A client weighing 60 kg reports shortness of breath, wheezing, and chest discomfort. The client is prescribed 5 mg/kg ipratropium every 12 hours. In a recall visit, the client reports taking 300 mg/day ipratropium.
What instruction should be given to the client for the effective management of asthma?
Double the dose of medication.
Halve the dose of medication.
Change to alternative medication.
Continue the same dose of medication.
The Correct Answer is D
The client is prescribed a dosage of 5 mg/kg of ipratropium every 12 hours. To calculate the appropriate daily dose for a 60 kg client, we can multiply the weight (60 kg) by the prescribed dosage (5 mg/kg):
60 kg * 5 mg/kg = 300 mg/day
The client reports taking 300 mg/day, which matches the prescribed dose. Therefore, the client is already taking the correct dose of ipratropium.
Based on this information, there is no need to double the dose (option a) or halve the dose (option b) because the client is already taking the prescribed amount.
Changing to an alternative medication (option c) would not be necessary as the client is effectively managing their asthma symptoms with the currently prescribed medication.
Thus, the appropriate instruction for the client is to continue the same dose of medication (option d) as prescribed.
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Related Questions
Correct Answer is D
Explanation
To calculate the amount of ampicillin in one dose, we need to determine the total daily dose and divide it by the number of doses per day.
The prescribed dose is 150 mg/kg/day, and the child weighs 10.4 kg.
Total daily dose = Prescribed dose × Body weight Total daily dose = 150 mg/kg/day × 10.4 kg
Total daily dose = 1560 mg/day
Since the medication is administered every 6 hours, there will be four doses in a 24-hour period.
Amount of ampicillin in one dose = Total daily dose / Number of doses per day Amount of ampicillin in one dose = 1560 mg / 4 doses
Amount of ampicillin in one dose = 390 mg
Correct Answer is C
Explanation
To determine the correct answer, we need to calculate the number of tablets per dose based on the prescribed dosage and the available tablet strength.
The doctor orders 0.1 mg of Synthroid (levothyroxine), and 50 mcg tablets are available.
First, we need to convert the prescribed dosage from milligrams (mg) to micrograms (mcg) to match the tablet strength:
0.1 mg = 100 mcg
Next, we need to calculate the number of tablets per dose:
Number of tablets per dose = Prescribed dosage / Tablet strength Number of tablets per dose = 100 mcg / 50 mcg
Number of tablets per dose = 2 tablets
Therefore, the correct answer is c. 2 tablets. The nurse should administer 2 tablets per dose to the patient to achieve the prescribed dosage of 0.1 mg.
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