Jane Doe was given Tylenol for her fever at 8 a.m. At noon, her temperature was 39.2°C. What action should be taken at noon?
Do not administer Tylenol, her temperature is below 101°F
Administer one-half 325 mg Tylenol tablet.
Administer one 325 mg Tylenol tablet.
Administer two 325 mg Tylenol tablets.
The Correct Answer is D
Rationale:
- Check the time condition: The last dose was given at 8 a.m., and the order is for "q4h" (every 4 hours). At noon, exactly 4 hours have passed, so the time condition is met.
- Check the temperature condition: The patient's temperature is 39.2°C, but the order specifies a temperature in Fahrenheit (> 101°F).
Convert to determine if the condition is met.
Conversion: F= (C×1.8) + 32
= (39.2×1.8)+32
= 70.56+32
= 102.56°F
- Evaluate the order: The patient's temperature of 102.56°F is greater than the ordered condition of 101°F. Both the time and temperature conditions for administering the Tylenol have been met.
- The order is for "Tylenol 325 mg tab ii," which means two tablets of 325 mg each.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["50"]
Explanation
Based on the label provided, the amount of solution contained in the bottle of Vantin once reconstituted is 50 mL. The lable states (50 mL when mixed)
Correct Answer is D
Explanation
A. therapeutic fluids: Therapeutic fluids are administered to treat a specific condition, such as dehydration or electrolyte imbalance. They are not specifically used just to keep a vein open.
B. maintenance fluids: Maintenance fluids are given to meet the ongoing fluid and electrolyte needs of a client, especially when they can't eat or drink. They are not primarily used to preserve line patency.
C. replacement fluids: Replacement fluids are used to restore fluid losses due to vomiting, diarrhea, or bleeding. They are given in larger volumes and are not intended solely to keep a vein open.
D. KVO fluids: "Keep vein open" (KVO) fluids are minimal infusions used to maintain patency of an IV line. The goal is not hydration or therapy, but ensuring access for future medication or fluid delivery.
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