A nurse is reviewing medications prescribed for a client.
For which of the following prescriptions should the nurse contact the provider for clarification?.
Meloxicam 15 mg Po daily.
Regular insulin 8 units subcutaneous before meals.
Docusate sodium 200 mg PO at bedtime.
Fentanyl 25 mcg/hr transdermal patch.
The Correct Answer is D
Choice A rationale:
Meloxicam 15 mg PO daily is a standard dose for treating osteoarthritis and rheumatoid arthritis.
Choice B rationale:
Regular insulin 8 units subcutaneous before meals is a typical dose for managing blood glucose levels in diabetes.
Choice C rationale:
Docusate sodium 200 mg PO at bedtime is a common dose for preventing constipation.
Choice D rationale:
Fentanyl 25 mcg/hr transdermal patch is a potent opioid, and the dose should be carefully monitored. If the client has not been on opioid therapy, this dose might be too high.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["56"]
Explanation
Step 1 is to calculate the total volume to be infused in minutes. This is done by multiplying the total volume (2000 mL) by the drop factor (20 gtt/mL), and then dividing by the total time (12 hr × 60 min/hr). So, (2000 mL × 20 gtt/mL) ÷ (12 hr × 60 min/hr) = 55.56 gtt/min, which rounds to 56 gtt/min.
Correct Answer is ["1.9 mL"]
Explanation
Step 1 is to convert the client’s weight from pounds to kilograms (1 kg = 2.2 lb). The calculation is as follows: 165 lb ÷ 2.2 = 75 kg. Step 2 is to calculate the volume of naloxone to be administered. The calculation is as follows: (10 mcg/kg × 75 kg) ÷ (0.4 mg/mL × 1000 mcg/mg) = 1.875 mL.
So, the correct answer is 1.9 mL (rounded to the nearest tenth).
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