A nurse is caring for an adolescent who has schizophrenia and a new prescription for quetiapine 0.7 g PO daily, divided into two equal doses. Available are quetiapine 100 mg tablets. How many tablets should the nurse administer in each dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
The Correct Answer is ["3.5"]
Step 1: Convert the dose from grams to milligrams. We know that 1 gram = 1000 milligrams. So, 0.7 grams = 0.7 × 1000 = 700 milligrams.
Step 2: The total daily dose is divided equally into two doses, so each dose is half of the total daily dose. So, 700 mg ÷ 2 = 350 mg per dose.
Step 3: The available quetiapine tablets have a concentration of 100 mg/tablet. This means that for every 1 tablet, there are 100 mg of quetiapine.
Step 4: To find out how many tablets should be administered per dose, we divide the dose by the concentration. So, 350 mg ÷ 100 mg/tablet = 3.5 tablets.
Step 5: Round the answer to the nearest tenth. So, 3.5 tablets rounds to3.5 tablets.
The nurse should administer3.5 tablets of quetiapine in each dose.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The correct answer is choice D. Route.
Choice A rationale:
The medication name, lorazepam, does not need clarification as it is a commonly prescribed benzodiazepine, known for its effectiveness in treating anxiety and its off-label use as a sleep aid.
Choice B rationale:
The dosage of 4 mg at bedtime falls within the typical dosing range for lorazepam when used for insomnia caused by anxiety or transient situational stress in adults. However, it is on the higher end of the spectrum, and lower doses are often recommended, especially for older adults.
Choice C rationale:
The frequency, ‘at bedtime’, is appropriate for lorazepam when prescribed as a sleep aid, as it is typically taken as a single dose at night.
Choice D rationale:
The route should be clarified. Lorazepam can be administered orally in tablet form or as an oral solution, and the prescription should specify this to ensure proper administration. Additionally, if the patient has difficulty swallowing, the route of administration might need to be adjusted, and alternative forms like an injectable route could be considered.
Correct Answer is A
Explanation
Choice A reason: The buccal route involves placing the medication directly in the mouth against the mucous membranes of the cheek, allowing for absorption through the oral tissues. This method is used for fentanyl administration to ensure rapid onset of pain relief without gastrointestinal involvement.
Choice B reason: Chewing the medication is not recommended for buccal administration as it can lead to unpredictable absorption and potential destruction of the medication's integrity, which can alter its effectiveness.
Choice C reason: Mixing fentanyl with food is not appropriate for buccal administration. This method is generally used for oral medications that are swallowed, not for those intended for mucosal absorption.
Choice D reason: Dissolving the tablet in liquid is also not suitable for buccal administration. The buccal route is designed for direct absorption through the cheek's mucous membranes, and dissolving the tablet would be more akin to oral administration, which is not the intended method for this medication.
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