A nurse is preparing to administer hydrocortisone 7.5 mg PO to a child. The amount available is hydrocortisone 5 mg tablets. How many tablets should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
The Correct Answer is ["1.5"]
To administer the correct dose of hydrocortisone, which is 7.5 mg, when only 5 mg tablets are available, the nurse would need to give one and a half tablets to achieve the desired dose. 7.5 mg divided by 5 mg per tablet equals 1.5 tablets.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Give the client two troches in the morning and two troches in the evening. This option misinterprets the frequency of administration; the prescription is for four times a day, not twice.
B. Withhold oral intake until the troche dissolves in the client's mouth. Nystatin troches are designed to dissolve slowly in the mouth, allowing the medication to come into contact with the mucous membranes to treat fungal infections effectively. The client should avoid eating or drinking until the troche has fully dissolved to ensure maximum effectiveness.
C. Tell the client to keep the troche under the tongue for 5 min before swallowing it. Troches should dissolve completely in the mouth, not just be held under the tongue for a specific time.
D. Instruct the client to swallow the troche with 240 mL (8 oz) water. Troches should not be swallowed whole with water; they need to dissolve in the mouth to be effective.
Correct Answer is ["3.9"]
Explanation
To calculate the dosage of prednisolone syrup for the toddler, first convert the weight from pounds to kilograms, knowing that 1 kilogram equals 2.2 pounds. The toddler weighs 26 pounds, which is approximately 11.82 kilograms (26 / 2.2). The prescribed dose is 2 mg/kg/day, so the total daily dose is 23.64 mg (11.82 kg * 2 mg). This total daily dose should be divided into two equal doses to be given every 12 hours, resulting in 11.82 mg per dose. With the prednisolone syrup concentration of 15 mg/5 mL, use the formula: (desired dose * volume of one dose) / concentration of the drug to find the volume of syrup per dose. Therefore, the volume for each dose is (11.82 mg * 5 mL) / 15 mg, which equals 3.94 mL. After rounding to the nearest tenth, the nurse should administer 3.9mL per dose.
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