The provider has ordered a medication for a patient in the electronic health record. The nurse compares the ordered medication to the drug guide, see table below.

Drug Guide Information

Provider Order

Drug: metoprolol succinate (Toprol-XL)

Dosage: 25 - 200 mg once daily

Route: by mouth, do not crush or chew

Metoprolol succinate 50 mg PO QD

What part of this order requires clarification by the nurse prior to administering the medication?

The frequency

The dose

The route

The medication

Answer and Explanation

The Correct Answer is C

A. The frequency: The ordered frequency (once daily, QD) aligns with the drug guide recommendation.

B. The dose: The prescribed dose (50 mg once daily) is within the recommended range (25-200 mg once daily).

C. The route: The nurse must ensure that the patient can swallow tablets whole, as metoprolol succinate should not be crushed or chewed. If the patient has swallowing difficulties, the provider should be consulted for an alternative formulation.

D. The medication: The correct formulation (metoprolol succinate, extended-release) matches the order.

Nursing Test Bank

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Correct Answer is A

Explanation

A. Placing an indwelling urinary catheter: Indwelling urinary catheters are a leading cause of catheter-associated urinary tract infections (CAUTIs), which are common healthcare-associated infections.

B. Administering medications through an NG tube: While NG tubes can introduce bacteria, they are not as high-risk as urinary catheters, which provide a direct route for infection.

C. Changing a sacral wound dressing: While wounds can become infected, proper wound care techniques minimize risk. Urinary catheters pose a greater risk due to prolonged exposure to bacteria.

D. Replacing an ostomy appliance: While maintaining hygiene is important, ostomy appliances are not a major source of healthcare-associated infections compared to urinary catheters.

A. 0.5 B. 2 C. 1 D. 5

Correct Answer is A

Explanation

The prescribed dose is 25 mg, and the available tablet strength is 50 mg. To calculate the correct dose:

25 mg ÷ 50 mg= 0.5

Answer: 0.5 tablets

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Stoma Assessment	Stoma is protruding 2cm, is red and moist. Peristomal area is clean and intact.
Output	Liquid stool that is malodorous. Gas present in the appliance.
General Status	Patient is avoiding looking at the ileostomy during care.
Laboratory Data	Potassium 3.6 mEq/L (normal 3.5 to 5 mEq/L) Sodium 137 mEq/L (normal 135 to 145 mEq/L) Creatinine 0.9 mg/dL (normal 0.6 to 1.2 mg/dL)

Laboratory Test	Reference Range	Patient Results
White Blood Cells	5,000- 10,000/mm3	9,500/mm3
Neutrophil Count	2.500-8,000/mm3	5,200/mm3
HIV	Negative	Positive

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

Order: Metoprolol Tartrate 25 mg PO each morning Available: Metoprolol Tartrate 50 mg tablets How many tablets will you administer per dose?

Correct Answer is A

Explanation

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