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A nurse is preparing to administer 1.5 tsp fluconazole oral suspension PO to a toddler who has systemic candidiasis. The nurse should recognize that this is equivalent to how many mL? (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 ["7.5"]

Identify the given information:

Volume of fluconazole oral suspension: 1.5 tsp

Use the conversion factor:

1 tsp = 5 mL

Set up the conversion:

1.5 tsp x (5mL / 1 tsp)

Calculate the result:

1.5 tsp x 5 mL/tsp = 7.5 mL

Round the answer to the nearest tenth: 7.5 mL

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Correct Answer is D

Explanation

A) Give the client two troches in the morning and two troches in the evening:
While this option describes the correct number of doses, it does not address the critical aspect of how the troche should be administered. The troche must dissolve in the mouth, not be swallowed immediately, and the focus should be on how the medication is used rather than the total number of doses per day. The timing of doses (morning and evening) is correct, but the method of administration needs further clarification.

B) Tell the client to keep the troche under the tongue for 5 min before swallowing it:
Troches should not be kept under the tongue or swallowed after a short duration. The medication is intended to dissolve in the mouth, where it can act locally. Keeping it under the tongue or swallowing it too soon would reduce its efficacy in treating fungal infections of the mouth or throat. Therefore, this instruction is incorrect.

C) Instruct the client to swallow the troche with 240 mL (8 oz) water:
Swallowing the troche with water is not appropriate because it prevents the medication from dissolving properly in the mouth. Nystatin troches are designed to dissolve slowly in the mouth, releasing medication to treat the infection. Swallowing it immediately would bypass the intended mechanism of action. Therefore, this instruction is incorrect.

D) Withhold oral intake until the troche dissolves in the client's mouth:
This is the correct instruction. Nystatin troches need to dissolve slowly in the mouth to ensure the medication can work locally on the fungal infection. The client should not swallow the troche immediately and should wait until it has fully dissolved, which can take several minutes. This allows for the proper therapeutic effect in treating infections of the mouth or throat.

Correct Answer is ["500"]

Explanation

Step 1: Identify the given information:

Volume of the solution: 125 mL

Infusion time: 15 minutes

Step 2: Convert the infusion time to hours:

15 minutes = 15/60 hours = 0.25 hours

Step 3: Calculate the infusion rate in mL/hr:

Infusion rate = Volume / Time

Step 4: Substitute the values:

Infusion rate = 125 mL / 0.25 hr

Step 5: Calculate the result:

Infusion rate = 500 mL/hr

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A nurse is preparing to administer 1.5 tsp fluconazole oral suspension PO to a toddler who has systemic candidiasis. The nurse should recognize that this is equivalent to how many mL? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing a prescription for nystatin 200,000 units in a troche PO 4 times per day. How should the nurse interpret this prescription?

Correct Answer is D

Explanation

A nurse is preparing to administer dextrose 5% in 0.9% sodium chloride 125 mL IV to infuse over 15 min. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["500"]

Explanation

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