A nurse is reviewing a client's prescriptions. The nurse should contact the provider to clarify which of the following prescriptions?
Phenytoin 100 mg PO every 8 hr.
Lisinopril 20 mg PO every 12 hr.
Hold for systolic BP less than 110 mm Hg.
Morphine 2.5 mg IV bolus PRN for incisional pain.
Regular insulin 7 units subcutaneous 30 min before breakfast and dinner.
The Correct Answer is C
Choice A rationale:
Phenytoin 100 mg PO every 8 hr is a standard prescription for controlling seizures.
Choice B rationale:
Lisinopril 20 mg PO every 12 hr is a typical dose for treating high blood pressure.
Choice C rationale:
“Hold for systolic BP less than 110 mm Hg” is unclear because it does not specify which medication to hold.
Choice D rationale:
Morphine 2.5 mg IV bolus PRN for incisional pain is a standard prescription for pain control after surgery.
Choice E rationale:
Regular insulin 7 units subcutaneous 30 min before breakfast and dinner is a common prescription for managing blood glucose levels in diabetes patients.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
The first step when a medication error occurs is to assess the client. This is to ensure the safety of the patient and to monitor for any adverse effects.
Choice B rationale:
Reporting the error to the nurse manager is important, but it is not the first step. Patient safety is the priority.
Choice C rationale:
Notifying the provider is crucial, but it comes after ensuring the patient’s safety.
Choice D rationale:
Completing an incident report is a later step in the process. The immediate concern is the patient’s wellbeing.
Correct Answer is C
Explanation
Choice A rationale:
Surgical procedures are not part of chiropractic medicine. Chiropractors use hands-on spinal manipulation and other alternative treatments.
Choice B rationale:
Acupuncture is a form of traditional Chinese medicine, not chiropractic medicine. It involves inserting thin needles into specific points on the body.
Choice C rationale:
Spinal manipulation is a key component of chiropractic medicine. Chiropractors use it to restore joint mobility and alleviate pain.
Choice D rationale:
Prescription medications are not typically part of chiropractic medicine. Chiropractors focus on hands-on treatments and lifestyle modifications.
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