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

Answer and Explanation

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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Correct Answer is B

Explanation

A. This medication will increase the immunity of your newborn.: Vitamin K does not directly affect the immunity of a newborn. It plays a crucial role in blood clotting, not immune function.

B. This medication will decrease the risk of hemorrhage in your newborn.: Vitamin K is given to newborns to prevent bleeding or hemorrhagic disease, as newborns have low levels of vitamin K at birth, which is essential for clotting.

C. This medication will decrease the possibility of your newborn developing jaundice.: Vitamin K does not have a role in preventing jaundice, which is related to elevated bilirubin levels in the blood.

D. This medication will increase the absorption of nutrients in the intestines.: Vitamin K does not influence nutrient absorption in the intestines; it primarily supports blood clotting by helping in the synthesis of clotting factors.

A. Applies suction during catheter removal B. Suctions for 30 seconds C. Preoxygenates with 100% oxygen D. Auscultates breath sounds E. None F. None

Correct Answer is B

Explanation

A. Applying suction only during catheter removal is correct because continuous suction while inserting the catheter can cause tissue trauma and hypoxia. Intermittent suctioning during withdrawal prevents damage to the tracheal mucosa.

B. Suctioning for 30 seconds exceeds the recommended time limit, which is typically 10–15 seconds per pass for adults. Prolonged suctioning can cause hypoxia, bradycardia, and tissue trauma, making it unsafe for the client.

C. Preoxygenating with 100% oxygen before suctioning helps prevent hypoxia during the procedure. This is a standard safety measure to maintain adequate oxygen saturation levels.

D. Auscultating breath sounds before and after suctioning allows assessment of airway clearance and lung status. This step ensures that secretions have been effectively removed and helps identify any complications early.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing a vitamin K injection to give to a newborn. The newborn's mother questions the purpose of the medication. Which of the following responses should the nurse make?

Correct Answer is B

Explanation

A charge nurse is observing a newly licensed nurse perform suctioning for a client who has a tracheostomy. For which of the following actions by the newly licensed nurse should the charge nurse intervene?

Correct Answer is B

Explanation

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