ATI Dosage Calculation and Safe Medication Administration 3.0 - Safe Dosage

ATI Dosage Calculation and Safe Medication Administration 3.0 - Safe Dosage A nurse manager is reviewing a client's medical record and discovers that the client received a double dose of a prescribed medication. Which of the following actions should the nurse manager take first? A. Complete an incident report. B. Notify the provider about the medication error. C. Assess the client for adverse effects. D. Report the error to the risk manager. C. Assess the client for adverse effects. Rationale: A. Complete an incident report. The nurse who discovers an error should complete an incident report as part of the facility's risk management program; however, this is not the first action the nurse should take. B. The nurse should notify the provider of the client's status change in case diagnostic testing or an antidote is necessary; however, this is not the first action the nurse should take. C. When using the nursing process, the first step the nurse should take is to assess the client. By checking the client for adverse effects, the nurse can provide prompt treatment to minimize harm to the client. D. The nurse should report the error to the risk manager to promote quality improvement in the facility; however, this is not the first action the nurse should take. A charge nurse is reviewing the types of prescriptions with a newly licensed nurse. Which of the following prescriptions should the nurse include as an example of a standing prescription? A. Oxycodone 5 mg by mouth every 4 hr as needed for pain B. Furosemide 20 mg IV stat C. Acetaminophen 650 mg by mouth every 6 hr for temperature greater than 38.4° C (101.2° F) D. Diazepam 10 mg IV 30 min prior to procedure C. Acetaminophen 650 mg by mouth every 6 hr for temperature greater than 38.4° C (101.2° F) Rationale: A. Prescriptions which are administered on an as needed, or PRN, basis are dependent upon set parameters, such as pain, heart rate, or blood pressure. B. Stat prescriptions are one-time orders that should be implemented in emergency situations and administered immediately. C. A standing prescription is protocol-based and contains directions for administration based upon specific situations, such as the development of a fever. D. A single, or one-time, prescription is implemented once. Often, the medication is prescribed to be administered at a specific time, such as prior to, during, or following a procedure. A nurse is preparing to administer a time critical medication to a client at 0800. Which of the following times are appropriate for the nurse to administer the medication? (Select all that apply.) A. 0700 B. 0745 C. 0830 D. 0845 E. 0900