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A nurse is preparing to administer olanzapine extended release 200 mg IM to a client who has schizophrenia. Available is olanzapine injection 150 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Answer and Explanation

The Correct Answer is ["1.3"]

Step by step calculation:

Determine the dosage required: 200 mg

Determine the concentration available: 150 mg/mL

Use the formula:

Volume (mL)=Required dose/(mg)Concentration (mg/mL)

Volume (mL)=200 mg/150 mg/mL

Calculate the volume:

Volume (mL)=1.333

Round to the nearest tenth: 1.3 mL

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Correct Answer is B

Explanation

A. Temazepam 15 mg PO at bedtime PRN sleep: This prescription is clear, as it specifies the medication, dosage, route, and that it is for as-needed use at bedtime. This is an appropriate use of a sedative-hypnotic medication for sleep issues.

B. Adderall XR 10 mg PO hs: The abbreviation "hs" typically means "at bedtime," but in the context of Adderall, which is a stimulant, this usage may raise concerns about inappropriate timing. Stimulants are usually prescribed in the morning to avoid insomnia and potential side effects, so clarifying this prescription is necessary to ensure safe and effective use.

C. Fluoxetine 20 mg PO every a.m.: This prescription is clearly stated, with an appropriate dosage and frequency. Fluoxetine is commonly prescribed for depression and can be taken in the morning, making this prescription acceptable.

D. Guanfacine 1 mg PO daily: The prescription is straightforward and appropriate, as guanfacine is often used for attention deficit hyperactivity disorder (ADHD) or hypertension and can be taken daily. There are no concerns that require clarification with this prescription.

Correct Answer is ["250"]

Explanation

Step by step calculation:

Determinethetotaldosageperdaying:1g

Convertgramstomilligrams:

1g= 1000mg

Dividethetotaldailydoseintofourequaldoses:

Doseperadministration=1000mg/4

Calculatethedose:

Doseperadministration=250mg

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A nurse is preparing to administer olanzapine extended release 200 mg IM to a client who has schizophrenia. Available is olanzapine injection 150 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing new prescriptions for several clients. Which of the following prescriptions should the nurse clarify with the provider?

Correct Answer is B

Explanation

A nurse is caring for a client who has a prescription for chlorpromazine 1 g/day PO divided into four equal doses. How many mg should the nurse administer with each dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["250"]

Explanation

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