An adolescent diagnosed with hypothyroidism is prescribed Levothyroxine 100 mcg po daily. The medication is supplied in 0.1mg tablets. How much should the nurse administer?(Use a leading zero if it applies, do not use a trailing zero, Round to a whole number)
The Correct Answer is ["1"]
To calculate the correct dosage:
- Convert the prescribed dose (100 mcg) to milligrams:
- 1 mg = 1000 mcg, so 100 mcg = 0.1 mg.
- The available tablets are 0.1 mg each.
- The prescribed dose is 0.1 mg, and the tablet strength is also 0.1 mg. Therefore, the nurse needs to administer 1 tablet.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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Correct Answer is B
Explanation
A. 6 cm dilated and 80% effaced – Incorrect; this is more consistent with active labor, but the symptoms suggest transition phase.
B. 8 cm dilated and 100% effaced – Correct; the transition phase (8-10 cm dilation) is characterized by intense contractions, nausea, and the sensation of rectal pressure.
C. 5 cm dilated and 70% effaced – Incorrect; this is too early for the transition phase symptoms.
D. Unmeasurable – Incorrect; cervical dilation and effacement can always be measured during labor unless obstructed by fetal descent.
Correct Answer is D
Explanation
A. Encourage the client to nurse more frequently so her milk will come in. – Incorrect; milk production typically begins between days 2-5 postpartum, not 14 hours postpartum.
B. Report the client's temperature elevation. – Incorrect; a temperature of 37.7°C (100°F) is within normal postpartum range due to dehydration and hormonal shifts.
C. Increase IV fluids. – Incorrect; IV fluids are not needed unless dehydration is suspected.
D. Ask the client to empty her bladder. – Correct; a fundus deviated to the right suggests a full bladder, which can impede uterine involution and increase postpartum hemorrhage risk.
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