A nurse assists with the admission of a client to the postpartum unit and reviews the client's prescribed medications. The nurse should clarify which of the following prescriptions with the provider.

Bisacodyl 10 mg rectal now

Calcium carbonate 750 mg PO

Oxycodone 5 mg PO every 4 hr PRN for severe pain.

Ibuprofen 600 mg PO every 6 hr PRN for moderate pain

Answer and Explanation

The Correct Answer is A

Bisacodyl is a stimulant laxative that works by increasing the activity of the intestines to cause a bowel movement. It is usually used on a short-term basis to treat constipation or to empty the bowels before surgery or certain medical procedures. However, bisacodyl should not be used in postpartum clients who have had a cesarean delivery or an episiotomy, as it may cause straining and increase the risk of bleeding or infection. Therefore, the nurse should clarify this prescription with the provider and suggest an alternative laxative that is safer for postpartum clients, such as docusate sodium or psyllium.

Calcium carbonate 750 mg PO.

There is no need to clarify this prescription. Calcium carbonate is a common supplement used to provide calcium to the body, and it is typically taken orally.

Oxycodone 5 mg PO every 4 hr PRN for severe pain.

There is no need to clarify this prescription. Oxycodone is a strong opioid analgesic commonly used for severe pain management, and the specified dose and frequency are within the usual range.

Ibuprofen 600 mg PO every 6 hr PRN for moderate pain.

There is no need to clarify this prescription. Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) commonly used for pain relief, including moderate pain. The specified dose and frequency are within the usual range.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is ["25"]

Explanation

mL = mg / 4 mL = 100 / 4

mL = 25 / 1

This means that the client needs to take 25 mL of the propranolol solution every 12 hours to get the prescribed dose of 200 mg per day

A. The nurse should ensure that the rate of the client's terbutaline infusion does not exceed 18 mg/hr. B. The nurse should weigh the client to determine the rate of the terbutaline infusion. C. The nurse should increase the drip rate of the infusion by 5 mL/hr when titrating the dosage. D. The nurse should initiate the infusion of terbutaline if the client has five or more contractions in 1 hr.

Correct Answer is D

Explanation

Choice A reason: Ensuring that the rate of the client's terbutaline infusion does not exceed 18 mg/hr is incorrect. The prescription specifies the maximum rate as 30 mcg/min, not 18 mg/hr. The units are different, and the prescribed rate is much lower than 18 mg/hr. Terbutaline is typically administered in micrograms per minute, and the nurse should follow the specific rate and titration instructions provided in the prescription.

Choice B reason: Weighing the client to determine the rate of the terbutaline infusion is not necessary according to the prescription. The dosage and titration instructions are based on the number of uterine contractions and not on the client's weight. While weight-based dosing is common for some medications, this prescription provides clear guidelines for adjusting the infusion rate based on the client's contraction pattern.

Choice C reason: Increasing the drip rate of the infusion by 5 mL/hr when titrating the dosage is incorrect. The prescription specifies increasing the infusion rate by 5 mcg/min every 10 minutes until contractions stop, not by 5 mL/hr. The nurse should follow the prescribed titration instructions, which are based on micrograms per minute, to ensure the correct dosage and avoid potential complications.

Choice D reason: This is the correct interpretation of the prescription. The nurse should initiate the infusion of terbutaline if the client has five or more contractions in 1 hour. The prescription indicates that the infusion should start at 2.5 mcg/min and be increased by 5 mcg/min every 10 minutes until the contractions stop, with a maximum rate of 30 mcg/min. This approach helps manage uterine contractions effectively and ensures the client receives the appropriate dosage based on their contraction pattern.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse assists with the admission of a client to the postpartum unit and reviews the client's prescribed medications. The nurse should clarify which of the following prescriptions with the provider.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["25"]

Explanation

Correct Answer is D

Explanation

A nurse is caring for a client who is postpartum and has a prescription for oxytocin 10 units IM one time only for the saturation of a perineal pad in 15 min or less. How should the nurse interpret this prescription?

A nurse is preparing to administer lactated Ringer's 1,500 mL IV over 8 hr to a pregnant client who has gastroenteritis. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse is preparing to administer 2.5 L of lactated Ringer's to a client. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse is caring for a newborn who weighs 3,500 g. The nurse should record the newborn's weight as how many kg. (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse is caring for a newborn who weighs 6 lbs. The nurse should record the newborn's weight as how many g? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)