When practicing safety in the administration of medication, the nurse is correct to seek clarification prior to the administration of which of the following medication orders?

Ondansetron 4 mg IVP stat

Benadryl 50 mg PO PRN every 6 hr for itching

Enoxaparin 80 mg SUBQ every 12 hours

Regular insulin 5 u SUBQ now

Answer and Explanation

The Correct Answer is D

A. Ondansetron 4 mg IVP stat: This is a standard antiemetic order with a clear dose, route, and timing. There is no ambiguity, so clarification is not required before administration.

B. Benadryl 50 mg PO PRN every 6 hr for itching: The dose, route, and frequency are clearly specified, and PRN parameters are provided. The order is safe to administer as written.

C. Enoxaparin 80 mg SUBQ every 12 hours: This is a typical prophylactic or therapeutic anticoagulant dose with a clear route and schedule. No immediate clarification is needed unless there are patient-specific concerns.

D. Regular insulin 5 u SUBQ now: Insulin orders, especially when written with “u” for units, carry a high risk of dosing errors. The nurse should clarify with the prescriber or pharmacy to confirm the dose and prevent potential hypoglycemia.

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Correct Answer is C

Explanation

A. 750 x 1,500 = 1 x X: This incorrectly multiplies the known dose by the desired dose without following the proper proportion rule of means and extremes.

B. 1 x 1,500 = 750 × X: This setup places the number of tablets on the wrong side of the equation, making the calculation incorrect.

C. 1 x x = 750 × 1,500: This correctly applies the rule of means and extremes, multiplying the means (1 and 1,500) and extremes (750 and x) to solve for the unknown number of tablets.

D. 750 x 1 = 1,500 x x: This reverses the proportion setup and does not accurately solve for x, leading to an incorrect calculation

A. That every tablespoon has 300 mg of the drug B. That every teaspoon has 300 mg of the drug C. That they should use a measuring device that accurately measures mL D. That they should mix the ordered dose with an 8-oz glass of water

Correct Answer is C

Explanation

A. That every tablespoon has 300 mg of the drug: One tablespoon is 15 mL, which in this preparation contains 300 mg only after reconstitution. However, instructing the patient this way could lead to dosing errors, especially if they use household utensils instead of an accurate measuring device.

B. That every teaspoon has 300 mg of the drug: One teaspoon equals 5 mL, which contains 100 mg after reconstitution. Telling the patient that a teaspoon has 300 mg would result in a threefold overdose, making this statement unsafe.

C. That they should use a measuring device that accurately measures mL: Using an oral syringe or dosing cup ensures precise measurement of the prescribed 100 mg (5 mL) dose. This method minimizes errors and promotes safe administration, particularly for pediatric or adult liquid medications.

D. That they should mix the ordered dose with an 8-oz glass of water: The preparation instructions specify adding 9 mL of water to reconstitute the medication, not mixing the dose in a glass of water. Following this incorrect instruction could result in improper concentration and dosing errors.

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When practicing safety in the administration of medication, the nurse is correct to seek clarification prior to the administration of which of the following medication orders?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

Correct Answer is C

Explanation

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