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 ["2.1"]
Explanation
To calculate the amount of tobramycin to administer per dose, you need to follow these steps:
Step 1: Calculate the total daily dose. Total Daily Dose (mg) = Weight (kg) x Dose (mg/kg/day)
Total Daily Dose (mg) = 85 kg x 3 mg/kg/day = 255 mg/day
Step 2: Calculate the dose per divided dose (three divided doses). Dose per Divided Dose (mg) = Total Daily Dose (mg) / Number of Divided Doses
Dose per Divided Dose (mg) = 255 mg / 3 doses = 85 mg/dose
Step 3: Convert the dose to mL using the concentration. Dose (mL) = Dose (mg) / Concentration (mg/mL)
Dose (mL) = 85 mg / 40 mg/mL ≈ 2.125 mL
Rounded to the nearest tenth, the nurse should administer 2.1 mL per dose.
Correct Answer is ["2"]
Explanation
To determine how many tablets of sotalol the nurse should administer with each dose, you can use the following calculation:
Total daily dose / Number of doses per day = Dose per administration
In this case, the total daily dose is 320 mg, and it's divided into two doses per day.
320 mg / 2 doses = 160 mg per administration
Now, you know that the nurse should administer 160 mg of sotalol with each dose. The available tablets are 80 mg each, so you can calculate how many tablets are needed:
Dose per administration / Tablet strength = Number of tablets
160 mg / 80 mg/tablet = 2 tablets
Therefore, the nurse should administer 2 tablets of sotalol with each dose.
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