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All of the following medication orders are found in a patient's MAR. Select the medication order that requires clarification prior to administration.

A.

Captopril 12.5 mg PO at 0700 and 1700

B.

Ketorolac 15 mg IM stat

C.

Morphine sulfate 45.0 mg PO once a day for pain

D.

Regular insulin 7 units SUBQ 30 minutes before breakfast

Answer and Explanation

The Correct Answer is C

A. Captopril 12.5 mg PO at 0700 and 1700: The dose, route, and timing are clearly specified, so no clarification is needed before administration.

B. Ketorolac 15 mg IM stat: The order provides a clear dose, route, and timing for immediate administration, making it safe to give without clarification.

C. Morphine sulfate 45.0 mg PO once a day for pain: The use of a trailing zero (45.0 mg) can lead to dosing errors if the decimal point is misread. Standard practice is to write whole numbers without a trailing zero (45 mg). The nurse should clarify with the prescriber to ensure safe administration.

D. Regular insulin 7 units SUBQ 30 minutes before breakfast: The dose, route, and timing are clearly indicated, so this order does not require clarification.


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Related Questions

Correct Answer is B

Explanation

A. 2: Two tablespoons equal 30 mL, which is double the 15 mL being converted. Using this conversion would result in giving twice the intended dose, which could be dangerous.

B. 1: One tablespoon equals 15 mL, making this the correct household equivalent. This conversion allows the patient to accurately measure the prescribed medication using common kitchen utensils.

C. 4: Four tablespoons equal 60 mL, which is four times the intended 15 mL dose. This would significantly overdose the patient if used for measurement.

D. 3: Three tablespoons equal 45 mL, which is three times the intended 15 mL dose. This conversion is incorrect and could result in serious medication errors.

Correct Answer is C

Explanation

A. Injected into the subcutaneous tissue: Subcutaneous injections deliver medication into the fatty tissue under the skin. This route is not appropriate for a sublingual order and would prevent rapid absorption through the oral mucosa.

B. Placed between the gum and lining of the cheek: This describes the buccal route, which allows absorption through the cheek lining. While similar to sublingual, it is not the intended route for a sublingual medication, which must be placed under the tongue for rapid systemic absorption.

C. Placed under the tongue: Sublingual administration involves placing the medication beneath the tongue, allowing it to dissolve and absorb directly into the bloodstream. This route bypasses the gastrointestinal tract and first-pass metabolism, providing rapid onset of action.

D. Inhaled through the nasal mucosa: Nasal administration delivers medication through the respiratory mucosa and is not appropriate for sublingual drugs. Using this route would result in improper absorption and therapeutic effect.

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