A nurse is reviewing a client's medication administration record. The nurse should identify that which of the following prescriptions requires clarification?
Explanation & Rationale
A. Bupropion 150 mg PO once per day: Bupropion 150 mg once daily is a common starting dose, especially for extended-release formulations. This dose is within the recommended range and does not require clarification. B. Ibuprofen 200 mg PO q4 to 6 hr PRN pain: Ibuprofen 200 mg every 4 to 6 hours as needed for pain is consistent with typical dosing guidelines for over-the-counter ibuprofen. This prescription is standard and does not require clarification. C. Fluoxetine 20 mg PO QD: Fluoxetine 20 mg daily (QD) is a standard starting dose for treating depression. This prescription is appropriate and aligns with common treatment guidelines. D. Zolpidem 1.75 mg PO PRN at bedtime: The standard dose for zolpidem is typically 5 mg to 10 mg taken at bedtime for the treatment of insomnia. A dose of 1.75 mg is unusual and lower than the usual recommended dose. Clarification is needed to ensure the dose is correct and appropriate for the client’s needs.