The nurse is examining new medication orders for a patient and notes the following order: Methadone 40.0 mg orally twice a day.
Why does the nurse contact the provider to clarify the order?
The medication dosage seems unusually low.
The abbreviation “BID” is listed as a “Do not use” abbreviation.
Trailing zeros should be avoided when writing medication orders.
There is no need to contact the provider.
The Correct Answer is C
Choice A rationale
The dosage of Methadone 40.0 mg orally twice a day does not seem unusually low. Methadone is a potent opioid medication used for pain management and the treatment of opioid dependence. Its dosage should be individualized based on the patient’s condition and response to treatment16.
Choice B rationale
The abbreviation “BID” is not listed as a “Do not use” abbreviation. It is a commonly used medical abbreviation that stands for “bis in die,” which means “twice a day” in Latin16.
Choice C rationale
Trailing zeros should be avoided when writing medication orders. Writing “40.0 mg” instead of “40 mg” can lead to dosing errors if the decimal point is not seen, potentially resulting in a tenfold overdose16.
Choice D rationale
There is a need to contact the provider to clarify the order due to the potential for dosing errors associated with the use of trailing zeros16.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D"]
Explanation
Choice A rationale
Using a sterile technique when packing the wound and changing the dressing twice a day is crucial to prevent further infection.
Choice B rationale
It is important to complete the full course of antibiotics, even if symptoms improve, to ensure the infection is fully treated and to prevent antibiotic resistance.
Choice C rationale
Diarrhea can be a side effect of some antibiotics. If it gets worse, it could be a sign of an infection such as Clostridium difficile, which requires immediate medical attention.
Choice D rationale
Rest is important for recovery. Strenuous activity could delay healing and increase the risk of complications.
Correct Answer is A
Explanation
Choice A rationale
Fatigue is a subjective symptom because it is experienced and reported by the patient. Patients with left-sided heart failure often experience fatigue due to the heart’s inability to pump sufficient blood to meet the body’s needs.
Choice B rationale
Elevated pulmonary capillary wedge pressure is an objective symptom that can be measured and observed by healthcare professionals. It is not something that a patient can directly experience or report.
Choice C rationale
Orthopnea, or difficulty breathing when lying flat, is a subjective symptom as it is based on the patient’s personal experience. However, it is not the best answer in this case because the question asks for the “subjective symptoms,” and fatigue is a more common subjective symptom of left-sided heart failure.
Choice D rationale
Cyanosis, or bluish discoloration of the skin due to poor circulation or inadequate oxygenation of the blood, is an objective symptom that can be observed by healthcare professionals. It is not something that a patient can directly experience or report.
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