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
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
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Elbows and behind the ears: These areas are not primary pressure points in a seated position.
B. Coccyx and back of the skull: The coccyx is a pressure point when lying down, but this patient is sitting most of the time.
C. Heels and trochanter: Heels are at risk in supine patients, but this patient is primarily sitting.
D. Sacrum and ischium: The sacrum and ischium (sit bones) bear the most pressure in a seated position, making them highly vulnerable to skin breakdown.
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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