A nurse is reviewing new prescriptions for a client who was just admitted. For which of the following prescriptions should the nurse obtain further clarification from the provider?

Aspirin 81 mg PO daily

Acetaminophen 1000 mg PO every 6 hours prn for mild-moderate pain

Ibuprofen 400 mg PO every 4 hours prn for mild-moderate pain

Amoxilin 250 mg tablet PO X7 days

Answer and Explanation

The Correct Answer is D

A. Aspirin 81 mg PO daily:

Aspirin 81 mg daily is commonly used as a low-dose regimen for cardiovascular protection or as a preventive measure for certain conditions. This dosage is standard and does not require clarification.

B. Acetaminophen 1000 mg PO every 6 hours prn for mild-moderate pain:

The maximum recommended dose of acetaminophen is generally 4000 mg per day. A dose of 1000 mg every 6 hours, which totals up to 4000 mg daily, is within the acceptable limit for managing mild to moderate pain, assuming no liver dysfunction is present. This prescription is appropriate and does not need further clarification.

C. Ibuprofen 400 mg PO every 4 hours prn for mild-moderate pain:

Ibuprofen is typically dosed at 200 mg to 400 mg every 4 to 6 hours as needed. A dose of 400 mg every 4 hours is within the usual range for managing mild to moderate pain, and the total daily dosage should be monitored to avoid exceeding recommended limits. This prescription is generally acceptable.

D. Amoxicillin 250 mg tablet PO X7 days:

Amoxicillin is usually prescribed at higher doses for infections. A common dosage is 500 mg to 875 mg every 8 hours, depending on the infection being treated. The prescription of 250 mg for 7 days is unusually low and might not be effective for most infections, requiring clarification to ensure appropriate antibiotic therapy.

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Correct Answer is ["8"]

Explanation

Understanding the problem

We need to administer 2g of nafcillin.

The reconstituted solution has a concentration of 250 mg/mL.

We need to determine the volume to administer.

Step-by-step calculation

Convert grams to milligrams:

2 g = 2000 mg

Use the formula:

Volume (mL) = Desired dose (mg) / Concentration (mg/mL) = 2000 mg / 250 mg/mL

Calculate the volume:

Volume (mL) = 8 mL

Therefore, the nurse should administer 8 mL of the reconstituted nafcillin solution.

A. Enoxaparin 30 mg subcutaneous every 12 hours B. Hydrochlorothiazide 50 mg PO twice daily with meals C. Lovastatin 20 mg PO once daily D. Diltiazem 30mg PO hold for apical pulse rate less than 50/min

Correct Answer is D

Explanation

A. Enoxaparin 30 mg subcutaneous every 12 hours:

Enoxaparin is correctly prescribed at 30 mg every 12 hours for conditions like deep vein thrombosis. This dosing regimen is standard and does not require clarification.

B. Hydrochlorothiazide 50 mg PO twice daily with meals:

Hydrochlorothiazide is typically administered once daily, but doses up to 50 mg twice daily can be appropriate for specific conditions. This prescription is higher than usual but still within potential therapeutic ranges, so clarification is not immediately necessary unless there are other concerns.

C. Lovastatin 20 mg PO once daily:

Lovastatin at 20 mg once daily is a common dose for managing hyperlipidemia. This dosage is standard and does not require clarification.

D. Diltiazem 30 mg PO hold for apical pulse rate less than 50/min:

Diltiazem is a calcium channel blocker often used to manage hypertension or angina. The dose of 30 mg is quite low for this medication, and the instruction to hold if the apical pulse rate is below 50/min is standard. However, the very low dose of 30 mg might be unusual and needs clarification to ensure it is appropriate for the patient's condition and to prevent potential adverse effects.

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A nurse is reviewing new prescriptions for a client who was just admitted. For which of the following prescriptions should the nurse obtain further clarification from the provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer nafcillin 2 g IV bolus. The nurse reconstitutes a vial of nafcillin to yield a final concentration of 250 mg/ml. How many m 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 ["8"]

Explanation

A nurse is reviewing a client's prescriptions. The nurse should contact the provider to clarify which prescription?

Correct Answer is D

Explanation

A nurse is caring for a client who has heart failure and a prescription for digoxin 250mcg PO daily. Available is digoxin PO 0.25 mg/tablet How many tablets should the nurse administer per dose? (Round the answer to the whole number. Use a leading zero if it applies. Do not use a trailing zero)

A nurse is preparing to administer daptomycin 475 mg IV bolus. The nurse reconstitutes a vial of daptomycin to yield a final concentration of 0.5 g/10 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.)

A nurse is preparing to administer famotidine 40 mg PO at bedtime. Available is famotidine 20 mg/tablet. How many tablets should the nurse administer? (Round the answer to the whole number. Use a leading zero if it applies. Do not use a trailing zero.)