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
Fentanyl 25 mcg/hr transdermal patch
The Correct Answer is D
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
● This prescription is for regular insulin, a short-acting insulin, and the dosage and timing are standard for managing blood sugar levels in clients with diabetes. It doesn't require further clarification if the client has diabetes and has been on insulin therapy.
d. Fentanyl 25 mcg/hr transdermal patch
● While this prescription is generally appropriate for clients with chronic pain requiring strong opioid analgesia, the nurse should contact the provider for clarification due to the high potency and risk associated with Fentanyl. The provider may need to assess the client's opioid tolerance, pain level, and other pain management options before initiating Fentanyl.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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 ["1.5"]
Explanation
First, we need to calculate the amount of cefazolin 500 mg in milligrams per milliliter (mg/mL) using the information provided:
Cefazolin concentration after reconstitution = 330 mg/mL Amount of cefazolin needed per dose = 500 mg
Now we can calculate the volume (mL) required for the dose:
Volume (mL) = Amount of cefazolin needed per dose / Cefazolin concentration after reconstitution
Volume (mL) = 500 mg / 330 mg/mL ≈ 1.52 mL
Rounded to the nearest tenth, the nurse should administer approximately 1.5 mL of cefazolin per dose.
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