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A nurse is caring for a client prescribed drug N 235 mcg PO daily. Available is drug N PO 0.5 mg per 1 scored tablet. How many tablets should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Answer and Explanation

The Correct Answer is ["0.5"]

Step 1: Convert the prescribed dose from mcg to mg.

235 mcg ÷ 1000 = 0.235 mg

Step 2: Determine the strength of the available tablet.

Available strength = 0.5 mg per tablet

Step 3: Calculate the number of tablets needed.

Number of tablets = 0.235 mg ÷ 0.5 mg/tablet

Step 4: Perform the division.

0.235 ÷ 0.5 = 0.47

Step 5: Round the answer to the nearest tenth.

0.47 rounded to the nearest tenth = 0.5

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Correct Answer is A

Explanation

Choice A reason: Notifying the surgeon and anesthesiologist is the most appropriate action. This ensures that the discrepancy is addressed immediately and the correct eye is operated on. It is crucial to verify and correct any inconsistencies in the surgical plan to prevent errors and ensure patient safety.

Choice B reason: Assuming that the client is confused because he is elderly is inappropriate and dismissive. Age should not be a factor in disregarding a patient’s statement. The nurse should take the client’s concerns seriously and verify the information rather than making assumptions about the client’s mental state.

Choice C reason: Asking the client to point to his good eye can help clarify the situation, but it is not sufficient on its own. While it may provide additional information, the nurse must still notify the surgical team to ensure that the correct procedure is performed. This step should be part of the verification process but not the sole action taken.

Choice D reason: Checking to see if the client has received any preoperative medications is important, but it does not address the immediate concern of the discrepancy in the consent form. The priority is to ensure that the correct eye is identified for surgery, and this requires notifying the surgical team.

A. Hemoglobin, 8.0 g/dL B. Serum creatinine, 0.8 mg/dL C. Platelets, 210,000/mm³ D. Sodium, 144 mEq/L

Correct Answer is A

Explanation

Choice A reason:

Hemoglobin, 8.0 g/dL: Hemoglobin is a critical component of red blood cells, responsible for carrying oxygen throughout the body. Normal hemoglobin levels typically range from 13.8 to 17.2 g/dL for men and 12.1 to 15.1 g/dL for women1. A level of 8.0 g/dL is significantly below the normal range, indicating anemia. Severe anemia can increase the risk of perioperative complications, including poor wound healing, increased risk of infection, and cardiovascular stress. Therefore, this result should be reported to the surgeon as it may necessitate postponing the surgery until the anemia is addressed.

Choice B reason:

Serum creatinine, 0.8 mg/dL: Creatinine is a waste product produced by muscles and filtered out of the blood by the kidneys. Normal serum creatinine levels range from 0.74 to 1.35 mg/dL for men and 0.59 to 1.04 mg/dL for women. A level of 0.8 mg/dL falls within the normal range, indicating normal kidney function. Therefore, this result would not typically cause surgery to be postponed.

Choice C reason:

Platelets, 210,000/mm³: Platelets are essential for blood clotting. Normal platelet counts range from 150,000 to 400,000/mm³. A count of 210,000/mm³ is within the normal range, indicating adequate clotting ability. Thus, this result would not be a reason to postpone surgery.

Choice D reason:

Sodium, 144 mEq/L: Sodium is an essential electrolyte that helps regulate fluid balance, nerve function, and muscle contractions. Normal sodium levels range from 135 to 145 mEq/L. A level of 144 mEq/L is within the normal range, indicating normal electrolyte balance. Therefore, this result would not typically cause surgery to be postponed.

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A nurse is caring for a client prescribed drug N 235 mcg PO daily. Available is drug N PO 0.5 mg per 1 scored tablet. How many tablets should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

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