A nurse is reviewing a client's new prescription for indomethacin 100 mg PO now, then 50 mg PO TID with food for pain relief. Which of the following actions should the nurse take? (Select all that apply.)
Administer the medication twice daily.
Administer the medication as needed for pain.
Administer the medication 2 hr after meals.
Administer a loading dose of 100 mg PO.
Administer the medication with a snack.
Correct Answer : D,E
A. Administer the medication twice daily. - No, the prescription states 50 mg PO TID (three times a day), not twice daily.
B. Administer the medication as needed for pain. - No, the prescription specifies a scheduled regimen, not PRN (as needed).
C. Administer the medication 2 hours after meals. - No, the prescription advises taking it with food, not after meals.
D. Administer a loading dose of 100 mg PO. - Yes, the initial dose is 100 mg PO now.
E. Administer the medication with a snack. - Yes, the prescription advises taking it with food, so administering it with a snack aligns with this instruction.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Fidelity:
This ethical principle is about being faithful and keeping promises. In this context, when the nurse states that they will return as soon as possible with pain medication, they are making a commitment to addressing the client's needs promptly. This aligns with the principle of fidelity because the nurse is demonstrating a commitment to fulfill their promise.
B. Justice:
Justice involves fairness and the equitable distribution of resources and benefits. In the scenario provided, the nurse's actions are more directly related to the principle of fidelity (keeping promises) rather than justice. The focus is on meeting the individual needs of the client, not on the broader concept of fairness in the distribution of resources.
C. Autonomy:
Autonomy is the principle that respects an individual's right to make their own decisions. In the given scenario, there is no explicit mention of the client's decision-making authority. The nurse's statement is more aligned with the principle of fidelity, indicating a commitment to addressing the client's needs, rather than autonomy, which would be more focused on respecting the client's choices and decisions.
D. Nonmaleficence:
Nonmaleficence is the principle of "do no harm." While the nurse is not directly causing harm in this scenario, the focus is more on making a commitment (fidelity) and addressing the client's needs rather than avoiding harm. The nurse's actions are about providing relief and fulfilling a commitment rather than preventing harm.
Correct Answer is ["12"]
Explanation
To calculate the dose of phenytoin oral suspension for a client with a seizure disorder, the nurse needs to use the following formula:
Dose (mL) = Ordered dose (mg) / Concentration (mg/mL)
In this case, the ordered dose is 300 mg and the concentration is 125 mg/5 mL. Therefore, the dose in mL is:
Dose (mL) = 300 mg / (125 mg/5 mL)
Dose (mL) = 300 mg x (5 mL/125 mg)
Dose (mL) = 12 mL
The nurse should round the answer to the nearest whole number, which is 12 mL. The nurse should administer 12 mL of phenytoin oral suspension every 12 hours to the client.
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