A nurse is reviewing the medication record of an infant. The nurse notes a new prescription for acetaminophen 80 mg PO for a temperature above 38.5° C (101.3° F). Which of the following should the nurse clarify with the provider before administering the medication?
Indication
Frequency
Route
Dose
The Correct Answer is B
A. Indication: The prescription clearly states that acetaminophen is to be administered for a temperature above 38.5°C (101.3°F), which provides an appropriate therapeutic indication. Fever reduction is a standard and evidence-based use of acetaminophen in infants. The indication is specific and does not require clarification.
B. Frequency: The order includes the medication name, dose, route, and indication but does not specify how often the medication can be administered. Acetaminophen requires clear dosing intervals, typically every 4 to 6 hours, with a maximum daily dose to prevent hepatotoxicity. Without a defined frequency, there is a risk of overdose or inappropriate administration timing.
C. Route: The prescription specifies oral administration (PO), which is an appropriate and commonly used route for acetaminophen in infants who can tolerate oral intake. There is no ambiguity regarding how the medication should be delivered.
D. Dose: An 80 mg dose may be appropriate depending on the infant’s weight, as pediatric acetaminophen dosing is calculated at 10–15 mg/kg per dose. Although weight-based dosing should always be verified, the presence of a specific dose does not automatically require clarification unless it falls outside the safe range.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Consume a diet high in fat: Older adults are at increased risk for cardiovascular disease, hyperlipidemia, and atherosclerosis. Diets high in saturated and trans fats contribute to elevated LDL cholesterol and increased cardiovascular risk. Nutritional recommendations emphasize lean proteins, healthy fats in moderation, and balanced intake rather than high-fat consumption.
B. Drink 1 L (32 oz) water each day: Older adults typically require about 1.5 to 2 liters of fluid daily unless contraindicated by conditions such as heart failure or renal disease. A daily intake of only 1 liter may be insufficient and increases the risk of dehydration, which is more common in older adults due to decreased thirst sensation.
C. Snack between meals: Smaller, more frequent meals and snacks can help maintain caloric intake in older adults who experience decreased appetite, early satiety, or altered taste sensation. Snacking between meals supports adequate nutrient consumption and helps prevent unintended weight loss or malnutrition.
D. Eat three large meals each day: Large meals may be difficult for older adults to tolerate due to decreased gastric motility and early satiety. This pattern can lead to inadequate intake if the client cannot finish meals. Smaller, more frequent meals are generally better tolerated and promote improved nutritional status.
Correct Answer is ["A","C","D"]
Explanation
A. Cottage cheese: Cottage cheese is a dairy product that contains all nine essential amino acids, classifying it as a complete protein. It supports tissue repair and overall protein needs, making it suitable for a high-protein diet.
B. Whole wheat bread: Whole wheat bread is primarily a plant-based protein source and is considered an incomplete protein because it lacks one or more essential amino acids. It must be combined with other plant proteins to achieve completeness.
C. Salmon: Salmon is an animal-based protein that contains all essential amino acids, making it a complete protein. It also provides healthy omega-3 fatty acids, supporting cardiovascular health and anti-inflammatory benefits.
D. Hard-boiled eggs: Eggs are a classic source of complete protein, offering all essential amino acids in optimal proportions. They are highly digestible and ideal for meeting high-protein dietary requirements.
E. Steamed spinach: Spinach is a plant-based protein and considered incomplete because it does not provide all essential amino acids in adequate amounts. While nutritious, it cannot alone meet complete protein requirements.
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