A nurse is receiving a medication prescription by telephone from a provider. The provider states, "Administer 6 milligrams of morphine IV push every 3 hours as needed for acute pain." How should the nurse transcribe the prescription in the client's medical record?

Morphine 6 mg IV push every 3 hr PRN acute pain

Morphine 6.0 mg IV push every 3 hr PRN acute pain

MS 6 mg IV push every 3 hr PRN acute pain

MSO4 6 mg IV push every 3 hr PRN acute pain

Answer and Explanation

The Correct Answer is A

A. Morphine 6 mg IV push every 3 hr PRN acute pain:
This choice is correct. It accurately transcribes the medication name (morphine), the dosage (6 mg), the route (IV push), the frequency (every 3 hours), and the indication (PRN for acute pain).
B. Morphine 6.0 mg IV push every 3 hr PRN acute pain:
This choice is not incorrect, but it is unnecessary to include the trailing zero in the dosage (6.0 mg). Both "6" and "6.0" indicate the same value, and omitting the decimal point is common practice in medication dosages.
C. MS 6 mg IV push every 3 hr PRN acute pain:
This choice is incorrect. "MS" is an abbreviation for "morphine sulfate," but it's not widely used in modern healthcare settings. Using the full name "morphine" is clearer and less prone to confusion.
D. MSO4 6 mg IV push every 3 hr PRN acute pain:
This choice is incorrect. "MSO4" is the chemical symbol for morphine sulfate. While it's a valid abbreviation, it's not as commonly used as the full name "morphine." Using the full name of the medication is clearer and more familiar to healthcare professionals.

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Correct Answer is D

Explanation

A. Orthostatic hypotension: Orthostatic hypotension refers to a drop in blood pressure when changing from a lying to a standing position. This is not a common adverse effect of pioglitazone.
B. Tinnitus: Tinnitus is the perception of ringing or noise in the ears. There is no established link between pioglitazone and tinnitus.
C. Insomnia: Insomnia refers to difficulty falling asleep or staying asleep. Pioglitazone is not typically associated with causing insomnia as an adverse effect.
D. Fluid retention
Pioglitazone is a medication used to treat type 2 diabetes mellitus by improving insulin sensitivity and reducing insulin resistance. One of the potential adverse effects of pioglitazone is fluid retention, which can lead to edema (swelling) in the body. This is because pioglitazone has an impact on sodium and water balance in the body, which can cause fluid accumulation in tissues.
Therefore, the most appropriate adverse effect to monitor for in a client taking pioglitazone is fluid retention.

A. Apply a warm, moist compress. B. Slow the IV solution rate. C. Initiate a new IV distal to the initial site. D. Maintain the extremity below the level of the heart

Correct Answer is A

Explanation

A. Apply a warm, moist compress.
Explanation:
A cool and edematous IV infusion site could indicate infiltration of the IV site, which occurs when the IV fluid leaks into the surrounding tissue instead of entering the bloodstream. Applying a warm, moist compress to the site can help improve blood circulation and reduce the discomfort associated with infiltration. This action can also help reduce tissue damage.
B. Slow the IV solution rate: Slowing the IV solution rate might not be effective in resolving the infiltration. It's important to address the infiltration itself rather than just adjusting the rate of infusion.
C. Initiate a new IV distal to the initial site: While starting a new IV site might be necessary if the current site cannot be salvaged, it's not the initial action to take. Applying warm, moist compresses and assessing the severity of the infiltration are appropriate steps before considering a new IV site.
D. Maintain the extremity below the level of the heart: Elevating the extremity could help reduce swelling in some cases, but it's not the primary action to take when dealing with IV infiltration.
Remember, prompt assessment and appropriate interventions are essential to prevent complications associated with IV infiltration.

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A nurse is receiving a medication prescription by telephone from a provider. The provider states, "Administer 6 milligrams of morphine IV push every 3 hours as needed for acute pain." How should the nurse transcribe the prescription in the client's medical record?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has diabetes mellitus and is taking pioglitazone. The nurse should plan to monitor the client for which of the following adverse effects?

Correct Answer is D

Explanation

A nurse is assessing a client's IV infusion site and notes that the site is cool and edematous. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

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