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A nurse is preparing to administer amitriptyline 300 mg PO to a client who has major depressive disorder. Available is amitriptyline 75 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 ["4"]

Rationale:

Step by step calculation:

Determine the dosage required: 300 mg

Available tablet strength: 75 mg per tablet

Calculate the number of tablets:

Number of tablets=Required dose (mg)/Tablet strength (mg/tablet)=300 mg/75 mg/tablet

Result:

Number of tablets=4

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Naxlex Comprehensive Predictor Exams

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Correct Answer is ["2"]

Explanation

Step by step calculation:

Determinethetotaldailydosage:900mg

Determinehowmanydosesperday:Every8hoursmeans3dosesperday

Calculatethedosageperadministration:

Doseperadministration=Totaldailydose(mg)/Numberofdosesperday=900mg/3

Doseperadministration=300mg

Availablecapsulestrength:150mgpercapsule

Calculatethenumberofcapsules:

Numberofcapsulesperdose=Requireddoseperadministration(mg)Capsulestrength(mg/capsule)=300mg/150mg/capsule

Numberofcapsulesperdose=2

A. Albuterol metered dose inhaler 2 inhalations every 4 to 6 hr PRN for bronchospasm B. Clozapine 25 mg PO daily C. Haloperidol.5 mg PO 2 times each day D. Flunisolide 80 mcg inhalation twice daily

Correct Answer is C

Explanation

A. Albuterol metered dose inhaler 2 inhalations every 4 to 6 hr PRN for bronchospasm: This prescription is appropriate for managing acute bronchospasm. Albuterol is commonly used as a rescue inhaler, and the frequency aligns with standard practice for its use.

B. Clozapine 25 mg PO daily: This dosage is appropriate for initiating treatment with clozapine, which often starts at a low dose due to the risk of agranulocytosis. Regular monitoring of blood counts is required but the prescription itself is clear.
C. Haloperidol 0.5 mg PO 2 times each day: This prescription raises a concern due to the formatting error (there is a missing space after "Haloperidol"). The clarity of the dose is crucial, especially with potent medications like haloperidol, and the nurse should confirm the intended dosage to avoid medication errors.

D. Flunisolide 80 mcg inhalation twice daily: This is a standard prescription for a corticosteroid inhaler, used for long-term control of asthma or COPD. The dosage and frequency are appropriate, requiring no further clarification.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["2"]

Explanation

A nurse is reviewing a client's medication administration record. The nurse should identify that which of the following prescriptions requires further clarification?

Correct Answer is C

Explanation

A nurse is caring for a client who has a prescription for chlorpromazine 1 g/day PO divided into four equal doses. How many mg should the nurse administer with each dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse is preparing to administer diazepam 2.5 mg PO once a day at bedtime to a client who has anxiety. Available is diazepam oral solution 5 mg/5 mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse is preparing to administer naloxone 40 mcg IM to a client. How many mg should the nurse administer? (Round the answer to the nearest hundredth. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse is preparing to administer fentanyl 400 mcg via the buccal route. Which of the following actions should the nurse take?

A nurse is preparing to administer gabapentin 900 mg PO to a client. The nurse should identify that this is equivalent to how many g? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse is preparing to administer temazepam 0.015 g PO to assist a client with sleep. Available is temazepam 15 mg capsules. How many capsules 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.)