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A nurse is reviewing new prescriptions for a newly admitted patient.
Which of the following prescriptions should the nurse seek further clarification from the provider?

A.

Desvenlafaxine 50 mg PO daily.

B.

Ketorolac nasal spray, one spray in each nostril every 6 hours as needed for moderate pain.

C.

Oxycodone 10 mg PO every 4 hours as needed for severe pain.

D.

Regular insulin 35 units subcutaneously 30 minutes before meals.

Answer and Explanation

The Correct Answer is D

 

The correct answer is choice D. Regular insulin 35 units subcutaneously 30 minutes before meals.

 

Choice A rationale:

 Desvenlafaxine 50 mg PO daily is a standard dosage for this antidepressant medication and does not typically require clarification unless there are specific patient concerns or contraindications.

 

Choice B rationale:

 Ketorolac nasal spray, one spray in each nostril every 6 hours as needed for moderate pain, is an appropriate prescription. However, it is important to monitor for potential side effects, especially with prolonged use.

 

Choice C rationale:

 Oxycodone 10 mg PO every 4 hours as needed for severe pain is a common prescription for managing severe pain. The nurse should ensure the patient is monitored for signs of opioid misuse or adverse effects.

 

Choice D rationale:

 Regular insulin 35 units subcutaneously 30 minutes before meals is an unusually high dose and could lead to hypoglycemia. This prescription should be clarified with the provider to ensure it is accurate and safe for the patient.


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Related Questions

Correct Answer is C

Explanation

Choice A rationale:

The label states to add 3.5 mL of diluent for reconstitution, not 5 mL. So, choice A is incorrect.

Choice B rationale:

After reconstitution, the vial will contain 1 gram of medication, not 500 mg. So, choice B is incorrect.

Choice C rationale:

The label does state to use the solution within 1 hour of reconstitution. So, choice C is correct.

Choice D rationale:

The label states the medication can be used for IM or IV, not only IM. So, choice D is incorrect.

So, the correct answer is C. Administer the medication within 1 hr of reconstitution.

Correct Answer is ["2 "]

Explanation

Step 1: Calculate the total daily dose of tobramycin. The doctor ordered 4 mg/kg/day, so 4 mg/kg/day × 60 kg = 240 mg/day.

Step 2: Divide the total daily dose into three equal doses, as it is to be given in three divided doses. So, 240 mg/day ÷ 3 = 80 mg/dose.

Step 3: Calculate the volume of tobramycin to administer per dose. The available tobramycin is 40 mg/mL, so 80 mg ÷ 40 mg/mL = 2 mL. The nurse should administer 2 mL of tobramycin per dose.

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