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 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.

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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.

Correct Answer is ["0.5"]

Explanation

To calculate the volume (mL) needed to administer 25 mg of promethazine using a concentration of 50 mg/mL, you can use the following formula:

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

In this case, the dose is 25 mg, and the concentration is 50 mg/mL:

Volume (mL) = 25 mg / 50 mg/mL = 0.5 mL

So, the nurse should administer 0.5 mL of promethazine.

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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

Correct Answer is ["83"]

Explanation

A nurse is preparing to administer promethazine 25 mg IM to a client. Available is promethazine 50 mg/ml. How many ml administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero)

Correct Answer is ["0.5"]

Explanation

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

A nurse is preparing to administer 0.9% sodium chloride 1,200 ml. IV to infuse over 8 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

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