An order is written for phenytoin 500 mg IM q3-4h prn for pain. The nurse recognizes that treatment of pain is not a standard therapeutic indication for this drug. The nurse believes that the health care provider meant to write hydromorphone. What should the nurse do?

Administer the medication and monitor the patient frequently.

Refuse to give the medication and notify the nurse supervisor.

Give the patient hydromorphone, as it was meant to be written.

Call the health care provider to clarify the order.

Answer and Explanation

The Correct Answer is D

A: Administering the medication and monitoring the patient frequently is not appropriate because phenytoin is not indicated for pain management.

B: Refusing to give the medication and notifying the nurse supervisor is a step in the right direction, but the nurse should also seek clarification from the health care provider.

C: Giving the patient hydromorphone without clarification is not appropriate. The nurse must verify the order with the health care provider.

D: Calling the health care provider to clarify the order is the correct action. This ensures that the correct medication is administered as intended.

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Correct Answer is D

Explanation

A: Schedule I drugs do not have the lowest abuse potential. They are classified as having the highest potential for abuse.

B: Schedule I drugs do not have a moderate abuse potential. They are considered to have a high potential for abuse and no accepted medical use.

C: Schedule I drugs do not have a mild abuse potential. They are classified as having the highest potential for abuse.

D: Schedule I drugs have the highest abuse potential and are not accepted for medical use in the United States. Examples include heroin and LSD.

A. Hypotension B. Nausea C. Dysphagia D. Confusion

Correct Answer is D

Explanation

A: Hypotension is not an early sign of hypoxemia. It can occur in severe cases but is not typically an initial indicator.

B: Nausea is not a common sign of hypoxemia. It may occur due to other factors but is not directly related to low oxygen levels.

C: Dysphagia, or difficulty swallowing, is not a sign of hypoxemia. It is related to swallowing disorders rather than oxygen levels.

D: Confusion is an early sign of hypoxemia. Low oxygen levels can affect brain function, leading to confusion and other cognitive changes.

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An order is written for phenytoin 500 mg IM q3-4h prn for pain. The nurse recognizes that treatment of pain is not a standard therapeutic indication for this drug. The nurse believes that the health care provider meant to write hydromorphone. What should the nurse do?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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