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 ["B","C","D"]
Explanation
Choice A rationale
A secure grip is important for safety, but it does not directly influence the biomechanical effectiveness of cane use. Teaching specific techniques for effective cane use is a priority in client education.
Choice B rationale
Holding the cane on the stronger side increases stability and reduces the risk of falls by redistributing weight to compensate for the weaker side during ambulation.
Choice C rationale
A slight elbow flexion allows for shock absorption and optimal mechanical leverage while using the cane, minimizing strain on the joints and enhancing control during ambulation.
Choice D rationale
Advancing the cane and weaker leg together ensures coordination and stability by aligning the center of gravity, which helps maintain balance and prevent falls during movement.
Choice E rationale
While a quad cane offers more support, its use is dependent on the client’s condition and specific needs. It is not a universal requirement for all cane users, making it less relevant for general instructions.
Correct Answer is C
Explanation
Choice A rationale
Administering Albuterol nebulizer 2.5 mg stat is appropriate for acute bronchospasm. Albuterol is a beta-agonist that relaxes airway smooth muscles, improving oxygenation. It is only administered when clinically indicated.
Choice B rationale
Methylprednisolone 50 mg IV is used for severe inflammation. It suppresses immune responses and reduces cytokine activity, but it does not directly address acute symptoms needing immediate intervention.
Choice C rationale
Reassessing vital signs ensures the patient’s stability before administering medications. This is vital in emergencies to evaluate therapy needs and prevent further clinical deterioration.
Choice D rationale
Notifying the provider about worsening symptoms after administration ensures timely interventions. However, preemptive measures, like reassessing stability, take priority before escalation.
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