A health care provider prescribes aspirin 650 mg every 4 hours PO when febrile. For which patient will this order be appropriate?

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Question 1 of 5

A health care provider prescribes aspirin 650 mg every 4 hours PO when febrile. For which patient will this order be appropriate?

Correct Answer: D

Rationale: Aspirin is an analgesic, an antipyretic, and an anti-inflammatory medication. The provider wrote the medication to be given for a fever (febrile). Fevers are common in infections. If a child is bleeding, aspirin would be contraindicated; aspirin increases the likelihood of bleeding. Although it can be used for inflammatory problems (sprained ankle) and pain/analgesia (severe headache), this is not how the order was written.

Question 2 of 5

A nurse is caring for a patient who is receiving pain medication through a saline lock. After flushing the patient's peripheral IV and obtaining a good blood return, the patient reports pain. Upon assessment, the nurse notices a red streak that is warm and tender to the touch. What is the nurse's initial action?

Correct Answer: A

Rationale: The patient has phlebitis; the initial nursing action is do not administer the medication. The medication should not be given slowly. A cool or warm compress may be used later depending upon protocol, but it is not the first action.

Question 3 of 5

A nurse is performing the three accuracy checks before administering an oral liquid medication to a patient. When will the nurse perform the second accuracy check?

Correct Answer: B

Rationale: Before going to the patient's room, compare the patient's name and name of medication on the label of prepared drugs with MAR for the second accuracy check. Selecting the correct medication from the stock supply, unit-dose drawer, or automated dispensing system (ADS) is the first check. The third accuracy check is comparing names of medications on labels with MAR at the patient's bedside. Checking the orders is not one of the three accuracy checks but should be done if there is any confusion about an order.

Question 4 of 5

A child weighs 22.4 kg, and the prescription is for 24 mg/kg of body weight. The medication comes at the strength of 50 mg/mL. How many mL (to one decimal place) of the medication should the child receive?

Correct Answer: D

Rationale: Dose = 22.4 kg × 24 mg/kg = 537.6 mg. Volume = 537.6 mg ÷ 50 mg/mL = 10.752 mL, rounded to 10.8 mL (one decimal place).

Question 5 of 5

A patient has had a myocardial infarction involving a large section of the heart muscle. You assess them at risk for

Correct Answer: B

Rationale: A large myocardial infarction impairs heart pumping, leading to cardiogenic shock due to inadequate cardiac output.

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