A nurse is reviewing medications prescribed for a client.
For which of the following prescriptions should the nurse contact the provider for clarification?.
Meloxicam 15 mg Po daily.
Regular insulin 8 units subcutaneous before meals.
Docusate sodium 200 mg PO at bedtime.
Fentanyl 25 mcg/hr transdermal patch.
The Correct Answer is D
Choice A rationale:
Meloxicam 15 mg PO daily is a standard dose for treating osteoarthritis and rheumatoid arthritis.
Choice B rationale:
Regular insulin 8 units subcutaneous before meals is a typical dose for managing blood glucose levels in diabetes.
Choice C rationale:
Docusate sodium 200 mg PO at bedtime is a common dose for preventing constipation.
Choice D rationale:
Fentanyl 25 mcg/hr transdermal patch is a potent opioid, and the dose should be carefully monitored. If the client has not been on opioid therapy, this dose might be too high.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["83"]
Explanation
Step 1 is to calculate the total volume to be infused. The total volume is 1 L, which is equal to 1000 mL. Step 2 is to divide the total volume by the total time. The total time is 12 hours. So, the calculation is 1000 mL ÷ 12 hr = 83.33 mL/hr.
So, the correct answer is 83 mL/hr, after rounding to the nearest whole number.
Correct Answer is ["68"]
Explanation
Step 1 is to convert the client’s weight from pounds to kilograms, as the dosage is prescribed in mg/kg. Given that 1 kg = 2.2 lb, we calculate:
99 lb ÷ 2.2 = 45 kg
Rounding to the nearest whole number, the client’s weight is 45 kg.
Step 2 is to determine the total dosage of acetaminophen required. The prescribed dosage is 15 mg/kg, so we calculate:
15 mg/kg × 45 kg = 675 mg
Step 3 is to determine the volume to administer. The available concentration of acetaminophen is 1,000 mg/100 mL, which simplifies to 10 mg/mL. So, we divide:
675 mg ÷ 10 mg/mL = 67.5 mL
Rounding to the nearest whole number, the correct amount to administer is 68 mL.
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