A nurse is reconciling the medications of a client who was newly admitted for management of mania. Which of the following prescriptions should the nurse clarify with the provider?
Divalproex 1.5 g PO twice daily
Lithium 300 mg PO three times daily
Clonazepam 0.5 mg PO three times daily
Risperidone 3.0 mg PO daily
The Correct Answer is A
A. Divalproex 1.5 g PO twice daily:
Divalproex (valproic acid) is used for managing mania and typically dosed between 750 mg and 3 g daily, depending on the specific needs of the client and their blood levels. However, 1.5 g twice daily (3 g total daily) might be higher than usual initial dosing and could warrant clarification to ensure that this is an appropriate dose for the client and does not exceed recommended maximums.
B. Lithium 300 mg PO three times daily:
Lithium is commonly prescribed for mania, and 300 mg three times daily is a standard dosing regimen. Lithium levels are monitored to ensure therapeutic efficacy and avoid toxicity, so this dosage is within a typical range.
C. Clonazepam 0.5 mg PO three times daily:
Clonazepam is a benzodiazepine that can be used to manage anxiety or agitation associated with mania. A dose of 0.5 mg three times daily is within the usual range for short-term management and does not typically require clarification.
D. Risperidone 3.0 mg PO daily:
Risperidone is an atypical antipsychotic used to manage symptoms of mania, and 3 mg daily is a common starting dose. This dosage is appropriate and generally does not require further clarification.
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Related Questions
Correct Answer is ["2"]
Explanation
The nurse should administer 2 tablets of alprazolam.
Step-by-Step Calculation
Understanding the Problem
Desired alprazolam dose: 0.5 mg
Available tablets: 0.25 mg each
We need to find the number of tablets to administer.
Calculations
Calculate the number of tablets:
Number of tablets = Desired dose / Tablet strength
Number of tablets = 0.5 mg / 0.25 mg/tablet = 2 tablets
The nurse should administer 2 tablets of alprazolam.
Correct Answer is ["2"]
Explanation
Answer
The nurse should administer 2 tablets in each dose
Step-by-Step Calculation
Understanding the Problem
Total daily amitriptyline dose: 300 mg
Divided into 2 equal doses (every 12 hours)
Available amitriptyline tablets: 75 mg each
We need to find the number of tablets per dose.
Calculations
Calculate the dose per administration:
Dose per administration = Total daily dose / Number of doses
Dose per administration = 300 mg / 2 = 150 mg
Calculate the number of tablets per dose:
Tablets per dose = Dose per administration / Tablet strength
Tablets per dose = 150 mg / 75 mg/tablet = 2 tablets
The nurse should administer 2 tablets in each dose
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