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A nurse is preparing to administer carboprost 0.25 mg IM to a client who is experiencing postpartum hemorrhage following a vaginal birth. Available is carboprost injection 250 mcg/mL How many mL 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 ["1"]

Given:

Prescribed dose: 0.25 mg of carboprost

Available concentration: 250 mcg/mL

Steps to solve:

Convert mg to mcg:

1 mg = 1000 mcg

So, 0.25 mg = 250 mcg

Determine the volume to be administered:

Set up a proportion to solve for the unknown volume (X):

250 mcg/mL = 250 mcg/X mL

Cross-multiplying gives us:

250 mcg x X mL = 250 mcg x 1 mL

Simplifying:

250X = 250

Solving for X:

X = 250 / 250 = 1 mL

Nursing Test Bank

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Correct Answer is A

Explanation

A) Under the tongue: Ergotamine is prescribed for sublingual administration, which means the medication should be placed under the tongue for absorption. Sublingual administration allows the medication to be absorbed directly into the bloodstream through the mucous membranes, bypassing the gastrointestinal system and providing a quicker onset of action.

B) Vaginal: Vaginal administration is not indicated for ergotamine, as this is not a typical route for the medication. Ergotamine is commonly used via sublingual, oral, or rectal routes for migraine treatment, but not vaginally.

C) Topical: Ergotamine is not typically administered topically. The medication is designed for sublingual or oral use, so applying it topically would not provide the intended therapeutic effects for treating a migraine.

D) Subcutaneous: While some medications are administered subcutaneously (under the skin), ergotamine is not commonly given via this route. The prescribed route is sublingual, and administering it subcutaneously would not align with the prescription and could potentially lead to improper absorption and reduced effectiveness.

A. Ibuprofen 600mg PO every 6hr PRN for moderate pain B. Bisacodyl 10mg rectal now C. Calcium carbonate 750mg PO D. Oxycodone 5 mg PO every 4 hr PRN for severe pain

Correct Answer is B

Explanation

A) Ibuprofen 600 mg PO every 6 hr PRN for moderate pain: Ibuprofen is a commonly prescribed analgesic for postpartum pain relief. The dosage and frequency of 600 mg every 6 hours as needed for moderate pain are appropriate and fall within the recommended dosage range for ibuprofen.
B) Bisacodyl 10 mg rectal now: Bisacodyl is typically used as a laxative, and 10 mg is a common dose for rectal administration, particularly for stimulating bowel movements. However, the need for a 10 mg dose of bisacodyl as a single dose may be high for a postpartum client, particularly if the client is not experiencing severe constipation. Bisacodyl can cause significant cramping and diarrhea, and postpartum clients may be more sensitive to such effects. Clarifying the necessity of this dose or considering a lower dose or an alternative laxative might be warranted.

C) Calcium carbonate 750 mg PO: Calcium carbonate is commonly used to prevent or treat hypocalcemia, especially in postpartum women, as it helps maintain bone health and prevent calcium deficiency. The 750 mg dosage is within the usual range for over-the-counter calcium carbonate supplements.
D) Oxycodone 5 mg PO every 4 hr PRN for severe pain: Oxycodone is a potent opioid analgesic commonly prescribed for moderate to severe pain, especially in the postpartum period. The 5 mg dose every 4 hours as needed for severe pain is a standard prescription and falls within the usual dosing guidelines for oxycodone.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is postpartum and has a migraine headache. The client has a prescription for ergotamine 2 mg sublingual PRN headache. Which of the following routes of administration should the nurse use?

Correct Answer is A

Explanation

A nurse is assisting with the admission of a client to the postpartum unit and is reviewing the client's prescribed medications. The nurse should clarify which of the following prescription with the provider?

Correct Answer is B

Explanation

A nurse is reviewing a client's new prescription for clindamycin 5 g vaginal qhs for 7 days for group B streptococcus. The nurse should clarify which of the following components of the prescription?

A nurse is caring for a newborn who weighs 3.500 g. The nurse should record the newborn's weight as how many kg? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse is assisting with the care of a newborn and is preparing to administer ibuprofen 10 mg PO. Available is ibuprofen suspension 50mg/25 mL. How many mL 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 0.45% sodium chloride 000 mL IV to infuse over 6 hr to a postpartum client. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse is caring for a client who is postpartum and has a prescription for oxytocin 10 units IM one time only for the saturation of a perineal pad in 15 min or less. How should the nurse interpret this prescription?