A nurse is reinforcing teaching with a newly licensed nurse about transcribing medication prescriptions. Which of the following prescriptions should the newly licensed nurse identify as an accurate transcription?
Doxazosin .5 mg PO at bedtime
Lorazepam 0.5 mg PO PRN at bedtime
Heparin 5000 U subcutaneous every 8 hr
MgSO4 10 g PO daily
The Correct Answer is C
A. Doxazosin .5 mg PO at bedtime is incorrect. The dose should be written as "0.5 mg" to include the leading zero, following proper medication administration guidelines.
B. Lorazepam 0.5 mg PO PRN at bedtime is incorrect. "PRN" should include a specific indication (e.g., anxiety, insomnia. for when it is to be administered.
C. Heparin 5000 U subcutaneous every 8 hr is correct. The prescription is clear and includes the correct dose, route, and frequency of administration.
D. MgSO4 10 g PO daily is incorrect. Magnesium sulfate is typically administered intravenously, not orally, unless specified otherwise for specific conditions, and the dosage is quite high for oral administration.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Administer an anti-anxiety medication is not the first action. The nurse should first assess and manage the client's environment and emotional state before resorting to medication.
B. Minimize environmental stimuli in the client's surroundings is correct. The client is experiencing anxiety, and minimizing stimuli helps to reduce environmental triggers and can immediately alleviate distress.
C. Explore behaviors that have helped to reduce the client's anxiety in the past is a good intervention but should not be the first response. The immediate priority is to reduce the anxiety by controlling the environment.
D. Explain to the client that anxiety causes physical manifestations is helpful but should occur after the immediate anxiety-reduction measures are in place. Providing this information can be part of the therapeutic process but does not address the client’s immediate distress.
Correct Answer is C
Explanation
A. "Assign the task to another AP" is not the best first response. The nurse should first understand why the AP is refusing the task and address any concerns before reassigning the task.
B. "Report the AP to the risk manager" is premature. The nurse should first attempt to understand the AP’s reasons for refusal and resolve any concerns directly. Reporting should only occur if the issue persists and cannot be resolved.
C. "Discuss the AP's concerns about performing the task" is correct. The nurse should open a dialogue with the AP to understand why they are refusing the task. This allows the nurse to assess if the refusal is due to lack of knowledge, skill, or comfort, and then provide the necessary support, guidance, or training.
D. "Perform the task on behalf of the AP" is not ideal. The nurse should not assume the task but rather address the issue with the AP. The nurse should only intervene if the task needs to be completed urgently, but the first step should be to explore the reasons for refusal.
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