Of the doses on hand, you would choose___________ to administer the ordered dose
Ordered: Coumadin 7.5 mg PO daily
Coumadin 10 mg scored tablets
Coumadin 1 mg scored tables
Coumadin injection 5 mg/via
Coumadin 5 mg scored tablets
The Correct Answer is D
A. Coumadin 10 mg scored tablets: A 10 mg tablet exceeds the ordered dose of 7.5 mg. Although it's scored, splitting it in a way that gives exactly 7.5 mg would be imprecise and not ideal for accurate dosing.
B. Coumadin 1 mg scored tablets: While these allow precise dosing, it would require administering multiple tablets (e.g., seven 1 mg tablets and one half), which increases pill burden and potential for error.
C. Coumadin injection 5 mg/vial: The prescribed route is oral (PO), not parenteral. Using an injection would not comply with the prescribed route of administration.
D. Coumadin 5 mg scored tablets: The 5 mg scored tablet can be used to administer one whole 5 mg tablet and one-half tablet (2.5 mg), totaling 7.5 mg. This provides an accurate and convenient way to deliver the dose.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["38"]
Explanation
Calculation:
- To find the flow rate in drops per minute (gtt/min), use the formula:
Flow rate (gtt/min) = (Total volume (mL) × Drop factor (gtt/mL)) / Time (min)
Total volume = 1,800 mL.
Drop factor = 15 gtt/mL.
- Convert the total time from hours to minutes.
Total time = 12 hours × 60 minutes/hour
= 720 minutes.
- Calculate the flow rate.
Flow rate = (1,800 mL × 15 gtt/mL) / 720 minutes
= 27,000 gtt / 720 minutes
= 37.5 gtt/min.
- Round the answer to the nearest whole number.
= 38 gtt/min.
Correct Answer is A
Explanation
A. She did not perform all of the three medication checks: Safe medication administration requires performing three checks: when retrieving the medication, when preparing it, and immediately before administration. The technician only checked the medication once against the MAR, skipping two critical verification points.
B. She failed to verify the medication against the medication order: The MAR is a transcription of the medication order and is commonly used for verification. As long as the MAR is current and accurate, verifying against it satisfies the need to confirm the order.
C. She did not prepare the medication: Medications may be prepackaged by the pharmacy for specific patients. As long as the technician verifies the correct medication and dosage, she is not required to personally prepare it from raw stock.
D. She did not call the pharmacy to confirm the medication amount: There is no standard requirement to call the pharmacy unless there is a discrepancy or concern. If the medication is clearly labeled with the correct patient and dosage, further confirmation is unnecessary.
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