A client is prescribed 250 mg of metformin. The pharmacy supplies 500 mg pre- scored tablets of metformin. How should the nurse administer the medication to the client?
Administer one half tablet
Administer two tablets
Administer one tablet
Administer one-and-a-half tablets
The Correct Answer is A
Administer one half tablet. To find the amount of tablets to administer, use the formula: (ordered dose / available dose). In this case, (250 mg / 500 mg) = 0.5 tablet. Since the tablet is pre-scored, it can be easily split in half.
Metformin is a medication that belongs to a class of drugs called biguanides. It is used to treat type 2 diabetes by lowering blood sugar levels and improving insulin sensitivity. Metformin works by reducing the amount of glucose produced by the liver and increasing the uptake of glucose by the muscles and other tissues.
Metformin can also help prevent or delay the onset of diabetes complications, such as heart disease and kidney damage.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The amount of solution the nurse should withdraw from the vial can be calculated using the following formula:
Amount of solution = Amount of medication needed / Concentration of medication in the solution.
In this case, the amount of medication needed is 17.1 mg and the concentration of medication in the solution is 3 mg/mL. Substituting these values into the formula, we get:
Amount of solution = 17.1 mg / 3 mg/mL = 5.7 mL
Therefore, the answer is B. The nurse should withdraw 5.7 mL of solution from the vial.
Correct Answer is A
Explanation
According to the web, intradermal injections are administered into the dermis just below the epidermis at a 5 to 15 degree angle12 This angle allows for smooth piercing of the skin and induction of the medication into the dermis.
Option B (20 to 35 degrees) is incorrect because it is too steep for an intradermal injection and may cause the medication to enter the subcutaneous layer instead of the dermis.
Option C (45 to 70 degrees) is incorrect because it is too steep for an intradermal injection and may cause the medication to enter the subcutaneous layer instead of the dermis.
Option D (90 degrees) is incorrect because it is too steep for an intradermal injection and may cause the medication to enter the muscle layer instead of the dermis.
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