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

Answer and Explanation

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 meals
● Regular insulin 8 units subcutaneous before meals is a vague and potentially dangerous prescription. Regular insulin is a short-acting insulin that lowers blood glucose levels by facilitating the uptake of glucose into the cells. The dose of insulin should be individualized based on the client's blood glucose level, carbohydrate intake, and activity level. 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.

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Correct Answer is ["0.4"]

Explanation

To calculate the mL of enoxaparin to administer, you can use the following formula:

Volume (mL) = Dose (mg) / Concentration (mg/mL)

In this case, the dose is 40 mg, and the concentration is 100 mg/mL:

Volume (mL) = 40 mg / 100 mg/mL = 0.4 mL

So, the nurse should administer 0.4 mL of enoxaparin.

Correct Answer is ["5"]

Explanation

To calculate the volume of megestrol oral suspension (in milliliters, mL) that the nurse should administer, use the following formula:

Volume (mL) = Dose (mg) / Concentration (mg/mL)

In this case, the dose is 200 mg of megestrol, and the concentration of the oral suspension is 40 mg/mL.

Volume (mL) = 200 mg / 40 mg/mL

Volume (mL) = 5 mL

The nurse should administer 5 mL of megestrol oral suspension to the client.

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A nurse is reviewing medications prescribed for a client. For which of the following prescriptions should the nurse contact the provider for clarification?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer enoxaparin 40 mg subcutaneous for prevention of deep vein thrombosis. Available is enoxaparin 100 mg/ml. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["0.4"]

Explanation

A nurse is preparing to administer megestrol 200 mg PO to a client. Available is megestrol oral suspension 40 mg/mL. How many ml should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["5"]

Explanation

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