A provider has prescribed quetiapine 50 mg PO, divided equally every 12 hours for 3 days. The available medication is quetiapine 25 mg tablets.

How many tablets should the nurse administer per dose on the third day?

Choice A rationale

Establishing a patient relationship is important, but it’s not the first action the nurse should take. The nurse must first ensure safety for all involved.

Choice B rationale

Exploring the truth of the patient’s statements is a part of the therapeutic process, but it’s not the first step. The immediate concern should be to ensure safety.

Choice C rationale

Setting behavioral limits for the patient is the first action the nurse should take. This is crucial in managing a patient who has shown aggressive behavior. It helps to establish boundaries and expectations, which can prevent further aggressive incidents.

Choice D rationale

While it’s important to explain to the patient that the behavior was unacceptable, this is not the first action. The immediate priority is to ensure safety by setting behavioral limits.

The condition that poses the greatest risk to the newborn is Meconium aspiration syndrome due to color of amniotic fluid.

Meconium aspiration syndrome is a serious condition that can occur when a newborn inhales a mixture of meconium (the first stool) and amniotic fluid into the lungs around the time of delivery. The dark brown-greenish color of the amniotic fluid indicates the presence of meconium, which increases the risk of this condition.