A nurse is preparing to administer levothyroxine 100mcg po to a client who has hypothyroidism.
Available levothyroxine is 50 mcg tablets.
How many tablets should the nurse administer? (Round off to the nearest whole number.
Use a leading zero if it applies. Do not use a trailing zero.)
1 tablet.
2 tablets.
3 tablets.
4 tablets.
The Correct Answer is B
The nurse should administer 2 tablets of levothyroxine 50 mcg to give the client a total dose of 100 mcg.
Choice A is not the best answer because administering 1 tablet of levothyroxine 50 mcg would only give the client a total dose of 50 mcg, which is not enough.
Choice C is not the best answer because administering 3 tablets of levothyroxine 50 mcg would give the client a total dose of 150 mcg, which is too much.
Choice D is not the best answer because administering 4 tablets of levothyroxine 50 mcg would give the client a total dose of 200 mcg, which is too much.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The nurse should instruct the client to cleanse the skin before applying a nitroglycerin transdermal patch 1.
This is because it is important to apply the patch to a clean, dry skin area with little or no hair that is free of scars, cuts, or irritation 1.
Choice A is incorrect because it is not recommended to use an old patch with medication residue.
Instead, always remove a previous patch before applying a new one 1.
Choice B is incorrect because a nitroglycerin patch should not be kept in place for 72 hours before replacing.
Instead, it should be worn for 12 to 14 hours and then removed 2.
Choice C is incorrect because the patch should not be applied to a hairy area of the skin for better adherence.
Instead, it should be applied to an area with little or no hair 1.
Correct Answer is C
Explanation
Unopened vials of insulin should be kept in the refrigerator at a temperature between 36°F to 46°F (2°C to 8°C) 1.
This helps to ensure that the insulin remains safe and effective until its expiration date.
Choice A is incorrect because insulin injected into the abdomen is absorbed more rapidly than insulin injected into other areas such as the thigh.
Choice B is incorrect because insulin should not be shaken vigorously as this can cause it to break down and become less effective.
Instead, gently roll the bottle between your hands to mix it.
Choice D is incorrect because not all types of insulin can be mixed together in the same syringe.
Only certain types of insulin can be mixed together and this should only be done under the guidance of a healthcare provider.
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