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 ["1.1"]
Explanation
Step 1: Calculate the volume of cefazolin needed for a 250 mg dose.
Volume of cefazolin = 250 mg ÷ 225 mg/mL = 1.11 mLStep 2: Round the answer to the nearest tenth.
1.11 mL rounded to the nearest tenth is 1.1 mL.Therefore, the nurse should add 1.1 mL of cefazolin to the 50 mL of 0.9% sodium chloride.
Correct Answer is ["0.8"]
Explanation
Step 1 is to convert the client’s weight from pounds to kilograms. Given that 1 kg = 2.2 lb, we calculate:
183 lb ÷ 2.2 = 83.18 kg
Rounding to the nearest hundredth, the client’s weight is 83.18 kg.
Step 2 is to calculate the total amount of medication needed. The prescribed dosage is 0.1 mg/kg, so we calculate:
0.1 mg/kg × 83.18 kg = 8.32 mg
Rounding to the nearest hundredth, the total medication required is 8.32 mg.
Step 3 is to determine the volume to administer. The available concentration of furosemide is 10 mg/mL, so we divide:
8.32 mg ÷ 10 mg/mL = 0.832 mL
Rounding to the nearest tenth, the correct amount to administer is 0.8 mL.
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