Choice A rationale

This is incorrect because the prescription is for one time only, not for repeated doses. Waiting 15 minutes to administer the medication after the client saturates a perineal pad could delay necessary treatment.

Choice B rationale

This is correct because the prescription states to administer the medication “one time only” if the client saturates the perineal pad within 15 minutes. The nurse should give the medication once when the pad becomes saturated within the specified time frame.

Choice C rationale

This is incorrect because the prescription is not for preventive administration. Offering the medication now to prevent saturation of the perineal pad does not align with the prescription instructions.

Choice D rationale

This is incorrect because the prescription is for one time only, not for repeated doses. Administering the medication every 15 minutes regardless of pad saturation could lead to overmedication and potential side effects.

Choice A rationale

Calcium carbonate 790 mg PO is not a standard dose. The typical dose for calcium carbonate is 500 mg or 1000 mg. The nurse should clarify this prescription with the provider to ensure the correct dosage is administered.

Choice B rationale

Ibuprofen 600 mg PO every 6 hours PRN for moderate pain is a standard dose and does not require clarification. Ibuprofen is commonly used for postpartum pain management.

Choice C rationale

Oxycodone 5 mg PO every 6 hours PRN for severe pain is a standard dose and does not require clarification. Oxycodone is an opioid analgesic used for severe pain management.

Choice D rationale

Bisacodyl 10 mg rectal now is a standard dose for bowel management and does not require clarification. Bisacodyl is a stimulant laxative used to treat constipation.

Choice A rationale

Metformin should be taken with meals to help reduce stomach or bowel side effects that may occur during the first few weeks of treatment. Taking it in the afternoon with tea would not align with the prescribed timing.

Choice B rationale

Waiting 2 hours after eating the evening meal to take metformin is not recommended. Metformin should be taken with meals to help reduce gastrointestinal side effects.

Choice C rationale

Taking metformin when beginning the evening meal is correct as it helps reduce gastrointestinal side effects and ensures proper absorption.

Choice D rationale

If the client does not eat an evening meal, they should not wait until bedtime to take metformin. It should be taken with food to minimize gastrointestinal side effects.

Choice A rationale

Losartan is an angiotensin II receptor blocker (ARB) used to treat high blood pressure. However, it is contraindicated during pregnancy and postpartum due to potential harm to the fetus and newborn. It can cause fetal toxicity, including injury and death to the developing fetus. Therefore, the nurse should clarify this prescription with the provider.

Choice B rationale

Ferrous fumarate is an iron supplement used to treat or prevent iron deficiency anemia, which is common postpartum. It is generally safe and effective for postpartum women, helping to replenish iron stores depleted during pregnancy and childbirth.

Choice C rationale

Docusate sodium is a stool softener used to treat constipation, which is common postpartum due to hormonal changes and the physical strain of childbirth. It is safe for use during the postpartum period and helps ease bowel movements.

Choice D rationale

Prochlorperazine is an antiemetic used to treat nausea and vomiting. It is generally safe for use postpartum, especially when prescribed on an as-needed basis. However, it should be used with caution and under medical supervision.