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Exam (elaborations)

Safe dosage-pharmacology ATI (All Solvd accurately) 2024.

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a nurse is assisting w/ the orientation of a newly licensed nurse. the nurse should explain that it is important to have a second nurse review the dosage of high-alert medications, such as heparin & insulin, for what reason? a. Dosage errors have the potential for significant harm to the client. b. The provider prescribes high-alert medications in small amounts. c. The nurse making an error may lose his job. d. The health care facility may lose its accreditation. correct answers dosage errors have the potential for significant harm to the client (The nurse should have a second nurse check the dosage of high-alert medications because serious harm with excessive dosing can occur. Heparin overdose can lead to hemorrhage, and insulin overdose can lead to shock.) a nurse is caring for a client who is to receive omeprazole (Prilosec) 40 mg PO daily. the client tells the nurse that the pill is too hard to swallow. what action should the nurse take? a. Crush the medication to administer in a small amount of pudding. b. Request a liquid form of medication from the pharmacy. c. Ask the charge nurse to clarify the prescription with the provider. d. Withhold the medication until time for the next dose. correct answers request a liquid form of the medication from the pharmacy (The nurse can administer a liquid form of an oral medication if available. This is not changing the route of the medication.) a nurse is preparing to administer insulin subcutaneously to a client. the nurse should document the administration of the medication immediately after what action? a. Taking the insulin from the automated dispensing machine b. Injecting the insulin c. Checking the client's blood glucose level d. Checking the correct dosage of the insulin correct answers injecting the insulin The nurse should not delay documentation because this could lead to errors, such as omission of the documentation or administration of a second dose of medication to the client by another nurse. a nurse is caring for a client who has a prescription for meperidine (Demerol) 50 mg PO every 3 hr PRN for moderate pain, & meperidine 75 mg PO every 3 hr PRN for severe pain. at 1200, the client reports back pain rated as 8 on a pain scale of 0-10. the client received 75 mg PO at 0700 & 50 mg PO at 1000. what action should the nurse take? 1. Administer hydroxyzine 50 mg now. 2. Administer hydroxyzine 50 mg at 1300. 3. Administer meperidine 75 mg PO now. 4. Administer meperidine 75 mg PO at 1300. correct answers administer meperidine 75 mg PO now

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