The nurse is transcribing a medication order and schedules dosing for 10:00 AM, 2:00 PM and 6:00 PM. Which medication order is consistent with this schedule?

Propranolol 10 mg PO twice a day

Diazepam 5 mg PO three times a day

Cephalexin 500 mg PO q4 hours

Morphine Sulfate 10 mg IM q 4 hours pr pain

Answer and Explanation

The Correct Answer is B

Choice A rationale: Propranolol 10 mg PO twice a day would typically be given with a more extended interval between doses, not at 10:00 AM, 2:00 PM, and 6:00 PM.
Choice B rationale: Diazepam 5 mg PO three times a day would align with the specified dosing schedule of 10:00 AM, 2:00 PM, and 6:00 PM.
Choice C rationale: Cephalexin 500 mg PO q4 hours would require more frequent dosing than the specified schedule.
Choice D rationale: Morphine Sulfate 10 mg IM q4 hours prn pain is ordered every 4 hours, not at the specified times of 10:00 AM, 2:00 PM, and 6:00 PM.

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Correct Answer is C

Explanation

Choice A rationale: Pursed-lip breathing is a compensatory mechanism to improve oxygenation and is not as severe an indication as cyanosis.

Choice B rationale: Clubbing of the nails is a chronic sign of oxygenation issues but may not be an acute and immediate indication of deterioration.

Choice C rationale: Cyanosis, the bluish discoloration of the skin and mucous membranes, is a serious indication of inadequate oxygenation.

Choice D rationale: Poor skin turgor is not a direct indicator of oxygenation status.

A. Maintaining continuous oxygen therapy B. Maintaining a consistent air temperature in the client's room C. Keeping the client in a supine position as much a possible D. Assisting the client to maintain an adequate fluid intake

Correct Answer is D

Explanation

Choice A rationale: Maintaining continuous oxygen therapy does not directly address the thinning of respiratory secretions.

Choice B rationale: Maintaining a consistent air temperature in the client's room is not directly related to thinning respiratory secretions.

Choice C rationale: Keeping the client in a supine position as much as possible is not the most helpful action for thinning respiratory secretions.

Choice D rationale: Assisting the client to maintain an adequate fluid intake is the most helpful action in thinning respiratory secretions, promoting hydration and mobilization of secretions.

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The nurse is transcribing a medication order and schedules dosing for 10:00 AM, 2:00 PM and 6:00 PM. Which medication order is consistent with this schedule?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

Which nursing action is most helpful in thinning a client's thick respiratory secretions?

Correct Answer is D

Explanation

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