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 A
Explanation
A. Giving the medication before meals helps to reduce gastric upset, which is a common side effect of nifedipine.
B. Contacting the provider to clarify the prescription is not necessary because the prescription specifies the frequency and route clearly.
C. Discontinuing the medication after three doses without further instruction from the provider could be premature and not in line with the treatment plan for premature contractions.
D. Administering nifedipine sublingually is not the appropriate route for this medication; it is typically administered orally.
Correct Answer is ["0.12"]
Explanation
To determine the correct dosage of ferrous sulfate drops for the newborn, one must use the formula: (Desired Dose / Concentration) = Volume to Administer. In this case, the desired dose is 15 mg, and the concentration available is 75 mg per 0.6 mL. Therefore, the calculation would be (15 mg / 75 mg) * 0.6 mL, which equals 0.12 mL.
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