Question

1. Glucophage 500 mg is ordered p.o. b.i.d. with breakfast and dinner. Pharmacy sends 1 g scored tablets of glucophage. How many tablet(s) will the nurse administer? _________

2. The physician orders digoxin 125 mcg p.o. q.AM. Pharmacy sends digoxin scored tablets labeled 0.25 mg tablets. How many tablet(s) will the nurse administer to the patient?

3.

Oxycontin 30 mg controlled-released tablet is ordered for the patient. The nurse has the following tablets available:

Oxycontin 10 mg controlled-released tablet
Oxycontin 15 mg controlled-released tablet
Oxycontin 20 mg controlled-released tablet
Oxycontin 60 mg controlled-released tablet

The nurse is correct to administer (Select all that apply).

Group of answer choices

One tablet of oxycontin 20 mg and 1 tablet of oxycontin 10 mg

Two tablets of oxycontin 15 mg

One-half tablet of oxycontin 60 mg

Three tablets of oxycontin 10 mg

One and one-half tablets of oxycontin 20 mg

4.

Warfarin 4.5 mg is ordered p.o. for the patient. In the patient’s medication drawer are the following tablets:

One (1) tablet labeled warfarin 1 mg scored tablet
One (1) tablet labeled warfarin 2 mg scored tablet
One (1) tablet labeled warfarin 4 mg tablet
One (1) tablet labeled warfarin 5 mg scored tablet

The most accurate clinical decision for the nurse is to: (Select all that apply.)

Group of answer choices

administer the warfarin 1 mg tablet and 1/2 of the 5 mg tablet.

administer the warfarin 5 mg scored tablet.

administer the warfarin 4 mg tablet and 1/2 of the 1 mg tablet.

administer the warfarin 2 mg tablet and 1/2 of the 5 mg tablet.

administer the warfarin 2 mg tablet, 1/2 of the 4 mg tablet, and 1/2 of the 1 mg tablet.

5. A patient is to receive an IV injection of a cardiac medication. The ordered dose is contained in 0.6 mL. The nurse draws up the medication in the syringe and verifies the dose with another nurse.

Has the nurse drawn up the correct amount of medication in the syringe? ________

4 : 12 15 mi ||||||||||||||||||||||||||||||||| 11 , ۰۱۱۱۱۱۱۱۱۱۱۱۱۱۱۱۱۱۱۱۱۱۱۱۱۱۱۱ | | | | | | | | | ار۱۱۱۱۱۱۱۱۱۱۱۱۱۱۱۱۱ | .10 .20 .30 . . . . . . 1.0 mL

6.

The nurse is preparing to administer heparin 5000 units subcut to the patient. The dose of heparin is contained in 0.5 mL. The nurse draws up the medication in a 3 mL syringe. Evaluate if the nurse has chosen the correct syringe to administer the heparin dose.

Group of answer choices

The nurse has chosen the correct syringe and can proceed to administer the medication.

The nurse could also use a 50-unit insulin syringe to give the heparin.

The nurse should change the needle to a 25G 5/8” needle before giving the medication.

A 1 mL syringe would measure the dose more accurately.

7.

Sulcralfate 1000 mg p.o. q.i.d. is ordered for the patient. Pharmacy sends sulcralfate tablets labeled 1 g / tablet. How many tablet(s) will the nurse administer per dose? _______

8.

A client is prescribed 12.5 mg of doxycycline monohydrate (Vibramycin) oral suspension every 8 hours. How many doses are available in this container?

Group of answer choices

24 doses

No answer text provided.

No answer text provided.

14 doses

9. Fentanyl 0.2 mg buccally is ordered for breakthrough pain for the client. Fentanyl 100 mcg buccal tablets are found in the patient’s medication drawer. How many tablets will the nurse plan to administer to the client to control the breakthrough pain?

10. Discharge instructions for the patient include metronidazole 0.25 g p.o. q.8h. for 10 days. The pharmacy sends a bottle of labeled metronidazole 250 mg / tablet. How many tablet(s) will the nurse instruct the patient to take per day? ____________

11. Lactulose oral solution 10 g is ordered t.i.d. Available is a container of Lactulose 20 g / 30 mL. How many tsp will the nurse administer to the patient? ___________

12.

A client is prescribed 2 mg of alprazolam. The nurse reviews the order and the medication label in preparation for administration.

After administering 3 mLs of medication to this client, which action by the nurse is the most appropriate?

Group of answer choices

Assess the client’s level of pain

Report that the incorrect amount was provided

Document that the medication was provided

Monitor the client’s blood pressure

Answer 1

Answer 1: Ordered drug = 500mg

Available drug = 1gram tablet.

So, 1gram = 1000mg, therefore Half tablet should be administered.

Answer 2: Ordered drug = 125mcg.

Available drug = 0.25 mg tablet.

1mg = 1000mcg.

So, 0.25 mg = 250mcg., so, half tablet should be given to the patient.

Answer 3: Two tablets of oxycontin 15 mg, One tablet of oxycontin 20 mg and 1 tablet of oxycontin 10 mg.

( The total drug need to be 30mg, so two tablets of 15 mg is sufficient to complete the dose.)

Answer 4: administer the warfarin 4 mg tablet and 1/2 of the 1 mg tablet.

( This will complete the given dose.)