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Is this a trick question or am I reading too much into it?

Posted

Specializes in LTC, Rehab, Home Care, DON of AL. Has 23 years experience.

Like I said in a previous thread. I am going on my 2nd interview for a hospital job and they have given me a "sample" medication test and one of the questions is this:

You calculated a dosage of medication to be 40 tablets of Lasix. What do you do next?

a) double check the order with the physician

b) recalculate the order

c) give the medication

d) hold the medication

e) all of the above

f) all except c

NOW, my point of view is this, what I would do next is, recalculate the order to see if I made an error in my calculations, however, after that, I would hold the medication and then double check the order with the physician. So, does next mean, first thing I would do, then I would pick B or should I pick F?? HELP!

snowyRN

Specializes in LTC/TELE. Has 6 years experience.

Recalculate and then double check with the dr....7yrs in nursing and have never seen anyone take 40 tablets of laxis...unless the hosp has them in 1mg and the pt needs 40 mg which is possible but I think the pharmacy would have the pills in 5,10 mgs etc etc

CityKat, BSN, RN

Specializes in Trauma.

I had a question that was similar to this when I had a second interview too. I answered recalculate and then I wrote that if I came up with the same answer as the first calculation, I would call the MD and hold the medication.

In real life, I recalculate and then I ask another nurse and if they see the same as me, I call the MD, but I always hold the medication if I think something looks funny.

kanzi monkey

Has 5 years experience.

what do you mean by "recalculating" the order? there doesn't appear to be any calculating involved (a "tablet" can't be a variable in an equation) --only the need to clarify the order with the doc. I HATE questions like that. Obviously you're not going to GIVE it--does not giving it necessarily mean you are holding it? Or does "holding" it mean that you just wouldn't give the patient lasix at all?

This is an unanswerable question, in my opinion. In real life, I'd page the doc and ask him/her to write an order for what they actually wanted the patient to have.

AnnieNHRN

Specializes in med/surg, ER, camp nursing. Has 10 years experience.

The answer is f) all except c. What they are looking for is that you will NOT GIVE the med and check/verify/hold the medication because you wouldn't give 40 tabs of ANYTHING without investigating.

Don't over think it. Safety first.

Midwest4me

Specializes in A myriad of specialties.

The answer is f) all except c. What they are looking for is that you will NOT GIVE the med and check/verify/hold the medication because you wouldn't give 40 tabs of ANYTHING without investigating.

Don't over think it. Safety first.

:yeahthat:

Raefabian4

Specializes in LTC, Rehab, Home Care, DON of AL. Has 23 years experience.

OMG, see this is my problem. I have to pick the answer that THEY think is the best and everyone looks and reads into a question differently. Of course I am going to do F but the word "next" got me to thinking if they wanted just the first thing I would do next.

llg, PhD, RN

Specializes in Nursing Professional Development. Has 44 years experience.

I think you gave the right answer ... and I agree with CityKat. The first thing you would do would be to double-check your work to be sure you did not make a calculation error. Think how foolish you would look and how the physician would react if he/she were to be called because you made a math error. If I didn't find a calculation error, I would check the chart to be sure I had read it correctly and ask another nurse to double-check both the written order and my calculations. Only if that did not work would I call the physician.

OMG, see this is my problem. I have to pick the answer that THEY think is the best and everyone looks and reads into a question differently. Of course I am going to do F but the word "next" got me to thinking if they wanted just the first thing I would do next.

yep, i'm reading it that way too.

i still say the NEXT action would be to recalculate.

leslie

Daytonite, BSN, RN

Specializes in med/surg, telemetry, IV therapy, mgmt. Has 40 years experience.

you calculated a dosage of medication to be 40 tablets of lasix. what do you do next?

a) double check the order with the physician

b) recalculate the order

c) give the medication

d) hold the medication

e) all of the above

f) all except c

the answer is b. re-check your math.

Pepper The Cat, BSN, RN

Specializes in Gerontology. Has 35 years experience.

Bring the 40 pills into the pt just to see their reaction when you tell them that they have to swallow 40 pills?? LOL.

I agree - I think this quesition is poorly worded. If possible, I would say, I would re-calculate, if I still got 40 pills, then I would procede with d and then a in that order.

Bring the 40 pills into the pt just to see their reaction when you tell them that they have to swallow 40 pills?? LOL.

I agree - I think this quesition is poorly worded. If possible, I would say, I would re-calculate, if I still got 40 pills, then I would procede with d and then a in that order.

Now that is so funny I really did laugh my a%# off. I wish I worked with someone who had half your sense of humor.

Whispera, MSN, RN

Specializes in psych, addictions, hospice, education.

I've never calculated a dose, so I'm confused by that part, but I also think the correct answer is F. Try not to think too much. Usually your first choice is the correct one.

JohnR,RN,CMSRN

Specializes in LTC, Critical Care, Med Surg, Dialysis. Has 4 years experience.

As a "NEW" nurse and an old Paramedic.....I would choose F

Daytonite, BSN, RN

Specializes in med/surg, telemetry, IV therapy, mgmt. Has 40 years experience.

you calculated a dosage of medication to be 40 tablets of lasix. what do you do next?

a) double check the order with the physician

b) recalculate the order

c) give the medication

d) hold the medication

e) all of the above

f) all except c

you must read the stem of the question carefully. the question is asking, what do you do next? that wording alone, eliminates choices e (all of the above) and f (all except c) because it clearly indicates that there is only one action it is looking for you to take, not a list of actions. there is a sequence of the actions to take. the order of actions would be:

  • recalculate the order
  • hold the medication
  • double check the order with the physician
  • give the medication

but that is not what the stem of the question asked.

Very strange question. First off, I don't think I ever had to calculate a lasix dose, the MD writes what he wants for his/her pt. I would pick F, bc when you recalculate you are essentially holding the med, not give the medication at the same time. So if there are simultaneous answers, it would have to be F... I would think.

i think some persons are mis applying the word calculate.....the manner in which it is to be administered is what is being "calculated" ie, how many tabs would be required to equal the dose ordered by the physician, that is why the answer is RECALCULATE.....

Pepper The Cat, BSN, RN

Specializes in Gerontology. Has 35 years experience.

Now that is so funny I really did laugh my a%# off. I wish I worked with someone who had half your sense of humor

Yeah - I'm a little warped at times!

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