A nurse is preparing to administer amitriptyline 150 mg PO at bedtime. The amount available is amitriptyline 75 mg tablet. How many tablets should the nurse administer per dose?

(Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Choice A reason: Perform a Blind Finger Sweep

Performing a blind finger sweep is not recommended because it can push the foreign object further into the airway, making the obstruction worse. This method is only advised if the object is clearly visible and can be safely removed without causing further harm.

Choice B reason: Turn the Client to the Side

Turning the client to the side can be helpful in certain situations, such as when the client is unconscious or at risk of vomiting. However, in the case of a conscious client with a foreign body airway obstruction, this action does not directly address the obstruction and is not the first priority.

Choice C reason: Insert an Oral Airway

Inserting an oral airway is typically used to maintain an open airway in an unconscious patient who cannot maintain their own airway. For a conscious client with a foreign body obstruction, this action is not appropriate and could cause further complications.

Choice D reason: Administer the Abdominal Thrust Maneuver

Administering the abdominal thrust maneuver (also known as the Heimlich maneuver) is the recommended first action for a conscious client with a foreign body airway obstruction. This technique involves standing behind the client, placing a fist just above their navel, and delivering quick, upward thrusts to expel the foreign object. This method is effective in creating an artificial cough that can dislodge the obstruction.

Step 1: Identify the prescribed dose.

• The prescribed dose is 30 mg.
• Result: 30 mg.

Step 2: Identify the strength of the available tablets.

• The available tablets are 10 mg each.
• Result: 10 mg/tablet.

Step 3: Calculate the number of tablets to administer.

• Number of tablets = (Prescribed dose in mg) ÷ (Strength of available tablets in mg/tablet).
• Number of tablets = 30 mg ÷ 10 mg/tablet.
• Number of tablets = 3 tablets.
• = 3 tablets.

So, the nurse should administer 3 tablets of fluoxetine per dose.