A nurse is reviewing new prescriptions for several clients. Which of the following prescriptions should the nurse clarify with the provider?
Temazepam 15 mg PO at bedtime PRN sleep
Adderall XR 10 mg PO hs.
Fluoxetine 20 mg PO every a.m.
Guanfacine 1 mg PO daily
The Correct Answer is B
A. Temazepam 15 mg PO at bedtime PRN sleep: This prescription is clear, as it specifies the medication, dosage, route, and that it is for as-needed use at bedtime. This is an appropriate use of a sedative-hypnotic medication for sleep issues.
B. Adderall XR 10 mg PO hs: The abbreviation "hs" typically means "at bedtime," but in the context of Adderall, which is a stimulant, this usage may raise concerns about inappropriate timing. Stimulants are usually prescribed in the morning to avoid insomnia and potential side effects, so clarifying this prescription is necessary to ensure safe and effective use.
C. Fluoxetine 20 mg PO every a.m.: This prescription is clearly stated, with an appropriate dosage and frequency. Fluoxetine is commonly prescribed for depression and can be taken in the morning, making this prescription acceptable.
D. Guanfacine 1 mg PO daily: The prescription is straightforward and appropriate, as guanfacine is often used for attention deficit hyperactivity disorder (ADHD) or hypertension and can be taken daily. There are no concerns that require clarification with this prescription.
Free Nursing Test Bank
- Free Pharmacology Quiz 1
- Free Medical-Surgical Quiz 2
- Free Fundamentals Quiz 3
- Free Maternal-Newborn Quiz 4
- Free Anatomy and Physiology Quiz 5
- Free Obstetrics and Pediatrics Quiz 6
- Free Fluid and Electrolytes Quiz 7
- Free Community Health Quiz 8
- Free Promoting Health across the Lifespan Quiz 9
- Free Multidimensional Care Quiz 10
View Related questions
Correct Answer is C
Explanation
A. Albuterol metered dose inhaler 2 inhalations every 4 to 6 hr PRN for bronchospasm: This prescription is appropriate for managing acute bronchospasm. Albuterol is commonly used as a rescue inhaler, and the frequency aligns with standard practice for its use.
B. Clozapine 25 mg PO daily: This dosage is appropriate for initiating treatment with clozapine, which often starts at a low dose due to the risk of agranulocytosis. Regular monitoring of blood counts is required but the prescription itself is clear.
C. Haloperidol 0.5 mg PO 2 times each day: This prescription raises a concern due to the formatting error (there is a missing space after "Haloperidol"). The clarity of the dose is crucial, especially with potent medications like haloperidol, and the nurse should confirm the intended dosage to avoid medication errors.
D. Flunisolide 80 mcg inhalation twice daily: This is a standard prescription for a corticosteroid inhaler, used for long-term control of asthma or COPD. The dosage and frequency are appropriate, requiring no further clarification.
Correct Answer is A
Explanation
A. Dose: It is critical to confirm the specific dosage of buspirone (e.g., milligrams per tablet) before administering the medication. The correct dosage ensures that the client receives an effective and safe amount of the drug, optimizing treatment outcomes. Administering an incorrect dose could lead to insufficient therapeutic effects or increased risk of side effects, which can be particularly important in medications affecting anxiety and mood.
B. Medication: The medication is already clearly specified as buspirone in the prescription, so there is no need to add or clarify this component. The clarity of the medication name is crucial for safe administration.
C. Route: The prescription explicitly states the route as "PO" (by mouth), meaning no further clarification or addition is necessary. Clear documentation of the route is vital for ensuring the medication is taken as intended, minimizing the risk of administration errors.
D. Frequency: The frequency of "every 12 hr" is clearly indicated, meaning it does not require any modification. Proper frequency ensures that the medication maintains its effectiveness, and having it specified helps prevent potential overdosing or subtherapeutic dosing.