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A nurse is preparing to administer fluoxetine 30 mg PO daily to a client. The amount available is fluoxetine 10 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 ["3"]

Step 1: Identify the prescribed dose.

The prescribed dose is 30 mg.
Result: 30 mg.

Step 2: Identify the strength of the available tablets.

The available tablets are 10 mg each.
Result: 10 mg/tablet.

Step 3: Calculate the number of tablets to administer.

Number of tablets = (Prescribed dose in mg) ÷ (Strength of available tablets in mg/tablet).
Number of tablets = 30 mg ÷ 10 mg/tablet.
Number of tablets = 3 tablets.
= 3 tablets.

So, the nurse should administer 3 tablets of fluoxetine per dose.

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Correct Answer is A

Explanation

Choice A reason: Decrease the Infusion Rate on the IV

Decreasing the infusion rate on the IV is the appropriate action to take when a client experiences flushing of the neck and tachycardia while receiving vancomycin. These symptoms are indicative of vancomycin flushing syndrome (VFS), also known as “red man syndrome,” which is a reaction caused by the rapid infusion of vancomycin. Slowing the infusion rate allows the body more time to metabolize the drug and can help alleviate the symptoms.

Choice B reason: Document that the Client Experienced an Anaphylactic Reaction to the Medication

Documenting that the client experienced an anaphylactic reaction is not accurate in this scenario. Vancomycin flushing syndrome is an anaphylactoid reaction, not an anaphylactic one. Anaphylactoid reactions are not mediated by IgE antibodies and do not require prior sensitization to the drug. Therefore, it is important to distinguish between the two and document the reaction correctly.

Choice C reason: Change the IV Infusion Site

Changing the IV infusion site is not necessary in this case. The symptoms of flushing and tachycardia are related to the rate of vancomycin infusion, not the site of infusion. Therefore, changing the site would not address the underlying issue.

Choice D reason: Apply Cold Compresses to the Neck Area

Applying cold compresses to the neck area may provide some symptomatic relief, but it does not address the root cause of the reaction. The primary intervention should be to slow the infusion rate to prevent further release of histamine and alleviate the symptoms.

Correct Answer is ["100"]

Explanation

The answer is 100.

Step 1: Determine the total volume to be infused. = 200 mL

Step 2: Determine the total time for infusion. = 2 hours

Step 3: Calculate the infusion rate in mL/hr. Calculation: 200 mL ÷ 2 hours = 100 mL/hr

The nurse should set the IV pump to deliver 100 mL/hr.

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A nurse is preparing to administer fluoxetine 30 mg PO daily to a client. The amount available is fluoxetine 10 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)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who is receiving vancomycin. The nurse notes a flushing of the neck and tachycardia. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

Correct Answer is ["100"]

Explanation

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A nurse is preparing to administer fluoxetine 30 mg PO daily to a client. The amount available is fluoxetine 10 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)