The practical nurse (PN) believes that a prescription for a child is incorrect because the dosage prescribed is the usual adult dosage. Which action should the PN take?

Tell the pharmacy to send an accurate child's dosage

Ask another nurse if adult dosages are ever given to children

Call the healthcare provider and clarify the prescription

Request verification of the prescription by the charge nurse

Answer and Explanation

The Correct Answer is C

The correct answer and explanation is:

c) Call the healthcare provider and clarify the prescription.

This is the action that the PN should take if they believe that a prescription for a child is incorrect because the dosage prescribed is the usual adult dosage. Calling the healthcare provider and clarifying the prescription is the safest and most eﬀective way to prevent medication errors and ensure the child's safety.

The PN should not administer the medication until they are sure that it is correct and appropriate for the child.

a) Tell the pharmacy to send an accurate child's dosage.

This is not the action that the PN should take if they believe that a prescription for a child is incorrect because the dosage prescribed is the usual adult dosage. Telling the pharmacy to send an accurate child's dosage is not appropriate, as it may cause confusion, delay, or conﬂict with the healthcare provider's orders. The PN should not assume that they know the correct dosage for the child without consulting with the healthcare provider.

b) Ask another nurse if adult dosages are ever given to children.

This is not the action that the PN should take if they believe that a prescription for a child is incorrect because the dosage prescribed is the usual adult dosage. Asking another nurse if adult dosages are ever given to children is not helpful, as it may not provide accurate or reliable information. The PN should not rely on another nurse's opinion or experience without verifying it with the healthcare provider.

d) Request verification of the prescription by the charge nurse.

This is not the action that the PN should take if they believe that a prescription for a child is incorrect because the dosage prescribed is the usual adult dosage. Requesting verification of the prescription by the charge nurse is not necessary, as it may waste time and resources. The PN should be able to communicate directly with the healthcare provider and clarify any doubts or concerns about the prescription.

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Correct Answer is D

Explanation

Choice A rationale:

Aspirin is not typically contraindicated in a client who has taken sildenafil unless there are specific contraindications or allergies. Aspirin is often used in the management of acute chest pain to help prevent blood clot formation.

Choice B rationale:

Heparin is not contraindicated solely because the client has taken sildenafil. Heparin is an anticoagulant commonly used in various clinical settings, including the management of certain cardiac conditions.

Choice C rationale:

Morphine is not necessarily contraindicated based solely on the client's use of sildenafil. Morphine can be used to relieve chest pain in some cases of acute coronary syndrome. However, its use should be carefully evaluated based on the client's overall clinical presentation.

Choice D rationale:

Nitroglycerin should be withheld in this scenario. Sildenafil is a medication used to treat erectile dysfunction and pulmonary arterial hypertension. It can potentiate the vasodilatory effects of nitroglycerin, leading to a severe drop in blood pressure. Concomitant use of nitroglycerin and sildenafil is contraindicated due to the risk of significant hypotension, which can be life-threatening.

A. Leg exercises not performed because of placement of antiembolism hose. B. Antiembolism stockings removed hourly during leg exercises. C. Client demonstrates ability to move all extremities well. D. Antiembolism stockings on, leg exercises performed hourly.

Correct Answer is D

Explanation

Choice D rationale:

"Antiembolism stockings on, leg exercises performed hourly" indicates that activities to prevent postoperative venous stasis were performed correctly. This combination ensures both mechanical prophylaxis (antiembolism stockings) and physical activity (leg exercises) to prevent blood clots in postoperative patients.

Choice A rationale:

"Leg exercises not performed because of placement of antiembolism hose" is not the correct approach. Leg exercises should be encouraged even when antiembolism stockings are worn, as they have complementary benefits in preventing venous stasis.

Choice B rationale:

"Antiembolism stockings removed hourly during leg exercises" is not recommended. Antiembolism stockings should be worn continuously to be effective in preventing venous stasis.

Choice C rationale:

"Client demonstrates the ability to move all extremities well" is a good sign of the client's mobility but does not confirm that the specific activities to prevent postoperative venous stasis were performed correctly. The combination of stockings and leg exercises is more comprehensive.

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The practical nurse (PN) believes that a prescription for a child is incorrect because the dosage prescribed is the usual adult dosage. Which action should the PN take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client arrives at the emergency department with chest pain after taking sildenafil.Based on the client's history, which medication should the nurse withhold?

Correct Answer is D

Explanation

Which computer documentation indicates that activities to prevent postoperative venous stasis were performed correctly?

Correct Answer is D

Explanation

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