A nurse is assisting with the admission of 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?

Calcium carbonate 790 mg PO.

Ibuprofen 600 mg PO every 6 hr PRN for moderate pain.

Oxycodone 5 mg PO every 6 hr PRN for severe pain.

Bisacodyl 10 mg rectal now.

Answer and Explanation

The Correct Answer is A

Choice A rationale
Calcium carbonate 790 mg PO is not a standard dose. The typical dose for calcium carbonate is 500 mg or 1000 mg. The nurse should clarify this prescription with the provider to ensure the correct dosage is administered.
Choice B rationale
Ibuprofen 600 mg PO every 6 hours PRN for moderate pain is a standard dose and does not require clarification. Ibuprofen is commonly used for postpartum pain management.
Choice C rationale
Oxycodone 5 mg PO every 6 hours PRN for severe pain is a standard dose and does not require clarification. Oxycodone is an opioid analgesic used for severe pain management.
Choice D rationale
Bisacodyl 10 mg rectal now is a standard dose for bowel management and does not require clarification. Bisacodyl is a stimulant laxative used to treat constipation.

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Correct Answer is C

Explanation

Choice A rationale
Metformin should be taken with meals to help reduce stomach or bowel side effects that may occur during the first few weeks of treatment. Taking it in the afternoon with tea would not align with the prescribed timing.
Choice B rationale
Waiting 2 hours after eating the evening meal to take metformin is not recommended. Metformin should be taken with meals to help reduce gastrointestinal side effects.
Choice C rationale
Taking metformin when beginning the evening meal is correct as it helps reduce gastrointestinal side effects and ensures proper absorption.
Choice D rationale
If the client does not eat an evening meal, they should not wait until bedtime to take metformin. It should be taken with food to minimize gastrointestinal side effects.

Correct Answer is ["1.3"]

Explanation

Step 1: Calculate the amount of methadone per mL. 10 mg ÷ 5 mL = 2 mg/mL Step 2: Calculate the volume to administer. 2.5 mg ÷ 2 mg/mL = 1.25 mL Final calculated answer: 1.3 mL

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A nurse is assisting with the admission of 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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing a new prescription with a client for metformin 750 mg PO daily with the evening meal. Which of the following statements by the client indicates an understanding of the prescription?

Correct Answer is C

Explanation

A nurse is preparing to administer methadone 2.5 mg PO every 8 hr to a client who is postpartum. Available is methadone oral solution 10 mg/5 mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["1.3"]

Explanation

A nurse is reviewing a new prescription for propranolol 200 mg PO daily divided in equal doses every 12 hr for a client who has migraine headaches. How many mg should the client self-administer per dose? (Round the answer to the nearest tenth. Do not use a trailing zero.)

A nurse is caring for a newborn who weighs 3,500 g. The nurse should record the newborn’s weight as how many kg? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse is preparing to administer dextrose 5% in 0.9% sodium chloride 250 mL IV to infuse over 4 hours to a pregnant client who has a blood glucose level of zero. How many mL/hr should the nurse administer? (Round the answer to the nearest whole number.)

A nurse is caring for an infant. The mother states the infant took 2.5 oz of formula at the last feeding. How many mL should the nurse document as the intake on the I&O record? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse is caring for a client who is postpartum and has a prescription for oxytocin 10 units IM one time only for the saturation of a perineal pad in 15 min or less. How should the nurse interpret this prescription?

A nurse is preparing to administer nitroprusside 1 mcg/kg/min to a newborn who weighs 8 lb 4 oz. Available is nitroprusside 50 mg in 0.9% sodium chloride. How many mL/hr? (Round the answer to the nearest tenth. Use a leading zero if it applies.)

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