A nurse is reviewing a new prescription for escitalopram 10 mg daily for a client who has depression. Which of the following components of the prescription should the nurse clarify with the provider?

Route

Medication

Dose

Time

Answer and Explanation

The Correct Answer is A

A. Route:
The route of administration for escitalopram should be clarified if it is not specified in the prescription. Escitalopram is typically administered orally, so confirming that this is the intended route ensures there is no misunderstanding or error in how the medication should be given.

B. Medication:
The medication, escitalopram, is correctly identified in the prescription and does not require clarification. It is a common antidepressant used for treating depression.

C. Dose:
The dose of 10 mg is a standard starting dose for escitalopram. It aligns with typical dosing guidelines, so there is no need for clarification regarding the dose.

D. Time:
While the timing of medication administration can be important, escitalopram is usually prescribed to be taken once daily, and the specific time of day is generally less critical unless it is mentioned as a specific instruction or the client has particular needs related to timing.

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Correct Answer is D

Explanation

A. Bupropion 150 mg PO once per day:
Bupropion 150 mg once daily is a common starting dose, especially for extended-release formulations. This dose is within the recommended range and does not require clarification.

B. Ibuprofen 200 mg PO q4 to 6 hr PRN pain:
Ibuprofen 200 mg every 4 to 6 hours as needed for pain is consistent with typical dosing guidelines for over-the-counter ibuprofen. This prescription is standard and does not require clarification.

C. Fluoxetine 20 mg PO QD:
Fluoxetine 20 mg daily (QD) is a standard starting dose for treating depression. This prescription is appropriate and aligns with common treatment guidelines.

D. Zolpidem 1.75 mg PO PRN at bedtime:
The standard dose for zolpidem is typically 5 mg to 10 mg taken at bedtime for the treatment of insomnia. A dose of 1.75 mg is unusual and lower than the usual recommended dose. Clarification is needed to ensure the dose is correct and appropriate for the client’s needs.

Correct Answer is ["3"]

Explanation

Step-by-Step Calculation

Understanding the Problem

Desired diazepam dose: 15 mg

Available concentration: 5 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 = 15 mg / 5 mg/mL = 3 mL

The nurse should administer 3 mL of diazepam.

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A nurse is reviewing a new prescription for escitalopram 10 mg daily for a client who has depression. Which of the following components of the prescription should the nurse clarify with the provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing a client's medication administration record. The nurse should identify that which of the following prescriptions requires clarification?

Correct Answer is D

Explanation

A nurse is preparing to administer diazepam 15 mg IM to a client who has status epilepticus. Available is diazepam injection 5 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["3"]

Explanation

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A nurse is reviewing a new prescription for escitalopram 10 mg daily for a client who has depression. Which of the following components of the prescription should the nurse clarify with the provider?