Nokea
When taking a telephone order for a medication, which action by the nurse is most appropriate?
- A. Verify the order with the charge nurse.
- B. Call back the prescriber to review the order.
- C. Repeat the order to the prescriber before hanging up the telephone.
- D. Ask the pharmacist to double-check the order.
Correct Answer: C
Rationale: Repeating the order back to the prescriber before hanging up ensures accuracy of verbal or telephone orders. The other options do not directly confirm the order with the pres125criber.
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When reviewing pediatric medication administration, the nurse recognizes that which type of medication error is most common with children?
- A. Oral medication administration errors
- B. Wrong route errors
- C. Incorrect dosage form errors
- D. Dosing errors
Correct Answer: D
Rationale: Dosing errors are the most common medication errors in pediatrics due to weight-based calculations and variations in pediatric physiology. The other options are possible but less common.
Digoxin is available in 0.25-mg tablet form. Convert this dose to microgram strength, (do not round)
Correct Answer: 250 mcg
Rationale: One mg equals 1000 mcg. To convert 0.25 mg to mcg, multiply by 1000: 0.25 * 1000 = 250 mcg, or move the decimal point three spaces to the right.
The nurse is reviewing a list of verbal medication orders. Which is the proper notation of the dose of the drug ordered?
- A. Levothyroxine .75 mg
- B. Levothyroxine .750 mg
- C. Levothyroxine 0.75 mg
- D. Levothyroxine 0.750 mg
Correct Answer: C
Rationale: Levothyroxine 0.75 mg illustrates the correct notation with a leading zero before the decimal point. Omitting the leading zero (as in A and B) may cause the order to be misread, resulting in a large drug overdose. Trailing zeros (as in D) are also incorrect.
Levothyroxine is available in 0.1-mg tablet form. Convert this dose to microgram strength, (do not round)
Correct Answer: 100 mcg
Rationale: One mg equals 1000 mcg. To convert 0.1 mg to mcg, multiply by 1000: 0.1 * 1000 = 100 mcg, or move the decimal point three spaces to the right.
When given a scheduled morning medication, the patient states, 'I haven't seen that pill before. Are you sure it's correct?' The nurse checks the medication administration record and verifies that it is listed. Which is the nurse's best response?
- A. It's listed here on the medication sheet, so you should take it.'
- B. Go ahead and take it, and then I'll check with your doctor about it.'
- C. It wouldn't be listed here if it were not ordered for you.'
- D. Let me check on the order first before you take it.'
Correct Answer: D
Rationale: When a patient expresses doubts about a medication, the nurse should verify the order to ensure safety. Checking the written order or with the prescriber addresses the patient's concerns, unlike the other options which dismiss or delay addressing the concern.