A nurse is reviewing a client's new prescription for tamezepam 30mg PO. Which of the following should the nurse clarify with the provider?
Time
Dose
Route
Medication
The Correct Answer is A
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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A) Dissolve the tablet in 118 mL (4 oz) liquid:
Fentanyl buccal tablets should not be dissolved in liquid before administration. These tablets are designed to be absorbed through the mucosal lining of the cheek and gums, not the gastrointestinal tract. Dissolving the tablet in liquid would impair the effectiveness and intended absorption method of the medication.
B) Have the client chew the medication before swallowing:
Chewing a buccal tablet is contraindicated because it interferes with the absorption of the medication. Buccal tablets are intended to dissolve slowly when placed between the cheek and gums, allowing the medication to be absorbed through the mucosa. Chewing it would cause the medication to be absorbed improperly and reduce its efficacy.
C) Mix the medication in 5 mL (1 tsp) soft food:
Buccal tablets should not be mixed with food. The medication needs to dissolve in the mouth to be absorbed directly through the mucous membranes of the cheek and gums. Mixing the tablet with food could disrupt the intended absorption process and make the medication less effective.
D) Place the tablet between the client's cheek and gums:
This is the correct method for administering a buccal tablet. The tablet should be placed between the cheek and gums, where it will dissolve slowly and the medication will be absorbed directly through the mucosal lining. This ensures proper absorption of the medication and effectiveness.
Correct Answer is ["2"]
Explanation
Identify the Desired Dose and Available Concentration:
Desired Dose: 25 mg of risperidone
Available Concentration: 25 mg/2 mL (This means there are 25 mg of risperidone in every 2 mL of solution)
Set up the Calculation:
We need to find the volume (in mL) that contains the desired dose of 25 mg.
We can use the following formula:
Volume (mL) = (Desired Dose (mg) / Available Concentration (mg)) x Volume of Available Solution (mL)
Plug in the Values and Calculate:
Volume (mL) = (25 mg / 25 mg) x 2 mL
Volume (mL) = 1 x 2 mL
Volume (mL) = 2 mL
Round to the Nearest Whole Number :
2 mL
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