ATI safe dosage
A nurse is caring for a client who is to receive topiramate XR 100 mg PO daily. The client tells the nurse
that the capsule is too hard to swallow. Which of the following actions should the nurse take? - ANS
request extended release sprinkles from the pharmacy
explanation: the nurse can administer topiramate XR in sprinkle form, if available. This is not changing
the route of the medication. The sprinkle capsule can be opened and mixed with food for ease of
swallowing while still remaining extended release
A nurse is caring for a client for reports severe back pain at 1400. The client's prescriptions include
oxycodone extended-release 20 mg PO every 12 hrs (last dose received at 0600) and oxycodone
immediate-release 5 mg PO every 4 hr PRN (last dose received at 2300 the day before). Which of the
following actions should the nurse take? - ANS Administer oxycodone immediate-release 5 mg PO now
explanation: it has been 15 hrs since the previous dose of oxycodone immediate-release, and the
medication is prescribed every 4 hr as needed, so the nurse should prepare to administer a dose now to
treat the clients pain
a nurse is preparing to administer a high-alert pain med to a client. which of the following actions should
the nurse perform during the planning stage of medication administration? - ANS Verify the dosage
calculation with another nurse
explanation: to ensure client safety and prevent harm, the nurse should always have another nurse
verify dosage calculations prior to administering a high alert med. This occurs during the PLANNING
stage of med administration
A nurse is preparing to administer medication to a client who has a prescription for docusate sodium 50
mg capsule PO twice daily. This client refuses to take the med because of nausea. Which of the following
actions should the nurse take? - ANS Withhold the medication
, explanation: the nurse should withhold the med due the client's nausea and notify the provider. If
nausea persists, the nurse should contact the provider to prescribe an antiemetic
A nurse is caring for a client who received lisinopril 30 min ago and is now reporting dizziness and
headache. Which of the following actions should the nurse take first? - ANS Obtain the client's vital signs
explanation: the first action the nurse should take when using the nursing process is to ASSESS the
client. Therefore, the first action the nurse should take is to obtain the client's vital signs
A nurse is reviewing a client's prescriptions. The nurse should contact the provider to clarify which of the
following prescriptions? - ANS Morphine 2.5 mg IV bolus PRN for incisional pain
*explanation: the prescription requires clarification because it is missing the FREQUENCY of medication
administration
A nurse is assessing a client following administration of an antibiotic. The nurse should identify that
which of the following findings is a manifestation of an anaphylactic reaction to medication? - ANS
swollen lips
explanation: the nurse should identify that swollen lips is a manifestation of anaphylactic reaction. Other
manifestations include stridor, dyspnea, wheezing, urticaria [hives], and pruritus. The nurse should
notify the rapid response team, elevate the clients head of the bed, apply high-flow oxygen, and prepare
to administer epinephrine
*A nurse working in a med-surg unit is preparing to administer meds to a client. The nurse plans to use
two forms of identification to verify that she has the right client. Which of the following actions can the
nurse take the identify the client? - ANS -Compare the name on the client's wristband with the name in
the MAR (med administrator record)
-Ask the client to state his date of birth
-Ask the client to state his name [full name]
-Use the bar code scan to identify the client
A nurse is caring for a client who is to receive topiramate XR 100 mg PO daily. The client tells the nurse
that the capsule is too hard to swallow. Which of the following actions should the nurse take? - ANS
request extended release sprinkles from the pharmacy
explanation: the nurse can administer topiramate XR in sprinkle form, if available. This is not changing
the route of the medication. The sprinkle capsule can be opened and mixed with food for ease of
swallowing while still remaining extended release
A nurse is caring for a client for reports severe back pain at 1400. The client's prescriptions include
oxycodone extended-release 20 mg PO every 12 hrs (last dose received at 0600) and oxycodone
immediate-release 5 mg PO every 4 hr PRN (last dose received at 2300 the day before). Which of the
following actions should the nurse take? - ANS Administer oxycodone immediate-release 5 mg PO now
explanation: it has been 15 hrs since the previous dose of oxycodone immediate-release, and the
medication is prescribed every 4 hr as needed, so the nurse should prepare to administer a dose now to
treat the clients pain
a nurse is preparing to administer a high-alert pain med to a client. which of the following actions should
the nurse perform during the planning stage of medication administration? - ANS Verify the dosage
calculation with another nurse
explanation: to ensure client safety and prevent harm, the nurse should always have another nurse
verify dosage calculations prior to administering a high alert med. This occurs during the PLANNING
stage of med administration
A nurse is preparing to administer medication to a client who has a prescription for docusate sodium 50
mg capsule PO twice daily. This client refuses to take the med because of nausea. Which of the following
actions should the nurse take? - ANS Withhold the medication
, explanation: the nurse should withhold the med due the client's nausea and notify the provider. If
nausea persists, the nurse should contact the provider to prescribe an antiemetic
A nurse is caring for a client who received lisinopril 30 min ago and is now reporting dizziness and
headache. Which of the following actions should the nurse take first? - ANS Obtain the client's vital signs
explanation: the first action the nurse should take when using the nursing process is to ASSESS the
client. Therefore, the first action the nurse should take is to obtain the client's vital signs
A nurse is reviewing a client's prescriptions. The nurse should contact the provider to clarify which of the
following prescriptions? - ANS Morphine 2.5 mg IV bolus PRN for incisional pain
*explanation: the prescription requires clarification because it is missing the FREQUENCY of medication
administration
A nurse is assessing a client following administration of an antibiotic. The nurse should identify that
which of the following findings is a manifestation of an anaphylactic reaction to medication? - ANS
swollen lips
explanation: the nurse should identify that swollen lips is a manifestation of anaphylactic reaction. Other
manifestations include stridor, dyspnea, wheezing, urticaria [hives], and pruritus. The nurse should
notify the rapid response team, elevate the clients head of the bed, apply high-flow oxygen, and prepare
to administer epinephrine
*A nurse working in a med-surg unit is preparing to administer meds to a client. The nurse plans to use
two forms of identification to verify that she has the right client. Which of the following actions can the
nurse take the identify the client? - ANS -Compare the name on the client's wristband with the name in
the MAR (med administrator record)
-Ask the client to state his date of birth
-Ask the client to state his name [full name]
-Use the bar code scan to identify the client
