A nurse is reviewing new prescriptions for a newly admitted patient.
Which of the following prescriptions should the nurse seek further clarification from the provider?
Desvenlafaxine 50 mg PO daily.
Ketorolac nasal spray, one spray in each nostril every 6 hours as needed for moderate pain.
Oxycodone 10 mg PO every 4 hours as needed for severe pain.
Regular insulin 35 units subcutaneously 30 minutes before meals.
The Correct Answer is D
The correct answer is choice D. Regular insulin 35 units subcutaneously 30 minutes before meals.
Choice A rationale:
Desvenlafaxine 50 mg PO daily is a standard dosage for this antidepressant medication and does not typically require clarification unless there are specific patient concerns or contraindications.
Choice B rationale:
Ketorolac nasal spray, one spray in each nostril every 6 hours as needed for moderate pain, is an appropriate prescription. However, it is important to monitor for potential side effects, especially with prolonged use.
Choice C rationale:
Oxycodone 10 mg PO every 4 hours as needed for severe pain is a common prescription for managing severe pain. The nurse should ensure the patient is monitored for signs of opioid misuse or adverse effects.
Choice D rationale:
Regular insulin 35 units subcutaneously 30 minutes before meals is an unusually high dose and could lead to hypoglycemia. This prescription should be clarified with the provider to ensure it is accurate and safe for the patient.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["8 "]
Explanation
The nurse should administer 8 mL of phenytoin. Here’s the calculation: Step 1: The total dosage required is 200 mg.
Step 2: Each 5 mL of the oral suspension contains 125 mg of phenytoin.
Step 3: So, the volume to be administered is (200 mg ÷ 125 mg/5mL) = 8 mL.
Correct Answer is D
Explanation
The correct answer is choice D. Regular insulin 35 units subcutaneously 30 minutes before meals.
Choice A rationale:
Desvenlafaxine 50 mg PO daily is a standard dosage for this antidepressant medication and does not typically require clarification unless there are specific patient concerns or contraindications.
Choice B rationale:
Ketorolac nasal spray, one spray in each nostril every 6 hours as needed for moderate pain, is an appropriate prescription. However, it is important to monitor for potential side effects, especially with prolonged use.
Choice C rationale:
Oxycodone 10 mg PO every 4 hours as needed for severe pain is a common prescription for managing severe pain. The nurse should ensure the patient is monitored for signs of opioid misuse or adverse effects.
Choice D rationale:
Regular insulin 35 units subcutaneously 30 minutes before meals is an unusually high dose and could lead to hypoglycemia. This prescription should be clarified with the provider to ensure it is accurate and safe for the patient.
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