An older client with an acute attack of gouty arthritis receives a prescription for indomethacin 50 mg PO three times a day. The client prefers an oral suspension which is available 5 mg/mL. How many mL should the nurse administer each day? (Enter numerical value only.)
The Correct Answer is ["30"]
Step 1: Calculate total daily dose
Dose per administration = 50 mg
Frequency = 3 times/day
Total daily dose = 50 × 3 = 150 mg/day
Step 2: Use the formula
Volume (mL) = Total daily dose ÷ Concentration
Step 3: Insert values
= 150 ÷ 5
Step 4: Calculate
= 30 mL/day
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Older adults may have varying levels of health literacy. Providing materials at such a high reading level is not appropriate, as it can hinder comprehension. Handouts should be written at a 5th–8th grade reading level for clarity and understanding.
B. This positioning may limit eye contact and engagement. Effective teaching requires face-to-face interaction, which allows the nurse to observe cues, confirm understanding, and answer questions.
C. While relaxing environments can be beneficial, background music may distract or interfere with learning, especially in older adults who may have hearing difficulties or cognitive changes.
D. Proper lighting is essential for older adults, who may have age-related vision changes such as presbyopia, cataracts, or macular degeneration. Adequate lighting improves visual clarity, helps the client read handouts, and enhances focus on demonstrations, making this the most effective teaching strategy.
Correct Answer is B
Explanation
A. Targeting a random fasting glucose of less than 140 mg/dL may be part of short-term glucose monitoring, but it does not reflect long-term glycemic control. Random glucose levels fluctuate and may not capture trends or overall disease management. Therefore, while important, it is not the best outcome measure for planning long-term care.
B. Hemoglobin A1C reflects average blood glucose over the previous 2–3 months, making it the most appropriate outcome measure for long-term glycemic control. A target of less than 7% is consistent with professional guidelines for older adults with type 2 diabetes, and achieving this outcome can help prevent or minimize complications such as blurred vision caused by diabetic retinopathy. This outcome is specific, measurable, and time-bound, making it the best choice for inclusion in the care plan.
C. Self-administering medications is an important process goal but does not directly measure whether glycemic control or symptom improvement is achieved. It reflects adherence rather than a clinical outcome.
D. Keeping a food diary can support dietary management and education but is a process-oriented intervention, not a measurable clinical outcome. It contributes to achieving better glycemic control but does not directly indicate whether the patient’s diabetes is controlled.
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