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 A
Explanation
To calculate the rate in mL/hr that the nurse should program into the IV pump for administering nitroprusside to the patient, we need to convert the patient's weight from pounds to kilograms and then calculate the dosage based on the weight and ordered dose.
First, let's convert the patient's weight from pounds to kilograms: 154 lb / 2.2046 = 69.85 kg (rounded to the nearest hundredth)
Now, we can calculate the dosage in mcg/min:
Dosage = dose per kg/min x weight in kg Dosage = 3 mcg/kg/min x 69.85 kg
To convert mcg to mg, divide by 1000:
Dosage = (3 mcg/kg/min x 69.85 kg) / 1000
Now, let's calculate the rate in mL/hr:
Rate (mL/hr) = (Dosage (mg/min) / Concentration (mg/mL)) x 60 min/hr
Rate (mL/hr) = ((3 mcg/kg/min x 69.85 kg) / 1000) / (100 mcg/mL) x 60 min/hr
Simplifying the equation:
Rate (mL/hr) = (0.20955 mg/min) / (0.1 mL/min) x 60 min/hr
Rate (mL/hr) = 1257.3 mL/hr
Therefore, the nurse should program the IV pump to deliver nitroprusside at a rate of approximately 1257.3 mL/hr, which corresponds to option a. 1260 mL/hr.
Correct Answer is A
Explanation
The dose of Amoxil in mg is 0.5 grams * 1000 mg/gram = 500 mg. The concentration of Amoxil is 125 mg/5 mL. To calculate the volume of solution needed to administer 500 mg of Amoxil, we can divide the dose in mg by the concentration: 500 mg / (125 mg/5 mL) = 20 mL.
A. 20 mL is the correct answer.
B. 5 mL is incorrect because it is less than the calculated volume.
C. 15 mL is incorrect because it is less than the calculated volume.
D. 10 mL is incorrect because it is less than the calculated volume.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today