The provider has ordered a medication for a patient in the electronic health record. The nurse compares the ordered medication to the drug guide, see table below.
Drug Guide Information |
Provider Order |
Drug: metoprolol succinate (Toprol-XL) Dosage: 25 - 200 mg once daily Route: by mouth, do not crush or chew |
Metoprolol succinate 50 mg PO QD |
What part of this order requires clarification by the nurse prior to administering the medication?
The frequency
The dose
The route
The medication
The Correct Answer is C
A. The frequency: The ordered frequency (once daily, QD) aligns with the drug guide recommendation.
B. The dose: The prescribed dose (50 mg once daily) is within the recommended range (25-200 mg once daily).
C. The route: The nurse must ensure that the patient can swallow tablets whole, as metoprolol succinate should not be crushed or chewed. If the patient has swallowing difficulties, the provider should be consulted for an alternative formulation.
D. The medication: The correct formulation (metoprolol succinate, extended-release) matches the order.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Avoid bathing this patient until they are stable: Hygiene is essential for preventing infection and promoting comfort. Bathing should not be entirely avoided unless the patient is critically unstable.
B. Only bathe the perineal area: While perineal care is important, other areas also require cleaning, and modifications can be made to prevent excessive exertion.
C. Perform the bath in a semi-Fowler's position: Semi-Fowler's position (30–45°) promotes lung expansion and reduces dyspnea, making it the best position for bathing a patient with breathing difficulty.
D. Delegate the task to the assistive personnel: While an assistive personnel (AP) can assist, the nurse should assess the patient first and be involved in care for clients with respiratory distress.
Correct Answer is B
Explanation
A. Protective prone: The prone position (lying on the stomach) does not allow easy enema administration and is not recommended.
B. Left lateral recumbent: The left lateral position allows gravity to assist with enema administration and helps the fluid move efficiently through the colon.
C. High Fowler's: Sitting upright does not promote proper enema flow, making it ineffective.
D. Dorsal recumbent: Lying on the back does not facilitate enema administration effectively.
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