A nurse is reviewing a new prescription for propranolol 200 mg PO daily divided in equal doses every 12 hr for a client who has migraine headaches during the premenstrual period. Available is propranolol solution 4 mg/mL. How many mL should the client self-administer per dose?
(Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
The Correct Answer is ["25"]
mL = mg / 4 mL = 100 / 4
mL = 25 / 1
This means that the client needs to take 25 mL of the propranolol solution every 12 hours to get the prescribed dose of 200 mg per day
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["1"]
Explanation
Dosage (mL) = Ordered dose (mg) / Available dose (mg/mL) Therefore;
Dosage = 150 mg / 150 mg/mL Dosage = 1 mL
Therefore, the nurse should administer 1 mL of medroxyprogesterone solution for injection to the client.
Correct Answer is B
Explanation
Choice A reason: Giving the medication each time the client saturates the perineal pad within 15 minutes is incorrect. The prescription specifies a one-time administration of oxytocin, not repeated doses. Administering the medication multiple times could lead to an overdose and potential complications, as oxytocin is a powerful drug used to control postpartum bleeding by stimulating uterine contractions.
Choice B reason: This is the correct interpretation of the prescription. The nurse should administer the medication once if the client saturates the perineal pad within 15 minutes. This means that if the client experiences heavy bleeding that results in the saturation of a perineal pad within this timeframe, the nurse should give the prescribed dose of oxytocin intramuscularly to help control the bleeding and promote uterine contractions.
Choice C reason: Waiting 15 minutes to administer the medication after the client saturates a perineal pad is incorrect. The prescription does not indicate a delay in administration. Prompt administration of oxytocin is crucial in managing postpartum hemorrhage, as delaying treatment could result in continued heavy bleeding and increased risk of complications for the client.
Choice D reason: Offering the medication now to prevent saturation of the perineal pad is also incorrect. The prescription specifies that the medication should be given in response to the saturation of the perineal pad within 15 minutes, not as a preventive measure. Administering oxytocin without the indicated condition could lead to unnecessary medication use and potential side effects.
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