A nurse is preparing to administer Buspirone 6 mg PO divided into two equal doses daily to a client who has generalized anxiety disorder. Available is buspirone 5 mg tablets.

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.)

Answer and Explanation

The Correct Answer is ["1"]

Step 1: The total daily dosage of Buspirone is 6 mg, which is divided into two equal doses. So, each dose will be 6 mg ÷ 2 = 3 mg.

Step 2: Each tablet of Buspirone contains 5 mg. To find out how many tablets make up a 3 mg dose, we divide the dose by the amount in each tablet. So, 3 mg ÷ 5 mg/tablet = 0.6 tablets.

Step 3: Since we can't administer a fraction of a tablet, we round this to the nearest whole number. So, 0.6 tablets rounds to 1 tablet.

So, the nurse should administer 1 tablet per dose.

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Correct Answer is B

Explanation

Choice A reason: Propranolol extended-release 80 mg PO daily is a standard prescription for hypertension and certain types of heart conditions. The dosage and frequency are within normal ranges, and the route of administration (PO, per os, or orally) is clear.

Choice B reason: Sertraline is typically prescribed at doses ranging from 50 to 200 mg daily for adults. A dose of 125 mg daily is not a standard increment for sertraline tablets, which come in 25 mg, 50 mg, and 100 mg strengths. Therefore, the nurse should clarify this prescription to ensure proper dosing and to confirm if the provider intends for the patient to take a combination of tablets to achieve this dose.

Choice C reason: Pantoprazole 40 mg PO BID (twice a day) is a common prescription for conditions like GERD or erosive esophagitis. The dosage, frequency, and route are appropriate and do not require clarification⁶.

Choice D reason: Clonidine transdermal 0.1 mg/24h applied every 7 days is a typical prescription for managing hypertension. The patch provides a continuous dose over a week, which is a standard practice for this form of medication.

Correct Answer is ["12.5"]

Explanation

Step 1: The dose to be administered is75 mg of valproic acid.

Step 2: The available valproic acid syrup has a concentration of30 mg/5 mL. This means that for every 5 mL of the solution, there are 30 mg of valproic acid.

Step 3: To find out how many mL should be administered, we divide the dose by the concentration. So, 75 mg ÷ (30 mg/5 mL) = 12.5 mL.

The nurse should administer 12.5 mL of valproic acid syrup.

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Naxlex Comprehensive Predictor Exams

A nurse is reviewing new prescriptions for a client. Which of the following prescriptions should the nurse clarify?

Correct Answer is B

Explanation

A nurse is preparing to administer valproic acid 75 mg PO to a client who has acute mania. Available is valproic acid syrup 30 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.)

Correct Answer is ["12.5"]

Explanation

A nurse is preparing to administer aripiprazole 0.02 g PO to a client. How many mg should the nurse administer? (Round to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

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