The client arrives at the emergency room following a sexual trafficking incident. She is experiencing significant pain but has difficulty swallowing pills. The provider prescribes 15 mL of Codeine with acetaminophen oral elixir to be taken by mouth once.
Pharmacy Formulary
Codeine with acetaminophen oral elixir available:
2.4 mg/mL of codeine
24 mg/mL of acetaminophen
Complete the following sentence using the drop-down options. The client is prescribed
The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A","dropdown-group-3":"A"}
Step 1: Identify the Prescribed Volume
The provider prescribed 15 mL of codeine with acetaminophen oral elixir to be taken by mouth once.
Correct choice: 15 mL
Step 2: Calculate the Codeine Dose
The formulary concentration states:
- 2.4 mg/mL of codeine
15mL×2.4mg/mL=36 mg of codeine
Correct choice: 36 mg of codeine
Step 3: Calculate the Acetaminophen Dose
The formulary concentration states:
- 24 mg/mL of acetaminophen
15mL×24mg/mL=360mg of acetaminophen
Correct choice: 360 mg of acetaminophen
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. "We will monitor your blood pressure to see if it decreases."
While magnesium sulfate may have a mild antihypertensive effect, it is not primarily given to lower blood pressure; antihypertensives are used for that purpose.
B. "We will check for a reduction in swelling and fluid retention."
Edema in preeclampsia is due to capillary leakage and kidney dysfunction, not directly affected by magnesium sulfate.
C. "We will assess for a decrease in seizure activity and improved reflexes."
Magnesium sulfate is used primarily as a seizure prophylaxis in preeclampsia by stabilizing the central nervous system and reducing hyperreflexia and clonus, which are signs of worsening preeclampsia.
D. "You should feel less pain and have fewer headaches."
While magnesium sulfate can improve symptoms, it is not an analgesic and does not directly relieve pain.
Correct Answer is A
Explanation
A. The client's level of sexual stimulation
Sildenafil requires sexual stimulation to be effective. It enhances blood flow to the penis but does not automatically cause an erection. The client should be educated that adequate sexual arousal is necessary for the medication to work.
B. If taken with a high-fat meal, the medication is more effective
Taking sildenafil with a high-fat meal can actually delay its absorption and reduce effectiveness. Clients should be advised to take it on an empty stomach or with a light meal for optimal results.
C. The client's recent consumption of caffeine
Caffeine intake does not interfere with sildenafil’s effectiveness. However, excessive caffeine consumption may contribute to vasoconstriction, which could indirectly affect erectile function.
D. If client took an additional dose to achieve an erection
Taking an extra dose of sildenafil is not recommended and can increase the risk of serious side effects such as hypotension, priapism (prolonged erection), and cardiovascular complications. The client should follow prescribed dosing guidelines.
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