A nurse is reviewing medications prescribed for a client. For which of the following prescriptions should the nurse contact the provider for clarification?
Docusate sodium 200 mg PO at bedtime
Meloxicam 15 mg PO daily
Regular insulin 8 units subcutaneous before meals
Fentanyl 25 mcg/hr transdermal patch
None
None
The Correct Answer is C
a. Docusate sodium 200 mg PO at bedtime
● This prescription is appropriate for a stool softener (Docusate sodium) commonly used to prevent or treat constipation. It's a standard dosage and administration for this type of medication and doesn't require further clarification.
b. Meloxicam 15 mg PO daily
● Meloxicam is a nonsteroidal anti-inflammatory drug (NSAID) used for pain and inflammation. This prescription indicates a standard dosage and administration for this medication and doesn't require further clarification.
c. Regular insulin 8 units subcutaneous before mealsRegular insulin 8 units subcutaneous before meals is a vague and potentially dangerous prescription. The dose of insulin should be individualized based on the client's blood glucose level, carbohydrate intake, and activity level. A prescription for "before meals" without a sliding scale or specific blood glucose parameters is incomplete and potentially dangerous The nurse should contact the provider for clarification on how to adjust the dose according to the client's needs.
d. Fentanyl 25 mcg/hr transdermal patch
● Fentanyl patches are commonly used for chronic pain management. A dose of 25 mcg/hr is within the standard dosing range for patients who are opioid-tolerant. No clarification is typically needed for this prescription.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["145"]
Explanation
To calculate the dose of metronidazole for a client who weighs 212 lb, the nurse needs to convert the weight to kilograms and multiply it by the prescribed dose of 7.5 mg/kg.
One kilogram is equal to 2.2 lb, so the client's weight in kilograms is 212/2.2 = 96.36 kg. The dose of metronidazole in milligrams is 96.36 x 7.5 = 722.7 mg.
The nurse needs to find out how many mL of the available solution contain this amount of metronidazole.
The available solution has a concentration of 500 mg/100 mL, so the nurse can use a proportion to solve for the volume: 500/100 = 722.7/x.
Cross-multiplying and solving for x gives x = 722.7 x 100 / 500 = 144.54 mL.
The nurse should round the answer to the nearest whole number, so the final answer is 145 mL.
The nurse should administer 145 mL of metronidazole via intermittent IV bolus to the client.
Correct Answer is ["1.5"]
Explanation
To calculate the number of tablets to administer, you can use the following calculation:
Number of tablets = Desired dose (mg) / Tablet strength (mg per tablet)
Number of tablets = 15 mg / 10 mg per tablet
Number of tablets = 1.5 tablets
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