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
Morphine 4 mg IV every 4 hr PRN for pain
Levothyroxine 100 mcg PO every morning
Acetaminophen 500 mg every 4 hr PRN for fever
The Correct Answer is B
A. Simvastatin 40 mg PO at bedtime: This prescription is clear and specifies the medication (Simvastatin), the dose (40 mg), route (PO – oral), and timing (at bedtime). There is no need for clarification.
B. Morphine 4 mg IV every 4 hr PRN for pain: The need for clarification arises here because "PRN" (pro re nata) means "as needed," and prescribing an IV medication on an as-needed basis might need further clarification regarding the specific indications and circumstances for administering the medication.
C. Levothyroxine 100 mcg PO every morning: This prescription is clear and specifies the medication (Levothyroxine), the dose (100 mcg), route (PO – oral), and timing (every morning). There is no need for clarification.
D. Acetaminophen 500 mg every 4 hr PRN for fever: Similar to option B, there might be a need for clarification regarding the specific indications and circumstances for administering acetaminophen on an as-needed basis. However, in many cases, PRN for fever is reasonable, so it may not be as critical as in the case of an IV pain medication.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Drowsiness:
This is the correct answer. Drowsiness or sedation is a common side effect of paroxetine, which is a selective serotonin reuptake inhibitor (SSRI). Clients should be informed about the potential for drowsiness, especially when initiating the medication or adjusting the dosage.
B. Tinnitus:
Tinnitus (ringing in the ears) is not a common side effect of paroxetine. It is important to monitor for auditory issues with medications, but paroxetine is not typically associated with tinnitus.
C. Peripheral edema:
Peripheral edema is not a common adverse effect of paroxetine. Swelling of the extremities is not typically associated with SSRIs like paroxetine.
D. Alopecia:
Alopecia (hair loss) is not commonly associated with paroxetine. Hair loss is not a typical side effect of SSRIs.
Correct Answer is C
Explanation
A. Hypocalcemia: Hydrochlorothiazide is not typically associated with lowering calcium levels. Hypocalcemia is not a common adverse effect of this medication.
B. Hypernatremia: Hydrochlorothiazide is a diuretic that increases urination, leading to the loss of water and sodium. While it can cause sodium depletion, it's less likely to result in hypernatremia, which refers to high sodium levels in the blood.
C. Hypokalemia: Hydrochlorothiazide is a thiazide diuretic that can increase the excretion of potassium in the urine. Hypokalemia (low potassium levels) is a known adverse effect of this medication due to its action on the kidneys leading to potassium loss.
D. Hypermagnesemia: Hydrochlorothiazide does not typically cause an increase in magnesium levels. It's more likely to cause magnesium loss through increased urination, potentially leading to hypomagnesemia (low magnesium levels) rather than hypermagnesemia.
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