A nurse is reviewing a new prescription for haloperidol 0.15 mg/kg/day IM in divided doses every 8 hr PRN for a child who weighs 40 kg. 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.)

Answer and Explanation

The Correct Answer is ["2"]

To calculate the dosage of haloperidol for the child, first determine the total daily dose by multiplying the child's weight by the prescribed amount per kilogram. For a child weighing 40 kg, this would be 0.15 mg/kg/day * 40 kg, which equals 6 mg/day. Since the medication is to be administered in divided doses every 8 hours, divide the total daily dose by the number of doses per day. There are 24 hours in a day, so with doses every 8 hours, that's 3 doses per day. Therefore, 6 mg/day divided by 3 doses per day equals 2 mg per dose.

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Correct Answer is B

Explanation

A. Give the client two troches in the morning and two troches in the evening. This option misinterprets the frequency of administration; the prescription is for four times a day, not twice.
B. Withhold oral intake until the troche dissolves in the client's mouth. Nystatin troches are designed to dissolve slowly in the mouth, allowing the medication to come into contact with the mucous membranes to treat fungal infections effectively. The client should avoid eating or drinking until the troche has fully dissolved to ensure maximum effectiveness.
C. Tell the client to keep the troche under the tongue for 5 min before swallowing it. Troches should dissolve completely in the mouth, not just be held under the tongue for a specific time.
D. Instruct the client to swallow the troche with 240 mL (8 oz) water. Troches should not be swallowed whole with water; they need to dissolve in the mouth to be effective.

Correct Answer is ["250"]

Explanation

To calculate the infusion rate for an IV pump, you would divide the total volume of the IV fluid to be infused by the number of hours over which the infusion is to run. In this case, 500 mL of dextrose 5% in 0.9% sodium chloride is to be infused over 2 hours. Therefore, the calculation would be 500 mL divided by 2 hours, which equals 250 mL per hour. So, the nurse should set the IV pump to deliver 250 mL/hr.

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Naxlex Comprehensive Predictor Exams

A nurse is reviewing a prescription for nystatin 200,000 units in a troche PO 4 times per day. How should the nurse interpret this prescription?

Correct Answer is B

Explanation

A nurse is preparing to administer dextrose 5% in 0.9% sodium chloride 500 mL IV to infuse over 2 hr to a school-age child. The nurse should set the IV pump to deliver how many mL/hr? (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

A nurse is preparing to administer hydrocortisone 7.5 mg PO to a child. The amount available is hydrocortisone 5 mg tablets. How many tablets should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse is administering prochlorperazine 0.13 mg/kg IM to a child who weighs 55 lb. Available is prochlorperazine injection 5 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest hundredth. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse is preparing to administer 0.9% sodium chloride 1,000 mL IV to infuse over 12 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse is preparing to administer dextrose 5% in 0.45% sodium chloride 500 mL IV to infuse over 8 hr to a school-age child. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse is preparing to administer methylphenidate 10 mg PO. Available is methylphenidate oral solution 5 mg/tsp. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)