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 ["0.75"]
Explanation
To administer the correct dose of enoxaparin, which is 75 mg, when the available injection concentration is 100 mg/mL, the nurse needs to calculate the volume of enoxaparin to be administered. The calculation is based on the formula: Volume = Dose / Concentration. So, for a dose of 75 mg and a concentration of 100 mg/mL, the calculation would be 75 mg / 100 mg/mL = 0.75 mL.
Correct Answer is ["1.7"]
Explanation
To calculate the IV pump setting, first determine the total micrograms of dopamine needed per minute for the newborn: 5 mcg/kg/min * 4.4 kg = 22 mcg/min. Next, convert the available dopamine concentration to micrograms: 200 mg * 1000 mcg/mg = 200,000 mcg. Now, calculate how many micrograms are in each mL of the solution: 200,000 mcg / 250 mL = 800 mcg/mL. Then, determine how many mL are needed per minute to deliver the required 22 mcg/min: 22 mcg/min / 800 mcg/mL = 0.0275 mL/min. Finally, convert this to an hourly rate: 0.0275 mL/min * 60 min/hr = 1.65 mL/hr. Rounded to the nearest tenth, the IV pump should be set to deliver 1.7 mL/hr.
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