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 ["2 mL"]
Explanation
Step 1 is to convert the client’s weight from pounds to kilograms. So, the client’s weight in kg is 175 lb ÷ 2.2 lb/kg = 79.55 kg. Step 2 is to calculate the total dose of lorazepam. The total dose is 0.05 mg/kg × 79.55 kg = 3.9775 mg. Step 3 is to calculate the volume to administer. The volume is 3.9775 mg ÷ 2 mg/mL = 1.98875 mL.
So, the correct answer is 2 mL after rounding to the nearest whole number.
Correct Answer is ["1.2 mL"]
Explanation
Step 1 is to convert the client’s weight from pounds to kilograms since the dosage is ordered in mg/kg. There are approximately 2.2 lb/kg, so 165 lb ÷ 2.2 lb/kg = 75 kg. The doctor ordered phenobarbital at a dosage of 2 mg/kg/day divided into 2 equal doses, so we multiply the client’s weight in kg by the dosage and divide by 2: (75 kg × 2 mg/kg/day) ÷ 2 = 75 mg/dose. The medication is available at a concentration of 65 mg/mL, so we divide the total mg needed per dose by the mg per mL: 75 mg ÷ 65 mg/mL = 1.15 mL.
So, the correct answer is 1.2 mL.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.