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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.

Answer and Explanation

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.

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Correct Answer is ["5"]

Explanation

Step 1 is to determine the amount of medication needed. This is done by dividing the desired dose by the available dose. So, we have 200 mg ÷ 40 mg/mL = 5 mL.

So, the correct answer is 5 mL.

Correct Answer is ["2"]

Explanation

Step 1 is to convert the client’s weight from pounds to kilograms. So, the client’s weight in kg is 175 lb ÷ 2.2 lb/kg = 79.55 kg. Step 2 is to calculate the total dose of lorazepam. The total dose is 0.05 mg/kg × 79.55 kg = 3.9775 mg. Step 3 is to calculate the volume to administer. The volume is 3.9775 mg ÷ 2 mg/mL = 1.98875 mL.

So, the correct answer is 2 mL after rounding to the nearest whole number.

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A nurse is reviewing medications prescribed for a client. For which of the following prescriptions should the nurse contact the provider for clarification?.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer megestrol 200 mg PO to a client. Available is megestrol oral suspension 40 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 ["5"]

Explanation

A nurse is preparing to administer lorazepam 0.05 mg/kg via IV bolus to a client who weighs 175 lb. Available is lorazepam 2 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 ["2"]

Explanation

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A nurse is reviewing medications prescribed for a client.
For which of the following prescriptions should the nurse contact the provider for clarification?.