A nurse is preparing to administer chlordiazepoxide 10 mg PO tid. The amount available is chlordiazepoxide 5 mg/capsule. How many capsules 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 ["2"]

Chlordiazepoxide 10 mg PO tid means that the patient is supposed to receive 10 milligrams of chlordiazepoxide by mouth three times a day (tid = three times a day).

Since the available capsules only contain 5 mg of chlordiazepoxide each, the nurse needs to calculate how many capsules are needed to deliver the prescribed dose of 10 mg.

To find out how many capsules are needed, we can divide the prescribed dosage by the amount of chlordiazepoxide per capsule:

Number of capsules = Prescribed dosage / Amount of chlordiazepoxide per capsule

Number of capsules = 10 mg / 5 mg/capsule

Dividing 10 mg by 5 mg/capsule gives us 2.

A patient cannot take half a capsule, so we round up to the nearest whole number.

Therefore, the nurse should administer 2 capsules per dose.

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Correct Answer is A

Explanation

(A) Heart murmur: This is the most appropriate answer. Mitral valve stenosis can cause a heart murmur due to turbulent blood flow across the narrowed mitral valve. This is often heard best at the apex of the heart with the patient in the left lateral decubitus position.

(B) Clubbing of the fingers: Clubbing of the fingers is typically associated with conditions that cause chronic hypoxia, such as lung disease or congenital heart disease. It is not a common finding in mitral valve stenosis.

(C) Bradycardia: Mitral valve stenosis does not typically cause bradycardia. In fact, some patients may have a rapid heart rate (tachycardia) due to atrial fibrillation, which is a common complication of mitral valve stenosis.

(D) Barrel chest: A barrel chest is typically associated with chronic obstructive pulmonary disease (COPD) and is not a common finding in mitral valve stenosis. It refers to a rounded, bulging chest that resembles the shape of a barrel. This occurs due to overinflation of the lungs over a long period of time.

A. Swallow the tablet whole with an 8 oz glass of water. B. Store the medication in a pill box at the bedside. C. Take the medication at the first indication of chest pain. D. Remove the nitroglycerine patch before taking the sublingual tablet.

Correct Answer is C

Explanation

(A) Swallow the tablet whole with an 8 oz glass of water.
Sublingual nitroglycerin tablets should not be swallowed. They need to be placed under the tongue where they can dissolve and be absorbed quickly to provide rapid relief from angina.

(B) Store the medication in a pill box at the bedside.
Nitroglycerin sublingual tablets should be stored in their original container and kept tightly closed to protect them from light and moisture. Storing them in a pill box at the bedside could lead to degradation of the medication.

(C) Take the medication at the first indication of chest pain.
This is the correct instruction. Nitroglycerin sublingual tablets should be taken at the first sign of chest pain to provide prompt relief. The rapid onset of action helps to alleviate angina symptoms quickly.

(D) Remove the nitroglycerine patch before taking the sublingual tablet.
It is not necessary to remove the nitroglycerin patch before taking a sublingual tablet. The two forms of nitroglycerin can be used together, as the patch provides a continuous dose while the sublingual tablet offers rapid relief of acute symptoms.

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A nurse is preparing to administer chlordiazepoxide 10 mg PO tid. The amount available is chlordiazepoxide 5 mg/capsule. How many capsules 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.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data on a client who has mitral valve stenosis. Which of the following findings should the nurse expect?

Correct Answer is A

Explanation

A nurse is reinforcing teaching with a client who uses a nitroglycerine patch to treat angina. The client now has a new prescription for nitroglycerin sublingual tablets. Which of the following instructions should the nurse include?

Correct Answer is C

Explanation

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