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    Ati rn dosage calculation med surg Proctored exam

    A nurse is reviewing medications prescribed for a client. For which of the following prescriptions should the nurse contact the provider for clarification?

    Explanation & Rationale

    A. Meloxicam 15 mg PO daily: Meloxicam is a nonsteroidal anti-inflammatory drug commonly prescribed for pain and inflammation, with a typical adult dose of 7.5–15 mg once daily. This prescription falls within the recommended therapeutic range and does not require clarification. B. Docusate sodium 200 mg PO at bedtime: Docusate is a stool softener used to prevent constipation, and doses up to 200 mg daily are commonly prescribed. Administering it at bedtime is appropriate for promoting bowel movement the following day, making this order acceptable. C. Regular insulin 8 units subcutaneous before meals: Regular insulin is a short-acting insulin that is typically administered 30 minutes before meals, not immediately before eating. Orders for pre-meal insulin without specifying timing or using rapid-acting insulin (like lispro) may lead to hypoglycemia or poor glycemic control, requiring clarification. D. Fentanyl 25 mcg/hr transdermal patch: This is a standard starting dose for opioid-tolerant patients requiring continuous pain control. While careful monitoring is necessary due to potency, the dosage and route are appropriate and do not inherently require clarification.

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