A nurse is admitting a client to the postpartum unit and is reviewing the client's prescribed medications. The nurse should clarify which of the following prescriptions with the provider?
Losartan 25 mg every 12 hr
Ferrous fumarate 150 mg PO daily
Prochlorperazine 25 mg rectal every 12 hr PRN nausea
Docusate sodium 100 mg PO daily
The Correct Answer is A
A. Losartan is contraindicated in pregnancy due to its potential harmful effects on the fetus, and thus requires clarification with the provider in the postpartum period.
B. Ferrous fumarate is a standard supplement given postpartum to replenish iron stores and does not require clarification.
C. Prochlorperazine rectal suppositories are used PRN for nausea and do not typically require clarification unless there are specific concerns.
D. Docusate sodium is a stool softener commonly used postpartum and does not require clarification.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["133"]
Explanation
To calculate the infusion pump rate for a maintenance dose of magnesium sulfate, you need to determine how many milliliters per hour (mL/hr) will provide 4 grams (g) of magnesium sulfate per hour. Given that the pharmacy provides a 1-liter bag with 30 g of magnesium sulfate, this means there are 30,000 milligrams (mg) in 1,000 milliliters (mL) of solution. Since 1 g equals 1,000 mg, you need to administer 4,000 mg of magnesium sulfate per hour. To find the rate, divide the total amount of magnesium sulfate in the bag by the desired hourly dose: 30,000 mg divided by 4,000 mg per hour equals 7.5 hours of infusion time. Therefore, to administer the maintenance dose over one hour, you would set the infusion pump to 1,000 mL divided by 7.5 hours, which equals approximately 133.33 mL/hr = 133 mL/hr rounded off to the nearest whole number.
Correct Answer is ["2"]
Explanation
To calculate the correct dosage, the nurse needs to divide the total units prescribed by the concentration of units per milliliter available. In this case, 1,200,000 units prescribed divided by 600,000 units per mL results in 2 mL.
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