A nurse in a prenatal clinic is caring for a client who has a new prescription for nystatin cream 100,000 units/g to the affected area. The nurse should recognize that which of the following elements of the prescription requires clarification by the provider?

Frequency of administration

Concentration of the medication

Name of the medication

Route of administration

Answer and Explanation

The Correct Answer is A

A. Frequency of administration: The prescription does not specify how often the nystatin cream should be applied. This is a critical piece of information necessary for the safe and effective use of the medication, and the nurse should clarify it with the provider.

B. Concentration of the medication: The concentration of 100,000 units/g is a standard dosage for nystatin cream and does not require clarification.

C. Name of the medication: Nystatin cream is clearly identified in the prescription, so there is no ambiguity regarding the medication.

D. Route of administration: The prescription specifies that the cream should be applied to the affected area, indicating the topical route, which is clear and appropriate for nystatin cream.

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Correct Answer is D

Explanation

A. Administering a lactated Ringer's IV bolus is not indicated for vaginal bleeding and would not address the underlying issue.
B. Applying an ice pack to the incision site does not address the postpartum bleeding and is not appropriate.
C. Replacing the surgical dressing is important for wound care but does not address the ongoing vaginal bleeding.
D. Evaluating urinary output is essential to assess for possible urinary retention, which can contribute to uterine atony and postpartum bleeding. This assessment helps the nurse determine the client's fluid balance and potential causes of bleeding.

Correct Answer is ["4.8"]

Explanation

To calculate the IV pump setting for dobutamine administration, first determine the total mcg per minute for the newborn, which is 10 mcg/kg/min multiplied by the newborn's weight. For a 4 kg newborn, this would be 40 mcg/min. Next, convert the available dobutamine concentration to mcg/mL by dividing the total mg available by the volume in mL, resulting in 250 mg / 500 mL = 0.5 mg/mL, which is equivalent to 500 mcg/mL. Now, divide the newborn's required mcg/min by the concentration in mcg/mL to find the mL/min, which is 40 mcg/min / 500 mcg/mL = 0.08 mL/min. Finally, convert this to mL/hr by multiplying by 60, resulting in 4.8 mL/hr. After rounding to the nearest tenth, the IV pump should be set to deliver 4.8 mL/hr.

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A nurse in a prenatal clinic is caring for a client who has a new prescription for nystatin cream 100,000 units/g to the affected area. The nurse should recognize that which of the following elements of the prescription requires clarification by the provider?

B. Concentration of the medication: The concentration of 100,000 units/g is a standard dosage for nystatin cream and does not require clarification.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who delivered by cesarean birth 6 hr ago. The nurse notes a steady trickle of vaginal bleeding that does not stop with fundal massage. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

Correct Answer is ["4.8"]

Explanation

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