Try Naxlex NCLEX-RN (Free-Trial)

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.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is ["1.9"]

Explanation

Step 1 is to convert the client’s weight from pounds to kilograms since the dosage is prescribed in mcg/kg. Given that 1 kg = 2.2 lb, we calculate:

165 lb ÷ 2.2 = 75 kg

Step 2 is to calculate the volume of naloxone to be administered. The prescribed dosage is 10 mcg/kg, so we first determine the total dose:

10 mcg/kg × 75 kg = 750 mcg

Next, we convert the available concentration of naloxone from mg/mL to mcg/mL:

0.4 mg/mL × 1000 mcg/mg = 400 mcg/mL

Now, we calculate the required volume by dividing the total dose by the concentration:

750 mcg ÷ 400 mcg/mL = 1.875 mL

Rounding to the nearest tenth, the correct amount to administer is 1.9 mL.

Correct Answer is ["50"]

Explanation

Step 1 is to convert the client’s weight from pounds to kilograms, since the dosage is prescribed in mg/kg. Given that 1 kg = 2.2 lb, we calculate:

219 lb ÷ 2.2 = 99.5 kg

Rounding to the nearest whole number, the client’s weight is 100 kg.

Step 2 is to determine the total dosage of amikacin required. The prescribed dosage is 5 mg/kg, so we calculate:

5 mg/kg × 100 kg = 500 mg

Step 3 is to determine the volume to administer. The available concentration of amikacin is 10 mg/mL, so we divide:

500 mg ÷ 10 mg/mL = 50 mL

Thus, the correct amount to administer is 50 mL.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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 naloxone 10 mcg/kg IM to a client who weighs 165 lb. Available is naloxone 0.4 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["1.9"]

Explanation

A nurse is preparing to administer amikacin 5 mg/kg via intermittent IV bolus to a client who weighs 219 lb. Available is amikacin 10 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 ["50"]

Explanation

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.)

A nurse is preparing to administer oxymorphone 1.5 mg IM to a client. Available is oxymorphone 1 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

The package insert instructs reconstituting with 3.4 mL of sterile water to yield nafcillin 250 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.)

A nurse is preparing to administer lactated Ringer's 250 mL IV to infuse over 15 min. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.). mL/hr.

Available is exenatide 250 mcg/mL. How many mL should the nurse administer? (Round the answer to the nearest hundredth. Use a leading zero if it applies. Do not use a trailing zero.)

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