A nurse is admitting a client to the postpartum unit and is reviewing the client's prescribed medications. The nurse should clarify which of the following prescriptions with the provider?
Losartan 25 mg every 12 hr
Ferrous fumarate 150 mg PO daily
Prochlorperazine 25 mg rectal every 12 hr PRN nausea
Docusate sodium 100 mg PO daily
The Correct Answer is A
A. Losartan is contraindicated in pregnancy due to its potential harmful effects on the fetus, and thus requires clarification with the provider in the postpartum period.
B. Ferrous fumarate is a standard supplement given postpartum to replenish iron stores and does not require clarification.
C. Prochlorperazine rectal suppositories are used PRN for nausea and do not typically require clarification unless there are specific concerns.
D. Docusate sodium is a stool softener commonly used postpartum and does not require clarification.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["0.5"]
Explanation
To calculate the correct dosage of heparin, the nurse needs to use the formula: (desired dose ÷ available concentration) = volume to administer. In this case, the desired dose is 5,000 units, and the available concentration is 10,000 units per mL. Therefore, the calculation would be: (5,000 units ÷ 10,000 units/mL) = 0.5 mL. So, the nurse should administer 0.5 mL of heparin to the client. This dosage should be validated with another nurse to ensure accuracy and safety for the client.
Correct Answer is B
Explanation
A. Offering the medication preemptively is not indicated because the prescription specifies administration only if saturation occurs within 15 minutes.
B. Administering the medication once if the client saturates the perineal pad within 15 minutes aligns with the prescription's directive to use oxytocin to manage excessive bleeding promptly.
C. Waiting 15 minutes after saturation does not align with the urgency indicated by the prescription, which specifies immediate administration upon saturation.
D. Administering the medication each time the pad saturates within 15 minutes could lead to excessive dosing and is not in accordance with the prescription's one-time use instruction.
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