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 ["60"]
Explanation
To calculate the IV flow rate in gtt/min, you can use the following formula:
Flow rate (gtt/min) = (Volume to be infused (mL) x Drop factor) / Time (min)
In this case, the volume to be infused is 60 mL/hr, the drop factor is 60 gtt/mL, and we want to find the flow rate in gtt/min.
Flow rate (gtt/min) = (60 mL/hr x 60 gtt/mL) / 60 min
Flow rate (gtt/min) = (3600 gtt/hr) / 60 min
Flow rate (gtt/min) = 60 gtt/min
Correct Answer is ["83"]
Explanation
To calculate the manual IV flow rate in drops per minute (gtt/min), you can use the following formula:
Flow rate (gtt/min) = (Volume to be infused in mL / Time in minutes) * Drop factor (gtt/mL)
Given:
- Volume to be infused = 250 mL
- Time in minutes = 30 minutes
- Drop factor = 10 gtt/mL
Now, plug these values into the formula:
Flow rate (gtt/min) = (250 mL / 30 min) * 10 gtt/mL
Flow rate (gtt/min) = (8.33) * 10
Flow rate (gtt/min) ≈ 83.3
Rounded to the nearest whole number, the nurse should set the manual IV flow rate to deliver approximately 83 gtt/min.
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