A nurse is reviewing medication prescriptions for a client. For which of the following entries on the client's medication administration record should the nurse request clarification?

Simvastatin 40 mg PO at bedtime

Acetaminophen 500 mg every 4 hr PRN for fever

Morphine 4 mg IV every 4 hr PRN for pain

Levothyroxine 100 mcg PO every morning

Answer and Explanation

The Correct Answer is D

A. Simvastatin should be taken at bedtime, which is correct because the drug works best when cholesterol production is highest at night.

B. Acetaminophen is appropriate for treating fever as needed, with correct dosage and frequency.

C. Morphine administration is appropriate for managing pain in appropriate doses and timing.

D. Levothyroxine should be taken on an empty stomach, usually 30–60 minutes before breakfast. Therefore, taking it in the morning might require clarification if it’s not on an empty stomach.

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Correct Answer is D

Explanation

A. Epoetin alfa should be stored in the refrigerator but never frozen; thawing is not appropriate.

B. The medication should not be diluted prior to administration.

C. Shaking can denature the protein in the medication and is contraindicated.

D. A cloudy solution indicates contamination or degradation, and the medication should be discarded.

A. 1300 B. 1100 C. 1700 D. 2200

Correct Answer is A

Explanation

A. At a rate of 100 mL/hr, a 1,000 mL bag will infuse over 10 hours. Starting at 0700, the infusion will complete at 1700, but the nurse typically hangs a new bag 1 hour before completion to avoid delays. 1300 is 6 hours in, leaving 400 mL; it allows enough time to prepare and change bags proactively.

B. 1100 is too early.

C. 1700 is too late – the bag would be empty by then.

D. 2200 is unrelated to the infusion timeline.

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A nurse is reviewing medication prescriptions for a client. For which of the following entries on the client's medication administration record should the nurse request clarification?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing agency protocol prior to administering epoetin alfa to a client who has chronic kidney disease. Which of the following actions should the nurse plan to take?

Correct Answer is D

Explanation

A nurse is caring for a client who is receiving lactated Ringer's at a rate of 100 mL/hr. The nurse initiates a 1,000 mL bag of solution at 0700. The nurse should expect to hang another bag of IV solution at which of the following times?

Correct Answer is A

Explanation

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