A nurse is reviewing new prescriptions for a group of clients. Which of the following prescriptions should the nurse clarify with the provider?

Clozapine 12.50 mg PO daily for a client who has schizophrenia

Donepezil 23 mg PO daily for a client who has Alzheimer's disease

Fluoxetine oral solution 20 mg/5 mL per gastrostomy tube daily for a client who has depression

Lamotrigine 200 mg PO daily for a client who has bipolar disorder

Answer and Explanation

The Correct Answer is C

A. Clozapine 12.50 mg PO daily for a client who has schizophrenia:
Clozapine is used for schizophrenia, and the dose of 12.50 mg daily, while on the lower end, is a feasible starting point. Dosage adjustments are common based on the client's response and tolerance.

B. Donepezil 23 mg PO daily for a client who has Alzheimer's disease:
While the typical maximum dose of donepezil is 10 mg daily, some patients may be prescribed higher doses in certain contexts. However, this is less common and may warrant review, but it is not a clear issue compared to the other options.

C. Fluoxetine oral solution 20 mg/5 mL per gastrostomy tube daily for a client who has depression:
Fluoxetine oral solution is often used for depression, but the dosage given as "20 mg/5 mL" per gastrostomy tube daily seems inconsistent with typical dosing practices. This might suggest a misunderstanding or error in prescription, as the exact dose might need to be clarified. The provider should clarify the exact volume to be given to deliver the intended dose.

D. Lamotrigine 200 mg PO daily for a client who has bipolar disorder:
Lamotrigine is commonly used for bipolar disorder, and 200 mg daily is within the standard dosing range. This dosage is generally appropriate for maintenance therapy and does not require clarification.

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Free Nursing Study Resources

Correct Answer is ["2"]

Explanation

The nurse should administer 2 tablets of alprazolam.

Step-by-Step Calculation

Understanding the Problem

Desired alprazolam dose: 0.5 mg

Available tablets: 0.25 mg each

We need to find the number of tablets to administer.

Calculations

Calculate the number of tablets:

Number of tablets = Desired dose / Tablet strength

Number of tablets = 0.5 mg / 0.25 mg/tablet = 2 tablets

The nurse should administer 2 tablets of alprazolam.

Correct Answer is ["1.6"]

Explanation

Step-by-Step Calculation

Understanding the Problem

Desired dose: 40 mg of chlorpromazine hydrochloride

Available concentration: 25 mg/mL

Calculations

Calculate the volume to administer:

Volume (mL) = Desired dose (mg) / Concentration (mg/mL)

Volume = 40 mg / 25 mg/mL = 1.6 mL

The nurse should administer 1.6 mL of chlorpromazine hydrochloride.

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A nurse is reviewing new prescriptions for a group of clients. Which of the following prescriptions should the nurse clarify with the provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer alprazolam 0.5 mg PO to a client. Available is alprazolam 0.25 mg tablets. How many tablets 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 ["2"]

Explanation

Correct Answer is ["1.6"]

Explanation

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A nurse is reviewing a client's medication administration record. The nurse should identify that which of the following prescriptions requires clarification?