A nurse is preparing to administer alprazolam 0.5 mg, PO to a client. Available is alprazolam 0.25 mg tablets. How many tablets should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing, zero.)

Answer and Explanation

The Correct Answer is ["2"]

Identify the desired dose:

The doctor has ordered 0.5 mg of alprazolam.

Identify the available tablet strength:

Each tablet contains 0.25 mg of alprazolam.

Set up the calculation:

We need to find out how many tablets are needed to administer 0.5 mg of the medication. We can use the following formula:

(Desired dose) / (Tablet strength) = Number of tablets

Plug in the values and calculate:

(0.5 mg) / (0.25 mg/tablet) = 2 tablets

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Correct Answer is C

Explanation

A) Ibuprofen 200 mg PO q 4 to 6 hr PRN pain: This prescription is appropriate. Ibuprofen, a nonsteroidal anti-inflammatory drug (NSAID), is commonly prescribed for pain relief. The prescribed dose of 200 mg every 4 to 6 hours as needed is within the usual therapeutic range for mild pain relief and is a common dosing regimen for ibuprofen. There is no need for clarification here.

B) Bupropion 150 mg PO once per day: This prescription is appropriate. Bupropion, an antidepressant, is commonly prescribed at 150 mg once daily for its initial dose, especially for conditions like depression or smoking cessation. This is within the normal starting dose, and it is generally well-tolerated, though the nurse should monitor for side effects like insomnia or seizures.

C) Zolpidem 1.75 mg PO PRN at bedtime: This prescription requires clarification. The typical starting dose of zolpidem (a sedative-hypnotic) for adults is usually 5 mg for women and 5 to 10 mg for men at bedtime, as needed. The prescribed dose of 1.75 mg is lower than the standard therapeutic range for zolpidem. The nurse should clarify with the provider to determine whether this dose is intentional or if there was an error in the prescription.

D) Fluoxetine 20 mg PO QD: This prescription is appropriate. Fluoxetine, a selective serotonin reuptake inhibitor (SSRI), is commonly prescribed at 20 mg daily for conditions such as depression or anxiety disorders. This is a standard starting dose and is within the usual therapeutic range for fluoxetine, making this prescription appropriate.

Correct Answer is ["1"]

Explanation

Calculate the number of doses per day:

The medication is administered every 8 hours.

There are 24 hours in a day, so there are 24 hours / 8 hours = 3 doses per day.

Calculate the dose per administration:

The total daily dose is 450 mg.

There are 3 doses per day, so each dose is 450 mg / 3 doses = 150 mg.

Calculate the number of tablets per dose:

Each tablet contains 150 mg of bupropion.

The required dose is 150 mg.

150 mg / 150 mg per tablet = 1 tablet per dose

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A nurse is preparing to administer alprazolam 0.5 mg, PO to a client. Available is alprazolam 0.25 mg tablets. How many tablets should the nurse administer? (Round the answer to the nearest whole number. 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 client's medication administration record. The nurse should identify that which of the following prescriptions requires clarification?

Correct Answer is C

Explanation

Correct Answer is ["1"]

Explanation

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A nurse is preparing to administer alprazolam 0.5 mg, PO to a client. Available is alprazolam 0.25 mg tablets. How many tablets should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing, zero.)

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