Question

A nurse is assisting with the care of a client who is 24hr postoperative following a cesarean birth. Which of the following prescriptions should the nurse clarify with the charge nurse?

Answer 1

Correct Answers:

Ciprofloxacin 1000mg daily

Rationale :

🔴 Ciprofloxacin is a fluoroquinolone antibiotic, which is generally not recommended postpartum—especially for breastfeeding clients, due to potential risks including tendon rupture and cartilage damage in neonates.

🔴 A dose of 1000 mg daily is also considered high and unusual for routine post-cesarean prophylaxis.

🔴 Standard postpartum infection prevention typically involves first-line antibiotics like cefazolin or ampicillin, not ciprofloxacin.

🔴 Therefore, this prescription should be clarified immediately to ensure it's appropriate for the postpartum and lactating status.

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Answer 2

Correct Answers:

0.8

Rationale :

🟢Formula:

Volume to administer=Ordered Dose/Available Concentration

8 mg/10 mg/mL

0.8 mL

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Answer 3

Correct Answers:

The nurse should wait until the client has more than four contractions in 1 hr before administering terbutaline.

Rationale :

🟢 The prescription states terbutaline 0.25 mg subcutaneously every 4 hours PRN (as needed) for more than four uterine contractions per hour.

🟢 This means the nurse should monitor contraction frequency and only administer the medication if the client exceeds four contractions in one hour.

🟢 It is not a scheduled medication; rather, it is used reactively to suppress preterm labor contractions.

🟢 Administering terbutaline without the presence of excessive contractions could result in unnecessary side effects such as tachycardia, jitteriness, or pulmonary edema.

🟢 Once administered, it can be repeated no more frequently than every 4 hours, and only within a 24-hour total time frame.

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Answer 4

Correct Answers:

3.5

Rationale :

✍️ To convert grams (g) to kilograms (kg)

✍️Divide the weight in grams by 1,000:

3,500 g/1,000

3.5 kg

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Answer 5

Correct Answers:

2

Rationale :

🟢 The prescription is for 0.4 mg of methylergonovine to be given orally.

🟢 The tablets available are 200 mcg (micrograms) each.

🟢 First, convert 0.4 mg to micrograms:

0.4 mg×1000

400 mcg

🟢 Next, divide the required dose by the strength per tablet:

400 mcg/200 mcg/tablet

2 tablets

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Answer 6

Correct Answers:

0.5

Rationale :

🟢 The prescribed dose is 10 mg of nalbuphine IM.

🟢 The available solution is 20 mg/mL,

🟢The nurse needs to calculate the volume that delivers 10 mg.

🟢 Use the formula:

Volume to administer=Desired dose/Concentration

10 mg/20 mg/mL

0.5 mL

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Answer 7

Correct Answers:

0.75

Rationale :

🟢 The prescription is for 75 mg of enoxaparin to be given subcutaneously once daily.

🟢 The available solution is 100 mg/mL

🟢The volume needed is calculated as:

75 mg/100 mg/mL

0.75 mL

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Answer 8

Correct Answers:

1

Rationale :

❖ The prescribed dose is 100,000 units per dose, administered four times per day.

❖ The available concentration of nystatin suspension is 100,000 units/mL.

❖ Use the formula:

Dose ÷ Stock concentration = Volume to administer

100,000 units ÷ 100,000 units/mL

1 mL

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Answer 9

Correct Answers:

0.5

Rationale :

✴️ The prescribed dose is 5,000 units of heparin subcutaneously.

✴️ The available concentration is 10,000 units/mL.

✴️ Apply the formula:

Dose ÷ Concentration = Volume to administer

5,000 units ÷ 10,000 units/mL

0.5 mL

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Answer 10

Correct Answers:

0.8

Rationale :

🔷 The ordered dose is 40 mg of diphenhydramine IM.

🔷 The available concentration is 50 mg/mL.

🔷 Use the standard formula:

Dose ÷ Concentration = Volume to administer

40 mg ÷ 50 mg/mL

0.8 mL

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QLexNursing

1 :
A nurse is assisting with the care of a client who is 24hr postoperative following a cesarean birth. Which of the following prescriptions should the nurse clarify with the charge nurse?

2 :
A nurse is preparing to administer morphine 8mg IM to a client who is postpartum. Available is morphine injection 10 mg/mL. How many mL should the nurse plan to administer? (Round the answer to the nearest tenth. Use leading zero if it applies.)

3 :
A nurse is reviewing a client's prescription for terbutaline 0.25 mg subcutaneous every 4hr for 24hr PRN more than four uterine contractions per hour. How should the nurse interpret this prescription?

4 :
A nurse is caring for a newborn who weighs 3,500 g. The nurse should record the newborn's weight as how many kg? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

10 :
A nurse is preparing to administer diphenhydramine 40 mg IM to a client who has allergies. Available is diphenhydramine injection 50 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

QLexNursing

1 : A nurse is assisting with the care of a client who is 24hr postoperative following a cesarean birth. Which of the following prescriptions should the nurse clarify with the charge nurse?

2 : A nurse is preparing to administer morphine 8mg IM to a client who is postpartum. Available is morphine injection 10 mg/mL. How many mL should the nurse plan to administer? (Round the answer to the nearest tenth. Use leading zero if it applies.)

3 : A nurse is reviewing a client's prescription for terbutaline 0.25 mg subcutaneous every 4hr for 24hr PRN more than four uterine contractions per hour. How should the nurse interpret this prescription?

4 : A nurse is caring for a newborn who weighs 3,500 g. The nurse should record the newborn's weight as how many kg? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

10 : A nurse is preparing to administer diphenhydramine 40 mg IM to a client who has allergies. Available is diphenhydramine injection 50 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

1 :
A nurse is assisting with the care of a client who is 24hr postoperative following a cesarean birth. Which of the following prescriptions should the nurse clarify with the charge nurse?

2 :
A nurse is preparing to administer morphine 8mg IM to a client who is postpartum. Available is morphine injection 10 mg/mL. How many mL should the nurse plan to administer? (Round the answer to the nearest tenth. Use leading zero if it applies.)

3 :
A nurse is reviewing a client's prescription for terbutaline 0.25 mg subcutaneous every 4hr for 24hr PRN more than four uterine contractions per hour. How should the nurse interpret this prescription?

4 :
A nurse is caring for a newborn who weighs 3,500 g. The nurse should record the newborn's weight as how many kg? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

10 :
A nurse is preparing to administer diphenhydramine 40 mg IM to a client who has allergies. Available is diphenhydramine injection 50 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)