The following medication orders are found in the patient's MAR:

Metformin HCI 500 mg PO daily at 0900.

Hydrochlorothiazide 25 mg PO every 12 hr at 0900 and 2100.

Digoxin .25 mg PO daily at 0900.

In reading the medication orders for the 0700-1500 shift, the nurse determines that the priority intervention is to:

Question the metformin HCI order.

Prepare to administer the 0900 medications.

Clarify the digoxin order.

Clarify the hydrochlorothiazide order.

Answer and Explanation

The Correct Answer is C

A. Question the metformin HCI order: Metformin 500 mg PO daily at 0900 is a standard dose for type 2 diabetes management. There is no immediate concern with the dose or timing that would make it unsafe or require urgent clarification. It can be prepared as scheduled.

B. Prepare to administer the 0900 medications: While administering medications on time is important, the nurse must first ensure that all prescriptions are safe and accurate. Administering digoxin without clarifying a potentially unsafe dose could put the client at risk for toxicity.

C. Clarify the digoxin order: Digoxin 0.25 mg PO daily is commonly prescribed, but decimal errors are a frequent source of medication mistakes. The nurse must verify the order with the healthcare provider before administration to prevent overdose or underdose, which could cause serious cardiac complications.

D. Clarify the hydrochlorothiazide order: Hydrochlorothiazide 25 mg every 12 hours is a typical regimen for hypertension or fluid management. The dose is standard, and there is no immediate safety concern requiring urgent clarification.

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Free Nursing Study Resources

Correct Answer is C

Explanation

A. Request 1,000 mg caplets from pharmacy: This is unnecessary because the pharmacy already dispensed caplets containing 1 gram, which is equivalent to 1,000 mg.

B. Calculate the ordered dose as 0.01 gram: Converting 1,000 mg to grams results in 1 gram, not 0.01 gram. This calculation is incorrect and could cause confusion.

C. Plan to give the patient one caplet: Each caplet contains 1 gram (1,000 mg), matching the prescribed dose. Administering one caplet fulfills the provider’s order accurately.

D. Ask the pharmacist to clarify the ordered dose: The order and the medication provided are consistent, so clarification is not necessary in this case.

A. 15 mL B. 7.5 mL C. 5 mL D. 10 mL

Correct Answer is A

Explanation

Given volume = 0.5 oz

Conversion factor: 1 oz = 30 mL

Calculate the volume in milliliters (mL).

Volume (mL) = Volume in oz x Conversion factor

= 0.5 oz x 30 mL/oz

= 15 mL

View Question and Answer

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Provider's Order: Valacyclovir HCI 1,000 mg PO daily. Pharmacy sends: Valtrex® (valacyclovir HCI) 1 gram Caplets The correct action by the nurse is to:

Correct Answer is C

Explanation

A nurse is preparing to administer furosemide 20 mg PO in 0.5 oz of apple juice. How many mL of apple juice will 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 A

Explanation

The patient is ordered 25 mg of an oral tablet every 12 hours. The drug bottle lists "50- mg scored tablets" on the label. Which statement, made by the nurse, provides accurate instruction to the patient?

A patient's medication dose was changed from 0.06 mg to a new dose of 0.054 mg. In reviewing the change in dose, the nurse is correct to inform the patient that:

The patient receives 5 liters of fluid. The nurse correctly records that the patient has received ______ mL.

The nurse is reviewing the following equivalent measurements. Which of the following is a household to metric measurement? Household Measurements 3 tsp = 1 tbsp 6 tsp = 2 tbsp 2 tbsp = 1 oz 1 tbsp = 15 mL

The nurse reads the following drug label: Cyanocobalamin Injection, USP 1,000 mcg per mL For IM or SUBQ Use Only 1 mL Multi-Dose Vial Contains a preservative. Protect from light. The nurse demonstrates safe practice when the routes of administration are identified as:

Which dosage strength, if transcribed onto the medication order sheet, would the nurse question?

The nurse is reviewing a metric to household equivalent measurement conversion chart. Which of the following written equivalent measurements would the nurse question?