A nurse is reviewing admission prescriptions for a group of clients. Which of the following prescriptions should the nurse identify as complete?
Aspirin 1 tablet daily
Furosemide 20 mg BID
Nitroglycerin transdermal patch
Metoprolol 5 mg now
The Correct Answer is B
A. Aspirin 1 tablet daily. This prescription is incomplete because it does not specify the dose in milligrams. Aspirin comes in multiple strengths, and clarity is essential to ensure safe administration.
B. Furosemide 20 mg BID. This prescription is complete because it includes the medication name, dosage (20 mg), and frequency (twice daily). It provides all necessary components for safe administration.
C. Nitroglycerin transdermal patch. This order lacks critical details such as the dosage, frequency, and duration of use. Without this information, the prescription is incomplete and cannot be safely implemented.
D. Metoprolol 5 mg now. Although it includes the medication, dosage, and timing, it does not specify the route (e.g., oral, IV), which is necessary for the prescription to be considered complete.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D","E","F","G","H"]
Explanation
- Client reports feeling unwell: This is clinically significant when combined with fever, foul-smelling lochia, and elevated WBCs; it could indicate systemic infection such as endometritis.
- Fundus boggy but firms with massage: Indicates uterine atony, a risk factor for postpartum hemorrhage. Even if it responds to massage, repeated bogginess suggests the need for uterotonic medications and close monitoring.
- Foul-smelling, dark brown lochia: These findings are highly suggestive of uterine infection (endometritis), especially when paired with uterine tenderness, fever, and elevated WBCs.
- WBC count 33,000/mm³: Severely elevated — well above normal postpartum leukocytosis (typically up to 20,000/mm³). A level of 33,000 strongly suggests an ongoing infectious process.
- Temperature 38.2°C (100.8°F): Slightly elevated, and while low-grade fever is common postpartum, when associated with uterine tenderness and abnormal lochia, it raises concern for infection and should be monitored and managed appropriately.
- Lung sounds diminished in the bases: Could be due to post-surgical hypoventilation, immobility, or atelectasis. Should prompt encouragement of deep breathing, incentive spirometry, and ambulation.
- No bowel movement since birth, hypoactive bowel sounds: This is a common post-cesarean finding due to anesthesia and immobility, but it still indicates delayed return of GI function and should be monitored for signs of ileus.
Correct Answer is C
Explanation
A. 0.45% saline. This is a hypotonic solution, which may be used later in diabetic ketoacidosis (DKA) management, but it is not appropriate for initial fluid resuscitation as it does not rapidly expand intravascular volume.
B. NPH insulin. NPH is an intermediate-acting insulin and is not used for continuous infusion. In DKA, rapid insulin correction is needed, typically with a short-acting insulin like regular insulin.
C. 0.9% normal saline. This isotonic fluid is the first-line choice for fluid replacement in clients with DKA. It helps restore circulating volume and correct dehydration quickly, which is a critical initial intervention.
D. Glargine insulin. Glargine is a long-acting insulin and not suitable for IV infusion. DKA requires the use of short-acting insulin (e.g., regular insulin) administered via IV infusion to correct hyperglycemia and acidosis.
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