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?
Time
Medication
Route
Dose
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Divalproex 1.5 g PO twice daily:
Divalproex (valproic acid) is used for managing mania and typically dosed between 750 mg and 3 g daily, depending on the specific needs of the client and their blood levels. However, 1.5 g twice daily (3 g total daily) might be higher than usual initial dosing and could warrant clarification to ensure that this is an appropriate dose for the client and does not exceed recommended maximums.
B. Lithium 300 mg PO three times daily:
Lithium is commonly prescribed for mania, and 300 mg three times daily is a standard dosing regimen. Lithium levels are monitored to ensure therapeutic efficacy and avoid toxicity, so this dosage is within a typical range.
C. Clonazepam 0.5 mg PO three times daily:
Clonazepam is a benzodiazepine that can be used to manage anxiety or agitation associated with mania. A dose of 0.5 mg three times daily is within the usual range for short-term management and does not typically require clarification.
D. Risperidone 3.0 mg PO daily:
Risperidone is an atypical antipsychotic used to manage symptoms of mania, and 3 mg daily is a common starting dose. This dosage is appropriate and generally does not require further clarification.
Correct Answer is ["1.5"]
Explanation
Answer
The nurse should administer 1.5 mL of haloperidol.
Step-by-Step Calculation
Understanding the Problem
Desired dose: 75 mg haloperidol
Available concentration: 50 mg/mL
We need to find the volume to administer.
Calculations
Calculate the volume to administer:
Volume (mL) = Desired dose (mg) / Concentration (mg/mL)
Volume = 75 mg / 50 mg/mL = 1.5 mL
The nurse should administer 1.5 mL of haloperidol.
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