Medication Dosage Calculation and Administration
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Questions and Answers

What is the priority nursing action immediately following a medication administration error?

  • Complete an incident report and implement corrective actions.
  • Contact the pharmacy to determine the potential effects of the error.
  • Assess the patient for adverse effects and notify the healthcare provider. (correct)
  • Document the error in the patient's chart and notify risk management.

    • A patient is prescribed enteric-coated aspirin. What instructions should the nurse provide regarding its administration?

  • "Crush the tablet if you have difficulty swallowing it."
  • "Swallow the tablet whole with a full glass of water." (correct)
  • "Take it with an antacid to reduce stomach irritation."
  • "Chew the tablet for quicker absorption during pain."

    • Which laboratory value is most important for the nurse to monitor in a patient receiving lactulose?

  • Serum ammonia (correct)
  • Serum creatinine
  • Complete blood count (CBC)
  • Liver transaminases (AST, ALT)

    • A patient receiving IV vancomycin begins to develop flushing and erythema on the face and neck. Which action should the nurse take first?

    <p>Slow the vancomycin infusion rate; reassess. (B)</p> Signup and view all the answers

    What information about metronidazole should the nurse include in patient teaching?

    <p>The medication may cause metallic taste. (C)</p> Signup and view all the answers

    Which of the following is a contraindication to the administration of amphotericin B?

    <p>Severe hypokalemia (D)</p> Signup and view all the answers

    A patient with a penicillin allergy is prescribed a medication. Which medication class should be avoided due to potential cross-sensitivity?

    <p>Cephalosporins (A)</p> Signup and view all the answers

    Which of the following interventions can help prevent gentamycin toxicity?

    <p>Monitoring serum drug levels. (C)</p> Signup and view all the answers

    A nurse is teaching a client about ciprofloxacin. Which potential adverse effect should the nurse emphasize?

    <p>Increased risk of tendon rupture (D)</p> Signup and view all the answers

    Priority nursing actions should a patient exhibit manifestations of Anaphylaxis due to penicillin reaction, is (Select all that apply):

    <p>Maintaining a patent airway (A), Administering epinephrine (B), Administrating oxygen (C)</p> Signup and view all the answers

    Flashcards

    Rifampin adverse effects

    Common adverse effects include liver damage and discoloration of bodily fluids.

    Red Man Syndrome

    A reaction to vancomycin causing flushing and rash, especially on the face and torso.

    Gentamycin monitoring

    Monitor trough levels before administration and peak levels after the dose.

    Nystatin storage

    Nystatin should be stored at room temperature away from moisture.

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    Gentamycin toxicity prevention

    Prevent toxicity by monitoring dosage and renal function indices.

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    Zidovudine adverse effects

    Common effects include bone marrow suppression and gastrointestinal issues.

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    Penicillin allergy manifestations

    Symptoms may include hives, swelling, and difficulty breathing.

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    Cephalosporin contraindications

    Contraindicated in patients with a history of penicillin allergy.

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    Metronidazole education

    Patients should avoid alcohol and notify about the adverse effects like nausea and headache.

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    Active range of motion

    Passive range of motion assists muscles and joints in mobility without exertion.

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    Study Notes

    Dosage Calculation

    • Understanding dosage calculation is crucial.

    Rifampin

    • Know the adverse effects of Rifampin.
    • Understand discharge instructions for Rifampin.

    Enteric Coated Aspirin

    • Teach patients about taking enteric coated aspirin.

    IV Vancomycin

    • Understand administering IV Vancomycin and Red Man Syndrome prevention.
    • Know the nursing interventions.

    Ciprofloxacin

    • Client teaching should cover adverse effects.

    Amphotericin B

    • Know contraindications and adverse effects
    • Know monitoring laboratory values.

    Penicillin Anaphylaxis

    • Understand the priority actions for penicillin anaphylactic reactions.

    Gentamicin

    • Understand when to calculate peak and trough levels for Gentamicin.
    • Know when to collect peak and trough levels for Gentamicin.

    Gentamicin Topical Application

    • Understand patient education and preventing toxicity.

    Gentamicin Toxicity

    • Recognize manifestations of gentamicin toxicity.
    • Know nursing interventions.

    Lactulose

    • Identify lab levels monitored for patients taking lactulose.

    Zidovudine

    • Learn the adverse effects of zidovudine.

    Infectious Diseases

    • Assess mycobacterial, fungal, and parasitic infections.
    • Understand nystatin storage methods.

    Metronidazole

    • Know nursing education about metronidazole, including adverse effects.
    • Ensure you know the side effects of metronidazole

    Tuberculosis (TB) Treatment

    • Know laboratory tests for TB treatment, including treatment with rifampin and pyrazinamide.

    Penicillin Allergy

    • Learn manifestations of penicillin allergy and contraindications.

    Cephalosporin

    • Be aware of contraindications of cephalosporin administration.

    Erythromycin

    • Know the adverse effects.

    Oxacillin

    • Understand the allergic reaction.

    Medication Compatibility

    • Know resources to inquire about medication compatibility.
    • Understand contraindicated medications classes.

    Amoxicillin-Clavulanate

    • Understand the allergic reactions and manifestations.

    Urinary Tract Infections (UTIs)

    • Identify risk factors for UTIs in females.

    Pyelonephritis

    • Recognize risk factors.

    Urinary Retention

    • Know underlying conditions related to urinary retention.

    Osteoporosis

    • Learn risk factors associated with osteoporosis.

    Passive Range of Motion

    • Understand body areas benefitted by passive range of motion.

    Medication Errors

    • Know priority actions post-medication administration error.

    Intravenous (IV) Medication Errors

    • Recognize phlebitis and infiltration as adverse effects.

    Colchicine

    • Know the adverse effects of colchicine.

    Gout Treatment

    • Understand medications used to treat gout.

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    Description

    This quiz covers essential knowledge regarding medication dosage calculations and specific drugs like Rifampin, Gentamicin, and more. You'll learn about adverse effects, patient education, and critical nursing interventions involved in administering these medications. Strengthen your understanding of safe medication practices and patient care guidelines.

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