A nurse is preparing to administer fluoxetine 60 mg PO daily divided equally every 12 hr to a client who has depression. Available is fluoxetine 15 mg tablets. How many tablets should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.}

A) ibuprofen 200 mg PO every 4 to 6 hr PRN:
Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) used for pain relief or inflammation. The prescription of 200 mg every 4 to 6 hours PRN is within the normal dosing range for adults and follows standard practices. The client should not exceed the recommended daily dose of 1200 mg when using over-the-counter ibuprofen. No further clarification is needed for this prescription.

B) Fluoxetine 20 mg PO OD in the a.m:
Fluoxetine is a selective serotonin reuptake inhibitor (SSRI) commonly prescribed for conditions like depression, anxiety, and obsessive-compulsive disorder. The prescribed dose of 20 mg once daily in the morning is appropriate, as fluoxetine is often started at 20 mg for depression treatment. No clarification is necessary for this prescription.

C) Bupropion 150 mg PO once per day:
Bupropion is used for depression, smoking cessation, and other conditions. A starting dose of 150 mg daily is common for this medication. Bupropion is typically prescribed once daily in the morning to minimize insomnia and prevent adverse effects. No clarification is needed for this prescription.

D) Zolpidem 5 mg PO once per day PRN sleep:
Zolpidem is a sedative-hypnotic used to treat insomnia. The prescribed dose of 5 mg daily is within the standard range for women and appropriate for starting treatment. However, the prescription states "PRN" (as needed), which may not align with proper use for treating insomnia, as zolpidem is typically prescribed for nightly use when needed. Additionally, using zolpidem PRN may be confusing for the client, as it is often intended for short-term use when sleep disturbances are persistent. It would be prudent to clarify the frequency of use and ensure the dosing schedule aligns with best practices for insomnia treatment.

A) Time:
The prescription does not specify the time at which the medication should be taken. Tamazepam is often prescribed for sleep or anxiety, and without specifying whether it should be taken in the evening or at a particular time of day, the nurse cannot ensure the correct administration of the medication. The nurse should clarify with the provider the appropriate time for administration to ensure its effectiveness and avoid potential misuse.

B) Dose:
The dose of 30 mg is clearly specified in the prescription. While the exact dose can sometimes vary depending on the clinical scenario, this dose is commonly prescribed for tamazepam, so no clarification is needed regarding the dose.

C) Route:
The prescription specifies "PO," which stands for "by mouth," indicating the correct route of administration. In this case, tamazepam is typically administered orally, and the route is consistent with standard practices for this medication. If the prescription clearly states the route as "PO," there is no immediate need for clarification unless there is ambiguity, such as unclear instructions or a different route being required for the client's condition. The route of administration is appropriately addressed in this prescription.

D) Medication:
The medication prescribed is "tamazepam," which is correctly listed and commonly used for conditions such as anxiety or insomnia. As long as the nurse recognizes the medication as appropriate for the client's diagnosis, there is no need to clarify this component. The medication name appears clear and unambiguous, and any clarification would only be necessary if there was a typo, such as a misspelling or confusion with a similarly named drug.