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A nurse is preparing to administer amitriptyline 300 mg PO daily divided equally every 12 hr to a client who has post-traumatic stress disorder. Available is amitriptyline 75 mg tablets. "How many tablets should the nurse administer in each dose? (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"]

Answer

The nurse should administer 2 tablets in each dose

Step-by-Step Calculation

Understanding the Problem

Total daily amitriptyline dose: 300 mg

Divided into 2 equal doses (every 12 hours)

Available amitriptyline tablets: 75 mg each

We need to find the number of tablets per dose.

Calculations

Calculate the dose per administration:

Dose per administration = Total daily dose / Number of doses

Dose per administration = 300 mg / 2 = 150 mg

Calculate the number of tablets per dose:

Tablets per dose = Dose per administration / Tablet strength

Tablets per dose = 150 mg / 75 mg/tablet = 2 tablets

The nurse should administer 2 tablets in each dose

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Correct Answer is D

Explanation

A) Time: Clarifying the time refers to confirming when the medication should be administered. This ensures that the client receives the medication at the correct time according to the provider's instructions, which is crucial for medications like temazepam that can affect sleep patterns.

B) Medication: Clarifying the medication involves confirming that temazepam is the correct medication prescribed for the client. This ensures there are no errors in medication administration and that the intended therapeutic effect is achieved.

C) Route: Clarifying the route involves confirming how the medication should be administered. For temazepam 30 mg PO, "PO" (by mouth) is the appropriate and common route for this medication.

D) Dose: Clarifying the dose is critical because 30 mg of temazepam is higher than the usual recommended dose for elderly patients, which is typically 7.5-15 mg. A higher dose can increase the risk of side effects such as sedation, confusion, and falls. Therefore, the nurse should verify the dose with the provider to ensure patient safety.

Correct Answer is ["1"]

Explanation

The nurse should administer 1 tablet of haloperidol.

Step-by-Step Calculation

Understanding the Problem

Desired haloperidol dose: 0.5 mg

Available tablets: 500 mcg each

We need to find the number of tablets to administer.

Calculations

Convert milligrams to micrograms:

1 mg = 1000 mcg

0.5 mg = 0.5 X 1000 = 500 mcg

Calculate the number of tablets:

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

Number of tablets = 500 mcg / 500 mcg/tablet = 1 tablet

The nurse should administer 1 tablet of haloperidol.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing a client's new prescription for temazepam 30 mg PO. Which of the following should the nurse clarify with the provider?

Correct Answer is D

Explanation

A nurse is preparing to administer 0.5 mg haloperidol PO to a client. Available is haloperidol 500 mcg 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.)

Correct Answer is ["1"]

Explanation

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