The health care provider orders "Tylenol 2 tabs p.o. q4h PRN pain" in the client's medical record. Which action by the nurse is the most appropriate?
1. Accept the order as complete.
2. Clarify the dosage.
3. Clarify the frequency.
4. Clarify the client.
Correct Answer: 2
The nurse must clarify the dosage because Tylenol (acetaminophen) tablets come in different strengths, so the dosage would vary if a 350 mg tablet were given as opposed to a 500 mg tablet. The order is not complete because dosage is not clear. The frequency is clearly indicated in the order. Unless the nurse has reason to believe the health care provider entered the order in the wrong medical record, the client does not need to be clarified.
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After completing a master's degree, a nurse took a course in marketing. Should the agency reimburse the nurse's tuition costs?
a. No, courses taken for personal enjoyment are not eligible. b. No, courses taken outside the professional's responsibilities are not eligible. c. Yes, the nurse is demonstrating professional commitment by continuing education. d. Yes, the nurse could use such information in social marketing for the agency.
The nurse assesses an adolescent who complains of ear pain. The prescriber orders Floxin Otic, with the first dose to be administered as a "now" dose. The nurse should administer the drops after
a. retrieving the medication from the refrigerator and shaking the bottle to ensure fluidity of the medication. b. ensuring that the medication is warm or at room temperature. c. pulling the pinna down and back. d. assessing the patient's blood pressure and pulse.
A nurse is preparing to administer morning medications. The nurse notes that a patient with a history of hypertension is taking captopril (Capoten) concurrently with spironolactone (Aldac-tone)
Morning laboratory results reveal a serum sodium level of 144 mg/dL, a serum potassium level of 4.5 mEq/L, and a blood glucose level of 128 mg/dL. Which of the following interven-tions should the nurse use? a. Administer the medications as ordered. b. Clarify the order with the prescriber. c. Confer with the prescriber about increasing the captopril dose. d. Request that the spironolactone be changed to mannitol (Osmitrol).
The nurse is supervising a student nurse who is working with a 14-year-old client who delivered her first child yesterday. Which statement indicates that the nursing student understands the particular needs of an adolescent client?
1. "This client will need less teaching, because she will have gotten the right information in school." 2. "Because of her age, this client will require less frequent fundal checks to assess for postpartal hemorrhage." 3. "Because of her age, this client will probably need extra teaching about the terminology for her anatomy." 4. "This client will need to have her grandmother provide day care and help raise the baby."