A nurse is preparing to implement a client's prescription for hydrocortisone acetate cream, apply topically to facial rash twice a day. The nurse should ask the provider to add which of the following to the medication prescription?
Route
Medication name
Dose/strength
Time/frequency
The Correct Answer is C
A) Route: The prescription already specifies the route of administration as topical, which indicates that the cream should be applied to the skin. Therefore, there is no need to add the route to the prescription.
B) Medication name: The prescription clearly states the medication name, hydrocortisone acetate cream. The nurse does not need to ask for clarification or addition of the medication name.
C) Dose/strength: The prescription does not specify the strength or concentration of the hydrocortisone acetate cream, which is crucial for proper administration and effectiveness. Hydrocortisone creams come in various strengths, and using the incorrect strength could result in inadequate treatment or potential side effects.
D) Time/frequency: The prescription already includes the frequency, specifying that the cream should be applied twice a day. Thus, there is no need to add the time/frequency to the prescription.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["0.75"]
Explanation
The nurse should administer 0.75 mL of methylprednisolone acetate suspension for injection. Here's the breakdown:
Dosage: 60 mg of methylprednisolone acetate
Concentration: 80 mg/mL (milligrams per milliliter) of methylprednisolone acetate suspension
Volume calculation:
We can find the volume to administer using the following formula:
Volume (mL) = Dosage (mg) / Concentration (mg/mL)
Plugging in the values:
Volume (mL) = 60 mg / 80 mg/mL
Rounding the answer:
Round the calculated volume (0.75) to the nearest hundredth of a milliliter.
Therefore, the nurse should administer 0.75 mL of methylprednisolone acetate suspension for injection.
Correct Answer is ["1.8"]
Explanation
1. Convert client's weight to kilograms (kg):
Weight (kg) = 154 lb x 0.453592 kg/lb (conversion factor)
Weight (kg) ≈ 70.31 kg (rounded to two decimal places)
2. Calculate the total gentamicin dosage:
Dosage (mg/kg) = 1 mg/kg (given)
Weight (kg) = 70.31 kg (calculated)
Total dosage (mg) = Dosage (mg/kg) x Weight (kg)
Total dosage (mg) = 1 mg/kg x 70.31 kg
Total dosage (mg) ≈ 70.31 mg (rounded to two decimal places)
3. Determine the volume to administer based on medication concentration:
Concentration (mg/mL) = 40 mg/mL (available gentamicin solution)
Total dosage (mg) = 70.31 mg (calculated)
Volume (mL) = Dosage (mg) / Concentration (mg/mL)
Volume (mL) = 70.31 mg / 40 mg/mL
4. Round the answer to the nearest tenth:
Volume to administer ≈ 1.76 mL (rounded to two decimal places)
Therefore, the nurse should administer approximately 1.8 mL of gentamicin solution.
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