How it Works
Try Naxlex NCLEX-RN (Free-Trial)

A nurse is reviewing a client's new prescription for temazepam 30 mg PO. Which of the following should the nurse clarify with the provider?

A.

Time

B.

Medication

C.

Route

D.

Dose

Answer and Explanation

The Correct Answer is D

A) Time: Clarifying the time refers to confirming when the medication should be administered. This ensures that the client receives the medication at the correct time according to the provider's instructions, which is crucial for medications like temazepam that can affect sleep patterns.

B) Medication: Clarifying the medication involves confirming that temazepam is the correct medication prescribed for the client. This ensures there are no errors in medication administration and that the intended therapeutic effect is achieved.

C) Route: Clarifying the route involves confirming how the medication should be administered. For temazepam 30 mg PO, "PO" (by mouth) is the appropriate and common route for this medication.

D) Dose: Clarifying the dose is critical because 30 mg of temazepam is higher than the usual recommended dose for elderly patients, which is typically 7.5-15 mg. A higher dose can increase the risk of side effects such as sedation, confusion, and falls. Therefore, the nurse should verify the dose with the provider to ensure patient safety.


Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Free Nursing Study Resources

Related Questions

Correct Answer is ["3"]

Explanation

tep-by-Step Solution

Understanding the Problem

The client needs risperidone 1.5 mg every 12 hours.

We have risperidone solution 1 mg/mL.

We need to find the total daily dose in mL.

Step 1: Calculate the total daily dose in mg

The client receives 1.5 mg every 12 hours.

There are 2 doses in a day (every 12 hours).

So, the total daily dose in mg is 1.5 mg/dose X 2 doses = 3 mg.

Step 2: Convert mg to mL

We know that 1 mg of risperidone is in 1 mL of solution.

We have a total daily dose of 3 mg.

So, to find the volume in mL, we can set up a proportion:

1 mg / 1 mL = 3 mg / x mL

Step 3: Solve for x

Cross-multiply: 1 mg X x mL = 1 mL X 3 mg

Simplify: x mL = 3 mL

Therefore, the nurse should administer a total daily dose of 3 mL.

Correct Answer is A

Explanation

A. Sertraline 125 mg daily:
Sertraline, a selective serotonin reuptake inhibitor (SSRI), is typically started at doses such as 50 mg or 100 mg daily for depression or anxiety, with adjustments based on response and tolerability. A dose of 125 mg daily is unusual and not a standard dose, so clarification is needed to ensure it is appropriate for the client and within the recommended dosing range.

B. Pantoprazole 40 mg PO BID:
Pantoprazole, a proton pump inhibitor, is commonly prescribed at 40 mg twice daily (BID) for conditions such as severe gastroesophageal reflux disease (GERD). This dosing is within the usual range for treating more severe acid-related conditions.

C. Propranolol extended release 80 mg PO daily:
Propranolol extended release 80 mg daily is a standard dose for managing conditions such as hypertension or anxiety. This dosage is appropriate and does not require clarification.

D. Clonidine transdermal 0.1 mg/24 hr apply every 7 days:
Clonidine transdermal patches are typically applied every 7 days, with doses of 0.1 mg/24 hr being a standard starting dose. This prescription aligns with common dosing guidelines and does not need clarification.

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Register