A nurse is reviewing medications prescribed for a client. For which of the following prescriptions should the nurse contact the provider for clarification?
Docusate sodium 200 mg PO at bedtime
Meloxicam 15 mg PO daily
Regular insulin 8 units subcutaneous before meals
Fentanyl 25 mcg/hr transdermal patch
None
None
The Correct Answer is C
a. Docusate sodium 200 mg PO at bedtime
● This prescription is appropriate for a stool softener (Docusate sodium) commonly used to prevent or treat constipation. It's a standard dosage and administration for this type of medication and doesn't require further clarification.
b. Meloxicam 15 mg PO daily
● Meloxicam is a nonsteroidal anti-inflammatory drug (NSAID) used for pain and inflammation. This prescription indicates a standard dosage and administration for this medication and doesn't require further clarification.
c. Regular insulin 8 units subcutaneous before mealsRegular insulin 8 units subcutaneous before meals is a vague and potentially dangerous prescription. The dose of insulin should be individualized based on the client's blood glucose level, carbohydrate intake, and activity level. A prescription for "before meals" without a sliding scale or specific blood glucose parameters is incomplete and potentially dangerous The nurse should contact the provider for clarification on how to adjust the dose according to the client's needs.
d. Fentanyl 25 mcg/hr transdermal patch
● Fentanyl patches are commonly used for chronic pain management. A dose of 25 mcg/hr is within the standard dosing range for patients who are opioid-tolerant. No clarification is typically needed for this prescription.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["25"]
Explanation
To calculate the flow rate in drops per minute (gtt/min) for the IV infusion of clindamycin, you can use the following formula:
Flow rate (gtt/min) = (Volume to be infused (mL) * Drop factor) / Time (minutes)
First, you need to determine the volume to be infused. In this case, it's 100 mL. The drop factor is given as 15 gtt/mL, and the time is 60 minutes (1 hour).
Now, plug these values into the formula:
Flow rate (gtt/min) = (100 mL * 15 gtt/mL) / 60 minutes
Flow rate (gtt/min) = (1500 gtt) / 60 minutes
Flow rate (gtt/min) = 25 gtt/min
So, the nurse should set the flow rate to deliver 25 gtt/min for the IV infusion of clindamycin.
Correct Answer is ["2.4"]
Explanation
To calculate the amount of calcitonin the nurse should administer, follow these steps:
Calculate the client's weight in kilograms: Weight in kilograms = Weight in pounds / 2.2 Weight in kilograms = 130 lb / 2.2 = 59.09 kg (rounded to two decimal places)
Calculate the total units of calcitonin needed: Total units = Weight in kilograms × Dose per kilogram Total units = 59.09 kg × 8 units/kg = 472.72 units
Determine the volume (ml) to administer using the concentration of the available calcitonin: Volume (ml) = Total units needed / Concentration (units/ml) Volume (ml) = 472.72 units / 200 units/ml = 2.36 ml
Rounded to the nearest tenth of a milliliter, the nurse should administer 2.4 ml of calcitonin.
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