Which prescription should the nurse clarify with the provider prior to administration?
Potassium Chloride 20 mEq PO daily.
HCTZ 25 mg PO daily.
Amlodipine 10 mg PO daily.
Clonidine 1 mg PO TID PRN for systolic blood pressure of 180.
The Correct Answer is D
Choice A rationale
Potassium chloride 20 mEq daily is a common dose for hypokalemia prevention or treatment. Normal serum potassium is 3.5–5.0 mEq/L. This dose is unlikely to cause adverse effects without significant hyperkalemia.
Choice B rationale
Hydrochlorothiazide 25 mg daily effectively manages hypertension by reducing fluid retention. It can cause hypokalemia; thus, monitoring serum potassium is crucial. Normal serum potassium range is 3.5–5.0 mEq/L.
Choice C rationale
Amlodipine 10 mg daily is a standard antihypertensive dose. It is a calcium channel blocker that dilates blood vessels, lowering blood pressure without significant adverse effects in most patients.
Choice D rationale
Clonidine 1 mg TID PRN for systolic blood pressure above 180 is excessive. Normal doses are 0.1–0.3 mg. High doses risk severe hypotension, bradycardia, and withdrawal symptoms. This requires clarification.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Answer and explanation
The correct answer is Choice C.
Choice A rationale
Procedures can be canceled even after consent. This statement disregards the client’s autonomy and right to change their decision regarding the planned surgery.
Choice B rationale
Encouraging immediate surgery does not respect the client’s doubts. This approach may undermine trust and does not address the client’s need for reassurance or clarification.
Choice C rationale
The surgeon is the most qualified to address the client’s concerns. Providing accurate, detailed explanations respects the client’s autonomy and supports informed decision-making about the surgery.
Choice D rationale
Nurses are not responsible for explaining surgical procedures. This explanation should be provided by the surgeon to ensure clarity, accuracy, and client understanding of the medical details.
Correct Answer is D
Explanation
Choice A rationale
The presence of white blood cells in urine (pyuria) suggests infection rather than occlusion. White blood cells are part of the immune response and indicate inflammation or urinary tract infection.
Choice B rationale
Cloudy urine results from debris, bacteria, or excess proteins, often associated with infection rather than occlusion. While significant, cloudy urine does not directly signify mechanical blockage of the catheter.
Choice C rationale
Urinary urgency is more commonly a symptom of bladder irritation or infection and not catheter occlusion. Catheterization bypasses the bladder, reducing the likelihood of perceived urgency.
Choice D rationale
Bladder distention occurs when urine accumulates due to impaired drainage, a classic sign of catheter occlusion. It indicates a mechanical blockage, preventing normal urinary flow through the catheter.
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