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A provider prescribes amoxicillin 500 mg PO every 8 hours. The
available medication is amoxicillin 250 mg capsules. How many capsules
should the nurse administer per dose?
Answer: 2 capsules
Rationale: Divide the prescribed dose (500 mg) by the available dose
(250 mg per capsule): 500 ÷ 250 = 2 capsules. The nurse should always
verify the medication, dosage, route, and timing before administration.
A client is prescribed furosemide 40 mg IV. Before administering the
medication, what laboratory value should the nurse review first?
Answer: Serum potassium level
Rationale: Furosemide is a loop diuretic that promotes potassium
excretion. Reviewing the potassium level helps identify hypokalemia,
which increases the risk for cardiac dysrhythmias and muscle weakness.
,A medication order reads heparin 5,000 units subcutaneously. The vial
is labeled 10,000 units/mL. How many milliliters should the nurse
administer?
Answer: 0.5 mL
Rationale: Divide the prescribed dose by the concentration: 5,000 units
÷ 10,000 units/mL = 0.5 mL. Accurate measurement is essential because
heparin is a high-alert medication.
A client refuses a prescribed medication. What is the nurse's priority
action?
Answer: Determine the client's reason for refusing the medication.
Rationale: Clients have the legal right to refuse medications. The nurse
should first assess the reason for refusal, provide education if
appropriate, notify the provider if necessary, and document the refusal
accurately.
A provider prescribes 1,000 mL of normal saline to infuse over 8 hours.
What is the infusion rate in mL/hr?
Answer: 125 mL/hr
, Rationale: Divide the total volume by the infusion time: 1,000 mL ÷ 8
hours = 125 mL/hr. Electronic infusion pumps should be programmed
carefully to ensure safe administration.
Before administering digoxin, what assessment should the nurse
perform first?
Answer: Assess the apical heart rate for one full minute.
Rationale: Digoxin slows cardiac conduction. The medication should
generally be withheld if the adult apical pulse is below 60 beats/min
unless otherwise directed by the provider.
A client develops hives and wheezing immediately after receiving an
antibiotic. What is the nurse's priority intervention?
Answer: Stop the medication immediately and assess the airway.
Rationale: These findings indicate a possible anaphylactic reaction.
Airway maintenance, discontinuation of the medication, emergency
interventions, and rapid notification of the provider are priorities.
A medication is ordered as 0.25 g orally. The tablets available are 125
mg each. How many tablets should the nurse administer?