In reading the following medication orders, which order requires further clarification?
Diazepam 5 mg PO every 6 hr as needed anxiety
Ketorolac 15 mg IM now
Lactulose 15 mL PO every 12 hr
Digoxin 1/2 mg PO every a.m.
The Correct Answer is D
A. Diazepam 5 mg PO every 6 hr as needed anxiety: The dose, route, frequency, and indication are clearly specified. No clarification is needed before administration.
B. Ketorolac 15 mg IM now: The order provides a clear dose, route, and timing for immediate administration, so it does not require clarification.
C. Lactulose 15 mL PO every 12 hr: This order specifies the dose, route, and frequency accurately. The nurse can safely administer as written.
D. Digoxin 1/2 mg PO every a.m.: The order is ambiguous because using a fraction for digoxin dosing can lead to errors. Standard practice is to write the dose in decimal form (0.5 mg), so the nurse should clarify with the prescriber to prevent a potential overdose.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Ask the patient if they want to take the medication: While obtaining the patient’s cooperation is important, it does not ensure that the right patient receives the correct medication. Patient preference cannot substitute for proper identification and safety checks.
B. Identify the patient using two identifiers: Correct patient identification using two unique identifiers, such as name and date of birth, is the most critical safety step before administering any medication. It prevents medication errors and ensures that the drug reaches the intended recipient.
C. Tell the patient the medication is safe: Providing reassurance is important for patient comfort, but it does not guarantee safety. Safety is ensured through verification of the medication, dose, and patient identity before administration.
D. Verify the medication with another nurse: Double-checking is essential for high-risk medications, but for routine oral medications, the initial priority is accurate patient identification. Verification with another nurse is secondary to confirming the correct patient.
Correct Answer is A
Explanation
Calculation:
Given measurement = 74 millimeters
Conversion factor: 1 cm = 10 mm
- Calculate the measurement in centimeters (cm).
Measurement (cm) = (Measurement in mm / Conversion factor)
= (74 mm / 10 mm/cm)
= 7.4 cm.
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