A nurse is reviewing medication prescriptions for a client. For which of the following entries on the client's medication administration record should the nurse request clarification?

Simvastatin 40 mg PO at bedtime

Acetaminophen 500 mg every 4 hr PRN for fever

Morphine 4 mg IV every 4 hr PRN for pain

Levothyroxine 100 mcg PO every morning

Answer and Explanation

The Correct Answer is D

A. Simvastatin should be taken at bedtime, which is correct because the drug works best when cholesterol production is highest at night.

B. Acetaminophen is appropriate for treating fever as needed, with correct dosage and frequency.

C. Morphine administration is appropriate for managing pain in appropriate doses and timing.

D. Levothyroxine should be taken on an empty stomach, usually 30–60 minutes before breakfast. Therefore, taking it in the morning might require clarification if it’s not on an empty stomach.

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Correct Answer is A

Explanation

A. Enoxaparin should be administered subcutaneously in the abdomen at least 2 inches from the umbilicus.

B. Aspiration is not recommended for subcutaneous injections, especially anticoagulants.

C. Massaging the site is contraindicated because it can increase the risk of bruising and tissue damage.

D. The skin fold should be maintained during injection to ensure proper subcutaneous delivery.

A. Osimvastatin B. Hydrochlorothiazide C. Captopril D. Fondaparinux

Correct Answer is D

Explanation

A. Osimvastatin is an oral medication used to lower cholesterol and is not administered parenterally.

B. Hydrochlorothiazide is a diuretic typically administered orally, not parenterally.

C. Captopril is an ACE inhibitor usually given orally.

D. Fondaparinux is an anticoagulant that is typically administered by subcutaneous injection, making it the correct choice for parenteral administration.

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A nurse is reviewing medication prescriptions for a client. For which of the following entries on the client's medication administration record should the nurse request clarification?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is evaluating a return demonstration of enoxaparin administration by a client. Which of the following client actions indicates an understanding of the teaching?

Correct Answer is A

Explanation

A nurse is administering medications to a client. Which of the following medications should the nurse plan to administer by a parenteral route?

Correct Answer is D

Explanation

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A nurse is providing teaching to a client who has a new prescription for atorvastatin. Which of the following items should the nurse inform the client to avoid consuming?

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