Spironolactone is available in 75 mg tablets. The provider orders 150 mg PO daily. How many tablets should the nurse administer? (TYPE IN NUMBERS ONLY. Round to the nearest half. Use a leading zero if applicable. Do not use a trailing zero.)

Answer and Explanation

The Correct Answer is ["2"]

Desired Dose: 150 mg.

Available Dose per Tablet: 75 mg.

Number of Tablets = Desired Dose / Available Dose per Tablet

= 150 mg / 75 mg

= 2 tablets

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Correct Answer is B

Explanation

A. "Crushing the medication is a good idea, and I can mix it in some ice cream for you.": Enteric-coated medications should not be crushed because the coating protects the stomach lining and controls where the medication dissolves. Crushing removes this protection.

B. "Crushing the medication might cause you to have a stomachache or indigestion.": Enteric coatings prevent irritation of the stomach lining. Crushing the tablet can lead to direct stomach irritation, increasing the risk of discomfort or gastrointestinal side effects.

C. "Crushing is unsafe, as it destroys the ingredients in the medication.": Crushing does not destroy the medication’s ingredients but alters its intended release and absorption, potentially causing side effects.

D. "Crushing the medication would release all the medication at once, rather than over time.": This applies to extended-release medications, not enteric-coated aspirin, which is designed to dissolve in the intestines to protect the stomach.

A. Drink sixteen to twenty 12-oz glasses of fluid (5,760 to 7,200 mL) per day B. Drink six to eight 8-oz glasses of fluid (1,500 to 2,000 mL) per day C. Drink one to two 4-oz glasses of fluid (120 to 240 mL) per day D. Drink five to six 6-oz glasses of fluid (900 to 1,080 mL) per day

Correct Answer is B

Explanation

A. Drinking sixteen to twenty 12-oz glasses (5,760 to 7,200 mL) is excessive and could lead to fluid overload, especially in older adults who may have compromised cardiac or renal function.

B. Drinking six to eight 8-oz glasses (1,500 to 2,000 mL) per day aligns with general hydration recommendations for older adults. This volume supports adequate hydration without risking overload and helps maintain normal physiological functions.

C. One to two 4-oz glasses (120 to 240 mL) per day is insufficient for maintaining proper hydration and could lead to recurrent dehydration.

D. Five to six 6-oz glasses (900 to 1,080 mL) per day is slightly below the recommended intake and may not meet the hydration needs of most older adults, especially after dehydration.

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Spironolactone is available in 75 mg tablets. The provider orders 150 mg PO daily. How many tablets should the nurse administer? (TYPE IN NUMBERS ONLY. Round to the nearest half. Use a leading zero if applicable. Do not use a trailing zero.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has difficulty swallowing medications and is prescribed enteric-coated aspirin PO once daily. The client asks if the medication can be crushed to make it easier to swallow. Which of the following responses should the nurse provide?

Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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