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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
When mixing regular and NPH insulin, it is important to follow the correct steps to ensure proper administration. The general rule is to inject air into the NPH vial, then inject air into the regular vial, draw up the regular insulin, and then draw up the NPH insulin¹.
A. Drawing up the NPH insulin first would be incorrect because it could contaminate the regular insulin with NPH insulin.
B. Drawing up one-half of each insulin at a time would be incorrect because it could result in an inaccurate dosage.
D. Drawing up one-half of each insulin at a time would be incorrect because it could result in an inaccurate dosage.
Correct Answer is C
Explanation
To determine the correct answer, we can use a proportion to find the equivalent amount of oral suspension
based on the given dosage.
The ratio of amoxicillin in the oral suspension is 200 mg per 5 mL. We need to find how many milliliters (mL) of the oral suspension contain 500 mg of amoxicillin.
Setting up the proportion, we have:
200 mg / 5 mL = 500 mg / x mL
Cross-multiplying, we get:
200 mg * x mL = 5 mL * 500 mg
Simplifying, we have:
200x = 2500
Dividing both sides by 200, we find:
x = 2500 / 200
x ≈ 12.5 mL
Therefore, the correct answer is c. 12.5 mL. The nurse should administer 12.5 mL of the amoxicillin oral suspension to deliver a dose of 500 mg of amoxicillin to the patient with a sinus infection.
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