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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The patient is ordered 5 mg of IV Lopressor to be administered over 2 minutes. To calculate the rate of administration in mg/min, we can divide the dose in mg by the infusion time in minutes: 5 mg / 2 min = 2.5 mg/min.
A. 3.75 mg is incorrect because it is more than the calculated rate of administration.
B. 0.4 mg is incorrect because it is less than the calculated rate of administration.
C. 2.5 mg is the correct answer.
D. 5 mg is incorrect because it is double the calculated rate of administration.
Correct Answer is D
Explanation
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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