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
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 ["167"]
Explanation
To calculate the infusion rate in mL/hr for dextrose 5% in water 1,000 mL over 6 hours, you can use the following formula:
Infusion Rate (mL/hr) = Total Volume (mL) / Total Time (hr)
Infusion Rate = 1,000 mL / 6 hr ≈ 166.67 mL/hr
Rounded to the nearest whole number, the nurse should set the IV pump to deliver approximately 167 mL/hr.
Correct Answer is ["48"]
Explanation
To calculate how many milliliters (ml) of gentamicin to administer, follow these steps:
Calculate the client's weight in kilograms: Weight in kilograms = Weight in pounds / 2.2
Weight in kilograms = 210 lb / 2.2 Weight in kilograms ≈ 95.45 kg
Determine the dose based on the weight: Dose = 5 mg/kg × Weight in kilograms Dose = 5 mg/kg × 95.45 kg Dose ≈ 477.25 mg
Check the concentration of the available gentamicin: Concentration = 10 mg/mL
Calculate the volume (ml) to administer: Volume (ml) = Dose (mg) / Concentration (mg/ml) Volume (ml) = 477.25 mg / 10 mg/ml Volume (ml) ≈ 47.73 ml
Rounded to the nearest whole number, the nurse should administer approximately 48 ml of gentamicin.
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