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The nurse is reviewing the patient's medication orders and finds an order stating amoxicillin 250 mg every 8 hours. What would the nurse question regarding this order?
- A. Dose
- B. Route
- C. Frequency of administration
- D. Allowance for generic substitution
Correct Answer: B
Rationale: The order lacks the route (e.g., oral, IV), which is essential for safe administration.
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The first-line treatment for cough related to an upper respiratory tract infection (URI) in a 5-year-old child is:
- A. Fluids and symptomatic care
- B. Dextromethorphan and guaifenesin syrup (Robitussin DM for Kids)
- C. Guaifenesin and codeine syrup (Tussin AC)
- D. Chlorpheniramine and dextromethorphan syrup (Nyquil for Kids)
Correct Answer: A
Rationale: Fluids and symptomatic care are safest and recommended for URI cough in young children; cough suppressants are discouraged under 6.
A nurse is teaching the parents of a school-age child about transdermal Methylphenidate. Which of the following instructions should the nurse include?
- A. Apply one patch twice per day.
- B. Leave the patch on for 9 hr.
- C. Apply the patch to the child's waist.
- D. Use opened tray within 6 months.
Correct Answer: B
Rationale: Methylphenidate patches are worn for 9 hours to control ADHD symptoms during the day.
When using the nursing process in medication therapy, what does it ensure?
- A. That medications are given at the right time
- B. That there is efficient and effective care
- C. That the right dose of the drug is given to the patient
- D. The right drug is given to the right patient at the right time
Correct Answer: B
Rationale: The nursing process ensures efficient and effective care by systematically addressing all aspects of medication therapy.
The nurse is preparing to administer a medication from a multidose bottle. The label is torn and soiled but the name of the medication is still readable. What is the nurses priority action?
- A. Discard the entire bottle and contents and obtain a new bottle.
- B. Find the drug information and create a new label for the bottle.
- C. Ask another nurse to verify the contents of the bottle.
- D. Administer the medication if the name of the drug can be clearly read.
Correct Answer: A
Rationale: When the drug label is soiled obscuring some information the safest action by the nurse is to discard the bottle and contents because drug labels contain a great deal of important information, far more than just the name of the drug. Concentration of the drug, expiration date, administration directions, and precautions may be missing from the label and so put the patient at risk. Looking up drug information in a drug handbook or consulting with another nurse will not supply the expiration date or concentration of medication. Be safe and discard the bottle and its contents.
Which of the following antibiotics is contraindicated in patients with myasthenia gravis?
- A. Vancomycin
- B. Gentamicin
- C. Daptomycin
- D. Cephalexin
Correct Answer: B
Rationale: Gentamicin, an aminoglycoside, worsens neuromuscular blockade in myasthenia gravis, making it contraindicated.