A nurse is reviewing new prescriptions for a client. Which of the following prescriptions should the nurse clarify?
Explanation & Rationale
A. Sertraline 125 mg daily: Sertraline, a selective serotonin reuptake inhibitor (SSRI), is typically started at doses such as 50 mg or 100 mg daily for depression or anxiety, with adjustments based on response and tolerability. A dose of 125 mg daily is unusual and not a standard dose, so clarification is needed to ensure it is appropriate for the client and within the recommended dosing range. B. Pantoprazole 40 mg PO BID: Pantoprazole, a proton pump inhibitor, is commonly prescribed at 40 mg twice daily (BID) for conditions such as severe gastroesophageal reflux disease (GERD). This dosing is within the usual range for treating more severe acid-related conditions. C. Propranolol extended release 80 mg PO daily: Propranolol extended release 80 mg daily is a standard dose for managing conditions such as hypertension or anxiety. This dosage is appropriate and does not require clarification. D. Clonidine transdermal 0.1 mg/24 hr apply every 7 days: Clonidine transdermal patches are typically applied every 7 days, with doses of 0.1 mg/24 hr being a standard starting dose. This prescription aligns with common dosing guidelines and does not need clarification.