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A nurse is reviewing postpartum discharge instructions with a client who has a new prescription for glipizide 15 mg PO daily with breakfast. Available is glipizide 5 mg tablets. How many tablets should the nurse inform the client to take each day? (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 ["3"]

Given:

Desired dose of glipizide: 15 mg

Concentration of glipizide tablets: 5 mg/tablet

Step 1: Calculate the number of tablets:

Number of tablets = Desired dose (mg) / Concentration per tablet (mg/tablet)

Number of tablets = 15 mg / 5 mg/tablet

Number of tablets = 3 tablets

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Correct Answer is D

Explanation

A) Offer the medication now to prevent saturation of the perineal pad: This interpretation is incorrect because the prescription specifies that oxytocin should be administered based on the clinical condition, which is the saturation of a perineal pad within 15 minutes. Administering the medication prophylactically without signs of excessive bleeding could be unnecessary and potentially harmful.

B) Give the medication each time the client saturates the perineal pad within 15 min: This interpretation is incorrect because the prescription specifies that oxytocin should be administered only once if the client saturates a perineal pad within 15 minutes, not repeatedly with each subsequent saturation. Repeated dosing of oxytocin could be dangerous, as it can cause uterine hyperstimulation, increased bleeding, and other complications. The prescription indicates a single dose in response to a specific finding.

C) Wait 15 min to administer the medication after the client saturates a perineal pad: This interpretation is incorrect because the prescription directs that the medication be administered immediately once the client saturates a perineal pad within 15 minutes, not after waiting an additional 15 minutes. Delaying the medication could put the client at risk for excessive blood loss or hemorrhage, which is why prompt administration is indicated.

D) Administer the medication once if the client saturates the perineal pad within 15 min: The prescription specifies that oxytocin 10 units IM should be administered as a one-time dose if the client saturates a perineal pad within 15 minutes. The goal of this intervention is to address potential postpartum hemorrhage by promoting uterine contraction, which can help reduce excessive bleeding.

Correct Answer is ["100"]

Explanation

Given:

Total volume to be infused: 50 mL

Infusion time: 30 minutes

Step 1: Convert infusion time to hours:

Infusion time (hr) = 30 min / 60 min/hr

Infusion time (hr) = 0.5 hr

Step 2: Calculate the infusion rate:

Infusion rate (mL/hr) = Total volume (mL) / Infusion time (hr)

Step 3: Substitute the values:

Infusion rate (mL/hr) = 50 mL / 0.5 hr

Step 4: Calculate the infusion rate:

Infusion rate (mL/hr) = 100 mL/hr

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is postpartum and has a prescription for oxytocin 10 units IM one time only the saturation of a perineal pad in 15 mins or less. How should the nurse interpret this prescription?

Correct Answer is D

Explanation

Correct Answer is ["100"]

Explanation

A nurse is reviewing a client's prescription for terbutaline 0.25 mg subcutaneous every 4 hr for 24 hr PRN more than four uterine contractions per hour. How should the nurse interpret this prescription?

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A nurse is preparing to administer morphine 8mg IM to a client who is postpartum. Available is morphine injection 10 mg/mL. How many mL should the nurse plan to administer? (Round the answer to the nearest tenth. Use leading zero if it applies.)

A nurse is caring for a newborn who weighs 3,500 g. The nurse should record the newborn's weight as how many kg? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)