A nurse is reviewing new prescriptions for a client. Which of the following prescriptions should the nurse clarify?
Propranolol extended-release 80 mg PO daily
Sertraline 125 mg daily
Pantoprazole 40 mg PO BID
Clonidine transdermal 0.1 mg/24h apply every 7 days
The Correct Answer is B
Choice A reason: Propranolol extended-release 80 mg PO daily is a standard prescription for hypertension and certain types of heart conditions. The dosage and frequency are within normal ranges, and the route of administration (PO, per os, or orally) is clear.
Choice B reason: Sertraline is typically prescribed at doses ranging from 50 to 200 mg daily for adults. A dose of 125 mg daily is not a standard increment for sertraline tablets, which come in 25 mg, 50 mg, and 100 mg strengths. Therefore, the nurse should clarify this prescription to ensure proper dosing and to confirm if the provider intends for the patient to take a combination of tablets to achieve this dose.
Choice C reason: Pantoprazole 40 mg PO BID (twice a day) is a common prescription for conditions like GERD or erosive esophagitis. The dosage, frequency, and route are appropriate and do not require clarificationâ¶.
Choice D reason: Clonidine transdermal 0.1 mg/24h applied every 7 days is a typical prescription for managing hypertension. The patch provides a continuous dose over a week, which is a standard practice for this form of medication.
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Related Questions
Correct Answer is ["3"]
Explanation
Step 1: Calculate the total daily dose in mg
The prescribed dose is1.5 mg every 12 hours. Since there are 24 hours in a day, the total daily dose in mg is1.5 mg × 2 = 3 mg.
Step 2: Calculate the total daily dose in mL
The available risperidone solution is1 mg/mL. So, to find out the total daily dose in mL, we divide the total daily dose in mg by the concentration of the solution. That is,3 mg ÷ 1 mg/mL = 3 mL.
The total daily dose in mL the nurse should administer is 3 mL. This is rounded to the nearest whole number as per your instructions.
Correct Answer is ["2"]
Explanation
Step 1: The total daily dose to be administered is300 mg of trazodone.
Step 2: The total daily dose is divided equally every 8 hours, so each dose is one third of the total daily dose. So, 300 mg ÷ 3 =100 mg per dose.
Step 3: The available trazodone tablets have a concentration of50 mg/tablet. This means that for every 1 tablet, there are 50 mg of trazodone.
Step 4: To find out how many tablets should be administered per dose, we divide the dose by the concentration. So, 100 mg ÷ 50 mg/tablet =2 tablets.
The nurse should administer 2 tablets of trazodone in each dose.
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