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. A history of gastroesophageal reflux disease: GERD increases the likelihood of gastric contents refluxing into the esophagus and potentially being aspirated into the lungs. Clients receiving enteral feedings with impaired lower esophageal sphincter function are at higher risk for aspiration pneumonia, making this a significant risk factor.

B. Receiving a high-osmolarity formula: High-osmolarity formulas may cause gastrointestinal discomfort, diarrhea, or delayed gastric emptying, but they do not directly increase aspiration risk if proper feeding techniques and positioning are used.

C. A residual of 65 mL 1-hr postprandial: A small gastric residual of 65 mL is generally considered within acceptable limits and does not significantly increase aspiration risk. High residuals (e.g., >250 mL) are more concerning.

D. Sitting in high-Fowler's position during the feeding: Maintaining a high-Fowler’s position (60–90°) during enteral feeding reduces aspiration risk by promoting gastric emptying and minimizing reflux. This positioning is protective rather than a risk factor.

A. The client takes 2 short naps during the day. B. The client appears to listen to unseen others. C. The client consumes 8 oz of high-calorie fluids each hour. D. The client slept 5 hr the previous night. E. The client engages in quiet activities in their room.

Correct Answer is ["A","C","D","E"]

Explanation

A. The client takes 2 short naps during the day: The ability to sleep, even in short intervals, indicates a reduction in manic hyperactivity and an improvement in the client’s overall rest and circadian regulation.

B. The client appears to listen to unseen others: Persisting auditory hallucinations indicate ongoing psychotic symptoms, reflecting no improvement in the client’s mental status.

C. The client consumes 8 oz of high-calorie fluids each hour: Increased oral intake demonstrates improved self-care, nutritional status, and ability to participate in treatment, reflecting stabilization from prior neglect of eating.

D. The client slept 5 hr the previous night: Extended nighttime sleep suggests reduction of manic agitation and improved ability to rest, an important marker of therapeutic response to lithium and environmental management.

E. The client engages in quiet activities in their room: Participation in solitary, low-stimulation activities indicates decreased impulsivity and hyperactivity, demonstrating improved focus and emotional regulation.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is receiving intermittent enteral tube feedings. Which of the following factors places the client at risk for aspiration?

Correct Answer is A

Explanation

The nurse is continuing to care for the client. The nurse is assessing the client. Which of the following findings indicate an improvement in the client's condition? Select all that apply.

Correct Answer is ["A","C","D","E"]

Explanation

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