1) The patient with postherpetic neuralgia has

1) The patient with postherpetic neuralgia has been taking pregabalin 50 mg PO BID for 1 month. At the clinic visit today, the physician increases the order to pregabalin 150 mg PO BID. The nurse reviews the drug reference information for pregabalin to verify that the newly ordered dose is safe. The drug reference states the following about pregabalin: Route/Dosage Postherpetic Neuralgia PO (Adults): 75 mg twice daily or 50 mg 3 times daily initially, may be increased over 7 days to 300 mg/day in 2-3 divided doses. Which of the following statements is correct? The dose ordered today for pregabalin is the same as the recommended increased dose in the drug reference and is therefore safe. The nurse should review the new medication order with the patient. The initial dose of pregabalin 50 mg PO BID is less than the recommended dose. The nurse should check the initial dose with the physician. The increased dose of pregabalin 150 mg PO BID is less than the recommended dose. The nurse should check the increased dose with the physician. The increased dose of pregabalin 150 mg PO BID is more than the recommended dose. The nurse should check the increased dose with the physician. 2. The order is for risedronate 35 mg immediate-release PO weekly. The drug reference states the following: Route/Dosage PO (Adults): Postmenopausal osteoporosis–5 mg daily; or 35 mg once weekly (immediate or delayed-release); or 75 mg taken on two consecutive days for a total of 2 tablets each month; or 150 mg once monthly. Osteoporosis in men–35 mg once weekly (immediate-release). Glucocorticoid-induced osteoporosis–5 mg daily. Paget’s disease–30 mg daily for 2 mo; retreatment may be considered after 2 mo off therapy. The ordered dose is safe for which patient(s)? Select all that apply. A female with postmenopausal osteoporosis A male with osteoporosis An adult with glucocorticoid-induced osteoporosis An adult with Paget’s disease None of the patients 3. The nurse receives an order to administer verapamil 120 mg (extended release tablet) PO daily to an adult patient with angina. The drug reference states the following about verapamil: Route/Dosage PO (Adults): 80-120 mg 3 times daily, increase as needed. Patients with hepatic impairment or geriatric patients—40 mg 3 times daily initially. Extended-release preparations—120-240 mg/day as a single dose; may be increased as needed (range 240-480 mg/day). What is the maximum safe dose of extended-release verapamil based on the information in the drug reference? 120 mg daily 40 mg 3 times daily 240 mg/day 480 mg/day 4. Order: Ceftazidime 500 mg IV q.12h for a patient with a complicated urinary tract infection. The drug reference states the following: Route/Dosage IM, IV (Adults and Children ≥ 12 yr): Pneumonia and skin/skin structure infections–500 mg-1 g every 8 hr. Bone and joint infections–2 g every 12 hr. Severe and life-threatening infections–2 g every 8 hr. Complicated urinary tract infections–500 mg every 8-12 hr. Uncomplicated urinary tract infections–250 mg every 12 hr. Cystic fibrosis lung infection caused by P. aeruginosa–30-50 mg/kg every 8 hr. (Maximum dose = 6 g/day). Using the drug reference information, the most appropriate dosage listed for this patient is: 250 mg every 12 hr. 500 mg every 8-12 hr. 500 mg-1 g every 8 hr. 2 g every 12 hr. 5. The nurse is caring for a patient who is a 14-year-old with a new diagnosis of partial complex seizures. The patient weighs 49 kg. The nurse has an order for Depakene 375 mg PO BID. The pharmacy sends Depakene syrup 250 mg/5 mL. The nurse checks the drug reference to validate that the ordered dose is safe. Which action by the nurse is correct? Image transcription text … Show more The nurse should administer the ordered dose of Depakene. The ordered dose is safe. The nurse should call the physician because 375 mg is more than the recommended dose and is not safe. The nurse should call the physician because 375 mg is less than the recommended dose and is not safe. The nurse should call the physician because 375 mg of Depakene should be administered more frequently than BID. 6. The order states Metoclopramide 125 mg IV 30 min before chemotherapy. May be repeated q.2-4 hours. The patient is 56 years old and weighs 198 lbs. What is the maximum safe dose that the patient can receive according to the drug reference? Enter the numeral only (not the unit) in your answer. Image transcription text … Show more Enter your answer. mg 7. The physician writes an order for amikacin 500 mg IV q.12h. The patient is 22 years old with mycobacterium avium complex in the lungs. The patient weighs 74 kg. The drug reference has the following information: Route/Dosage IM, IV (Adults and Children): 5 mg/kg every 8 hr or 7.5 mg/kg every 12 hr (not to exceed 1.5 g/day). Mycobacterium avium complex—7.5-15 mg/kg/day divided every 12 hr. What is the maximum safe dose that this patient can receive every 12 hours according to the drug literature? Enter the numeral only (not the unit) in your answer. Round to the nearest hundredth. Enter your answer. mg every 12 hr

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