The nurse is reviewing medication orders for his clients. Which order would necessitate contacting the health care provider?

  • Paxil (paroxetine) 20 mg PO daily for a 57-year-old client with social anxiety disorder
  • Phenergan (promethazine hydrochloride) 12.5 mg PR q12h prn for a child with Reye’s syndrome
  • Diflucan (fluconazole) 150 mg × 1 dose PO for a 24-year-old client with vaginal candidiasis
  • Lopressor (metoprolol tartrate) 50 mg PO daily for a 48-year-old client with hypertension
Number 2 is correct.
Phenergan is contraindicated in children with Reye’s syndrome. Paxil 20 mg PO daily is an appropriate dose for this client and condition. Diflucan 150 mg PO is given as a one-time dose to treat vaginal candidiasis. Lopressor 50 mg PO daily is an appropriate treatment for this client’s hypertension.