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
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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Related Questions
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.
Correct Answer is ["105"]
Explanation
To calculate the IV pump setting, we need to convert the dosage from mg/min to mg/hr, and then find out how many mL/hr this corresponds to, given the concentration of the solution. First, multiply the ordered dose by 60 minutes to convert to an hourly rate: 7 mg/min * 60 min/hr = 420 mg/hr. Next, since we have 1 g of lidocaine in 250 mL, we convert 1 g to mg, which is 1000 mg. Now, we have 1000 mg in 250 mL, so we need to find out how many mL are needed for 420 mg. Using a proportion, we have 1000 mg/250 mL = 420 mg/x mL. Solving for x gives us x = (420 mg * 250 mL) / 1000 mg, which equals 105 mL. Therefore, the nurse should set the IV pump to deliver 105 mL/hr.
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