A nurse is receiving a medication prescription by telephone from a provider. The provider states, “Administer 6 milligrams of morphine IV push every 3 hours as needed for acute pain.” How should the nurse transcribe the prescription in the client’s medical record?

Morphine 6 mg IV push every 3 hr PRN acute pain.

MS6 mg IV push every 3 hr PRN acute pain.

MSO4 6 mg IV push every 3 hr PRN acute pain.

Morphine 6.0 mg IV push every 3 hr PRN acute pain.

Answer and Explanation

The Correct Answer is A

This is because it uses the full name of the drug, the exact dose, the route of administration, the frequency, and the indication for use. It also avoids any abbreviations that could be confused with other drugs or measurements.

Choice B is wrong because MS is an abbreviation for morphine sulfate which could be mistaken for magnesium sulfate.

Choice C is wrong because MSO4 is an abbreviation for morphine sulfate that could be mistaken for magnesium sulfate.

Choice D is wrong because 6.0 mg could be misread as 60 mg and lead to a tenfold overdose.

Normal ranges for morphine dosage depend on the route of administration, the indication, and the patient’s tolerance and response.

For acute pain, the usual oral dose is 10 to 30 mg every 4 hours as needed. For chronic pain, the usual oral dose is 15 to 30 mg every 8 to 12 hours as needed.

For intravenous (IV) administration, the usual dose is 2.5 to 15 mg every 4 hours as needed.

The morphine equivalent daily dose (MEDD) is a concept that attempts to establish an equivalency in terms of dose when comparing any opioid to morphine.

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Correct Answer is A

Explanation

The correct sequence for mixing regular insulin and NPH insulin in the same syringe is important to ensure proper dosing. The nurse should follow these steps:

Inject air into the NPH (intermediate-acting) insulin vial: Injecting air into the NPH vial first helps to equalize the pressure in the vial, making it easier to withdraw the insulin later. This step is done first to avoid contaminating the regular insulin vial with NPH insulin.
Inject air into the regular insulin vial: Next, inject an amount of air equal to the intended regular insulin dose into the regular insulin vial.This also helps to equalize the pressure and makes it easier to withdraw the insulin.
Withdraw the regular insulin from the vial: The nurse should withdraw the regular insulin first because it is clear and not contaminated. This prevents any NPH insulin from mixing into the regular insulin vial.
Withdraw the regular insulin from the vial: Finally, the nurse withdraws the NPH insulin. Since the regular insulin has already been drawn up, there is no risk of contaminating the regular insulin with NPH insulin.

This sequence ensures that you don't contaminate the vials, and you accurately withdraw the appropriate doses of each insulin type.

A. Weight loss. B. Increase in pulse rate. C. Increased sleeping. D. Warmer skin.

Correct Answer is C

Explanation

Methimazole is an antithyroid medication that blocks the thyroid from making thyroid hormones. It is used to treat hyperthyroidism caused by Graves’ disease, which is an autoimmune disorder that stimulates the thyroid gland to produce excess hormones. After taking methimazole for 2 months, the client should expect to see a reduction in the symptoms of hyperthyroidism, such as weight loss, increased pulse rate, and heat intolerance. Increased sleeping is a sign of improved thyroid function, as hyperthyroidism can cause insomnia and restlessness.

Choice A is wrong because weight loss is a symptom of hyperthyroidism, not a result of methimazole treatment. Methimazole should lower the thyroid hormone levels and help the client gain weight.

Choice B is wrong because an increase in pulse rate is also a symptom of hyperthyroidism, not a result of methimazole treatment. Methimazole should lower the heart rate and blood pressure by reducing thyroid hormone levels.

Choice D is wrong because warmer skin is another symptom of hyperthyroidism, not a result of methimazole treatment. Methimazole should improve the client’s heat tolerance and make the skin cooler and less sweaty.

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A nurse is receiving a medication prescription by telephone from a provider. The provider states, “Administer 6 milligrams of morphine IV push every 3 hours as needed for acute pain.” How should the nurse transcribe the prescription in the client’s medical record?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is mixing regular insulin and NPH insulin in the same syringe prior to administering it to a client who has diabetes mellitus. Which of the following actions should the nurse take first?

Correct Answer is A

Explanation

A client who has Graves’ disease is prescribed methimazole. Which of the following effects should the nurse expect to see after the client has taken the medication for 2 months?

Correct Answer is C

Explanation

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