NCLEX-RN (Registered Nurse) Practice Exam · Question
A nurse is preparing to administer acetaminophen 325 mg orally for a client complaining of a headache (pain scale 4/10). The client's medication administration record (MAR) shows the last dose of acetaminophen was given 3 hours ago. The maximum recommended dose for acetaminophen in 24 hours is 4 g. Which action should the nurse take next?
The last dose was 3 hours ago, and acetaminophen is typically dosed every 4-6 hours. The client's pain level is moderate, and the prescribed dose is within the
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Question: A nurse is preparing to administer acetaminophen 325 mg orally for a client complaining of a headache (pain scale 4/10). The client's medication administration record (MAR) shows the last dose of acetaminophen was given 3 hours ago. The maximum recommended dose for acetaminophen in 24 hours is 4 g. Which action should the nurse take next?
Answer options: ✅ Administer the acetaminophen as prescribed.
- Contact the primary healthcare provider for clarification.
- Assess the client's liver function labs.
- Educate the client about non-pharmacological pain relief methods.
Correct answer: Administer the acetaminophen as prescribed.
Explanation: The last dose was 3 hours ago, and acetaminophen is typically dosed every 4-6 hours. The client's pain level is moderate, and the prescribed dose is within the normal range. There is no immediate concern regarding exceeding the 24-hour maximum at this interval.
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