Nokea
Lanoxin 0.125 mg is to be given. The nurse converts the dose to how many grams?
- A. 1.250 g
- B. 1250 g
- C. 0.000125 g
- D. 0.00125 g
Correct Answer: C
Rationale: Small, arrow to big, move the decimal point three places in the direction the arrow points; move decimal three places to the left.
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The order is for 100 mL to run over 8 hours as a "piggyback." The drop factor of the secondary unit is 15. The nurse should set the drop control to deliver __ gtts/min.
Correct Answer: 3
Rationale: 100 mL divided by 8 = 12.5 mL/h; (12.5 mL/h ? 15 gtts/mL) ÷ 60 min/h ? 3 gtts/min.
When the patient complains about his IV lines and asks if he can have the medication by mouth what is the most appropriate response by the nurse?
- A. Pills are difficult for many patients to swallow.
- B. Medication by mouth is absorbed more slowly than by any other route.
- C. It takes more time for the nurse to prepare and administer oral medications.
- D. It leads to more errors to give pills because the pills all look alike.
Correct Answer: B
Rationale: Medications that enter the GI tract are absorbed more slowly than by any other route. It is not known whether or not this particular patient has difficulty swallowing. The decision to give IV medications does not depend on the time of administration. It is not true that all pills look alike.
The nurse cautions a patient taking an anticoagulant that he should avoid taking aspirin because one drug may increase the action of the other drug. What is the correct term for this effect?
- A. Compatibility
- B. Antagonism
- C. Synergism
- D. Cooperation
Correct Answer: C
Rationale: When one drug increases the action of another drug, it is called synergism.
A 35-lb child is to receive an IM medication. The average adult dose is 75 mg. Using the Clark rule what dosage should the nurse administer?
- A. 30.5 mg
- B. 25.5 mg
- C. 20.5 mg
- D. 17.5 mg
Correct Answer: D
Rationale: [Weight of child in pounds ÷ 150] ? average adult dose = child's dose.
In some health care facilities the LPN/LVN is allowed to take telephone orders from a health care provider. What is one precaution the nurse must take when receiving a verbal order?
- A. Write quickly.
- B. Repeat the order to the health care provider.
- C. Have another nurse listen on an extension.
- D. Sign and initial the health care provider's name on the order.
Correct Answer: B
Rationale: The nurse should always repeat the order to the health care provider. The nurse should write slowly to avoid making a mistake. It is not necessary to have another nurse listen to the verbal order. The nurse should not sign the health care provider's name to the order.