range 4. 1600 units/d, which is higher than the normal daily range
A newborn is diagnosed with a meconium plug. Which interventions should the nurse prepare to provide to help resolve this health problem? (Select all that apply.)
A) Administration of a barium enema B) Administration of a gastrografin enema C) Administration of 5 ml of saline enema D) Administration of 10 ml of tap water enema E) Rectal instillation of acetylcysteine (Mucomyst)
The client receiving morphine by epidural catheter for pain control complains of generalized itching. What medication should the nurse have ready for administration?
A. Benadryl (diphenhydramine) B. Narcan (naloxone) C. Phenergan (promethazine) D. Sublimaze (fentanyl)
Nurse Q has spent a good part of her shift listening to patient Z's mother demand more nursing care for her son
She has repeatedly demanded additional pain medication and that he be repositioned every hour even though he is snoring loudly each time Nurse Q enters his room. Four hours into her shift, Nurse Q decides to change her activity plan and requests another nurse and NAP to take on additional duties so that she can spend more time attending to patient Z, thus causing his mother to stop hovering around the nurses' station. Into which of the following priority traps did Nurse Q fall? a. doing what hits first b. taking the path of least resistance c. relying on misguided inspiration d. responding to the squeaky wheel