A nurse is reviewing admission prescriptions for a group of clients. Which of the following prescriptions should the nurse identify as complete?

Aspirin 1 tablet daily

Metoprolol 5 mg IV now

Nitroglycerin transdermal patch

Furosemide 20 mg BID

Answer and Explanation

The Correct Answer is B

A. Aspirin 1 tablet daily: This prescription is incomplete because it does not specify the dosage strength (e.g., 81 mg or 325 mg). Without the strength, safe administration cannot be ensured.

B. Metoprolol 5 mg IV now: This prescription is complete because it includes the medication name, exact dosage, route of administration, and timing (“now”), providing all necessary information for safe administration.

C. Nitroglycerin transdermal patch: This prescription is incomplete as it does not specify the dosage strength (e.g., 0.1 mg/hr), location of application, or timing, which are necessary for safe and effective use.

D. Furosemide 20 mg BID: This prescription is incomplete because it does not specify the route of administration (oral or IV), which is essential for safe administration and proper monitoring of effects.

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Correct Answer is A

Explanation

A. Anticipatory: Anticipatory grief occurs when a person begins to experience feelings of loss and mourning prior to the actual death of a loved one. The family member’s difficulty “letting go” reflects emotional processing and preparation for the impending death, which is characteristic of anticipatory grief.

B. Exaggerated: Exaggerated grief involves maladaptive, intense, or prolonged responses that interfere with daily functioning, often manifesting as severe depression or self-destructive behavior. The statement does not indicate such extreme reactions.

C. Delayed: Delayed grief is when the emotional response to loss is postponed or suppressed, often surfacing much later. The family member is actively expressing grief in the present, so this does not apply.

D. Disenfranchised: Disenfranchised grief occurs when a person’s loss is not socially recognized or validated, such as in cases of estranged relationships. In this scenario, the family member is openly expressing grief for a loved one, so it is not disenfranchised.

A. Platelet count B. Fibrinogen level C. aPTT D. INR

Correct Answer is D

Explanation

A. Platelet count: Platelet count evaluates clotting potential related to platelet number, but it is not used to monitor or dose warfarin therapy. Warfarin affects vitamin K–dependent clotting factors rather than platelets.

B. Fibrinogen level: Fibrinogen is a plasma protein essential for clot formation, but it is not used to guide warfarin therapy. Fibrinogen testing is more relevant in bleeding disorders or DIC, not routine anticoagulation management.

C. aPTT: Activated partial thromboplastin time (aPTT) is primarily used to monitor heparin therapy. Warfarin does not significantly alter aPTT, so this test is not appropriate for warfarin dose adjustments.

D. INR: The international normalized ratio (INR) standardizes prothrombin time and is the primary laboratory test used to monitor warfarin therapy. Reporting the INR allows the provider to safely adjust the daily warfarin dose to maintain therapeutic anticoagulation.

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Body System	Findings
Gastrointestinal	Client states, "I'm nauseated all the time. I vomit a few times a day, too." Client states, "I've been a little constipated, but it's not too bad." Abdomen without tenderness on palpation. Bowel sounds hypoactive. Oral mucous membranes sticky.
Genitourinary	Also reports they are urinating less and that urine is dark yellow and odorous. Clean-catch urine specimen obtained. Urine noted to be dark yellow and concentrated
Cardiovascular	Heart rate regular. No edema. Heart rate 92/min Blood pressure 102/66 mm Hg

A nurse is reviewing admission prescriptions for a group of clients. Which of the following prescriptions should the nurse identify as complete?

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Naxlex Comprehensive Predictor Exams

A nurse is speaking with a family member of a client who has a terminal diagnosis. The family member states, "I'm having a hard time letting her go." The nurse should recognize that the family member is experiencing which of the following types of grief?

Correct Answer is A

Explanation

A nurse is reporting a client's laboratory tests to the provider to obtain a prescription for the client's daily warfarin. Which of the following laboratory tests should the nurse plan to report to obtain the prescription for the warfarin?

Correct Answer is D

Explanation

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