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.
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Related Questions
Correct Answer is ["12.2"]
Explanation
To calculate the IV pump setting, first convert the newborn's weight from pounds to kilograms, knowing that 1 pound is equivalent to 0.453592 kilograms. The newborn weighs 6.7 pounds, which is approximately 3.039 kg (6.7 lb * 0.453592 kg/lb). Next, calculate the total amount of potassium needed per hour by multiplying the newborn's weight in kilograms by the prescribed dose: 0.4 mEq/kg/hr * 3.039 kg = 1.2156 mEq/hr. Since the available potassium is 10 mEq in 100 mL, this means there is 0.1 mEq/mL. To find out how many mL/hr to administer, divide the total mEq needed per hour by the concentration: 1.2156 mEq/hr ÷ 0.1 mEq/mL = 12.156 mL/hr. Rounded to the nearest tenth, the IV pump should be set to deliver 12.2 mL/hr.
Correct Answer is ["2"]
Explanation
To calculate the correct dosage, the nurse needs to divide the total units prescribed by the concentration of units per milliliter available. In this case, 1,200,000 units prescribed divided by 600,000 units per mL results in 2 mL.
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