A nurse is preparing to administer potassium chloride 20 mEq. The amount available is potassium chloride liquid 40 mEq/15 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.)
The Correct Answer is ["7.5"]
We can calculate the volume of potassium chloride solution to administer using the following steps:
Identify the prescribed dose: The nurse needs to administer 20 mEq of potassium chloride.
Identify the concentration of available solution: The potassium chloride liquid is available in a concentration of 40 mEq/15 mL. This means there are 40 milliequivalents (mEq) of potassium chloride in every 15 milliliters (mL) of the solution.
Set up a proportion to find the volume needed:
Desired dose (mEq) : Volume to administer (mL) = Concentration (mEq/mL)
Plug in the values:
20 mEq : Volume to administer (mL) = 40 mEq/15 mL
Solve for the volume:
To isolate the volume (mL), multiply both sides of the proportion by the volume unit (mL) and divide by the dose (mEq).
Volume to administer (mL) = (20 mEq) x (mL) / (40 mEq/15 mL)
We can simplify the calculation before dividing:
Volume to administer (mL) = (20 mEq x 15 mL) / 40 mEq
Volume to administer (mL) = 300 mL / 40 mEq
Volume to administer (mL) = 7.5 mL (round to one decimal place)
Therefore, the nurse should administer 7.5 mL of the potassium chloride solution.
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Naxlex Comprehensive Predictor Exams
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Correct Answer is A
Explanation
A) "Apply the ointment in a thin line into the conjunctival sac":
Applying the antibiotic ophthalmic ointment in a thin line into the conjunctival sac ensures that the medication comes into direct contact with the infected area of the eye. This method facilitates optimal absorption and distribution of the medication to effectively treat bacterial conjunctivitis. Ensuring correct application technique helps prevent unnecessary wastage and ensures that the medication reaches its intended site, maximizing therapeutic benefits.
B) "Keep your eye open for 30 sec after instilling the ointment":
While keeping the eye open for a brief period after instilling the ointment can facilitate distribution, it is secondary to ensuring the correct placement of the medication into the conjunctival sac, where it can act directly on the infection.
C) "Use a sterile glove and applicator to apply the antibiotic ointment":
Using a sterile glove and applicator may not be routinely necessary for applying antibiotic ophthalmic ointment. Clean hands and ensuring the tip of the tube or applicator does not touch any surfaces can maintain appropriate hygiene and prevent contamination.
D) "Always wipe from the outer to the inner canthus when wiping away secretions":
While wiping secretions should be done gently to avoid irritation, the direction (outer to inner canthus) primarily aims to prevent spreading infection to the unaffected eye. It is important but not directly related to the technique of applying ophthalmic ointment.
Correct Answer is ["1"]
Explanation
To determine how many hydrochlorothiazide tablets to administer per dose, we can perform a simple calculation:
Identify the prescribed dose: The nurse needs to administer 25 mg of hydrochlorothiazide per dose.
Identify the tablet strength: Each available tablet contains 50 mg of hydrochlorothiazide.
Calculate the number of tablets: We need to find out how many 50 mg tablets are needed to deliver the prescribed 25 mg dose.
Here, dividing the prescribed dose by the tablet strength will tell us how many tablets are required:
Number of tablets = Prescribed dose / Tablet strength
Number of tablets = 25 mg / 50 mg/tablet
Since the division results in 0.5, we need to round to the nearest whole number for medication administration.
Therefore, the nurse should administer 1 tablet of hydrochlorothiazide per dose.
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