A nurse assists with the admission of a client to the postpartum unit and reviews the client's prescribed medications. The nurse should clarify which of the following prescriptions with the provider.
Bisacodyl 10 mg rectal now
Calcium carbonate 750 mg PO
Oxycodone 5 mg PO every 4 hr PRN for severe pain.
Ibuprofen 600 mg PO every 6 hr PRN for moderate pain
The Correct Answer is A
Bisacodyl is a stimulant laxative that works by increasing the activity of the intestines to cause a bowel movement. It is usually used on a short-term basis to treat constipation or to empty the bowels before surgery or certain medical procedures. However, bisacodyl should not be used in postpartum clients who have had a cesarean delivery or an episiotomy, as it may cause straining and increase the risk of bleeding or infection. Therefore, the nurse should clarify this prescription with the provider and suggest an alternative laxative that is safer for postpartum clients, such as docusate sodium or psyllium.
Calcium carbonate 750 mg PO.
There is no need to clarify this prescription. Calcium carbonate is a common supplement used to provide calcium to the body, and it is typically taken orally.
Oxycodone 5 mg PO every 4 hr PRN for severe pain.
There is no need to clarify this prescription. Oxycodone is a strong opioid analgesic commonly used for severe pain management, and the specified dose and frequency are within the usual range.
Ibuprofen 600 mg PO every 6 hr PRN for moderate pain.
There is no need to clarify this prescription. Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) commonly used for pain relief, including moderate pain. The specified dose and frequency are within the usual range.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["2.9"]
Explanation
Let’s calculate the IV pump rate for administering dobutamine to a preterm newborn.
Step 1 is to convert the dose from mcg/kg/min to mg/kg/min. We know that 1 mg = 1000 mcg, so we have:
12 mcg/kg/min ÷ 1000 = 0.012 mg/kg/min
Step 2 is to calculate the total amount of dobutamine the newborn needs per minute:
0.012 mg/kg/min × 2 kg = 0.024 mg/min
Step 3 is to convert this to an hourly rate:
0.024 mg/min × 60 min/hr = 1.44 mg/hr
Step 4 is to calculate the volume of the solution that contains this amount of dobutamine. We know that 250 mg of dobutamine is dissolved in 500 mL of solution, so:
(1.44 mg/hr ÷ 250 mg) × 500 mL = 2.88 mL/hr
So, the nurse should set the IV pump to deliver approximately 2.9 mL/hr (rounded to the nearest tenth).
Correct Answer is ["0.5"]
Explanation
Volume = Dose / Concentration Volume = 15 mg / 30 mg/mL
Volume = 0.5 mL
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