A nurse is reviewing medication prescriptions for a group of clients. Which of the following prescriptions should the nurse verify with the provider?
Morphine 2 mg IV bolus every 4 hr PRN pain
Acetaminophen 1,000 PO three times daily
Ibuprofen 800 mg PO every 8 hr
Ceftriaxone 250 mg IMX1 dose now
The Correct Answer is B
A. Morphine 2 mg IV bolus every 4 hr PRN pain: The prescription clearly indicates the dose, route, frequency, and PRN instructions, making it complete and appropriate for administration.
B. Acetaminophen 1,000 PO three times daily: The prescription is missing the unit of measure (mg, g, etc.), which is essential to ensure safe dosing. Without the unit, there is a risk of overdose or underdose, so the nurse must verify this prescription with the provider before administration.
C. Ibuprofen 800 mg PO every 8 hr: This prescription includes the dose, route, and frequency, making it complete. While monitoring for side effects is important, there is no issue requiring verification.
D. Ceftriaxone 250 mg IM x1 dose now: The prescription specifies the dose, route, and single administration, making it clear and safe to administer without additional verification.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Take this medication at the same time each day: Consistent timing helps maintain stable anticoagulation levels and reduces the risk of under- or over-anticoagulation. Warfarin’s effectiveness and safety depend on steady dosing and adherence to a regular schedule.
B. Take ginger for constipation while on this medication: Ginger can increase the risk of bleeding when taken with warfarin due to its antiplatelet properties. Clients should avoid supplements or herbal remedies that may interact with anticoagulants unless approved by the healthcare provider.
C. Eat foods high in vitamin K: Foods high in vitamin K, such as leafy greens, can decrease the effectiveness of warfarin by promoting clotting. Clients should maintain a consistent intake rather than increasing consumption to avoid fluctuations in anticoagulation levels.
D. Shave with disposable razors: Clients on warfarin are advised to use electric razors instead of disposable or manual razors to reduce the risk of cuts and bleeding. Using disposable razors increases the likelihood of minor injuries that can lead to excessive bleeding.
Correct Answer is C
Explanation
A. Assault: Assault involves the threat or attempt to cause harm that makes the client fear imminent injury. Hiding the client’s car keys does not involve a threat or intimidation, so it does not meet the criteria for assault.
B. Negligence: Negligence involves failing to provide the standard of care, resulting in harm. While hiding the keys is inappropriate, it is an intentional act rather than a failure to act, so it is not classified as negligence.
C. False imprisonment: False imprisonment occurs when a person is intentionally restrained or confined without legal authority or consent. By hiding the client’s car keys to prevent them from leaving, the AP is restricting the client’s freedom of movement, fulfilling the criteria for false imprisonment.
D. Battery: Battery involves intentional physical contact that is harmful or offensive. Hiding car keys does not involve direct physical contact with the client, so it does not constitute battery.
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