The client is to receive phenytoin 100 mg q8h.
What is the correct military time that the nurse should document in the chart for the last dose of the day if the first dose was given at 0600?
The Correct Answer is ["2200"]
If the first dose of phenytoin was given at 0600, the next dose should be given 8 hours later at 1400 (2:00 PM) and the third dose should be given 8 hours after that at 2200 (10:00 PM).
To convert these times to military time, we can add 12 to any time after 12:00 PM (noon). Therefore, the correct military times for administering the phenytoin doses would be:
1st dose = 0600 (6:00 AM)
2nd dose = 1400 (2:00 PM)
3rd dose = 2200 (10:00 PM)
The last dose of the day should be given at 2200 (10:00 PM).
To document the administration of the medication in military time, the nurse should record the time as 2200 in the client's chart.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["Crushed or broken before the administration"]
Explanation
Enteric-coated tablets and time-released tablets should never be crushed or broken before administration. Here are reasons why enteric-coated tablets and time-released tablets should never be crushed: 1. Effectiveness: Enteric-coated tablets are designed to resist the acidic environment of the stomach and dissolve in the alkaline environment of the small intestine. Crushing these tablets will alter their absorption pattern and effectiveness.
2. Safety: Time-released tablets are designed to slowly release the medication over an extended period, which helps to maintain a consistent therapeutic level in the body. Crushing these tablets can result in an immediate release of the entire dose, which can cause an overdose or adverse reactions.
3. Irritation: Crushing enteric-coated or time-released tablets can cause irritation to the throat, mouth, and airways, leading to coughing, choking, or breathing difficulties.
4. Accuracy: When tablets are crushed, the amount of medication that is delivered may be inaccurate, which can lead to underdosing or overdosing.
Correct Answer is A
Explanation
The correct way to indicate the order "Administer Colace 100mg by mouth three times a day" is:
A) Colace 100 mg p.o. t.i.d.
"p.o." means by mouth, "t.i.d." means three times a day, so the correct order is "Colace 100 mg by mouth three times a day."
B) Colace 100 mg p.o. b.i.d. - This would mean "Colace 100 mg by mouth twice a day." "b.i.d." stands for "bis in die," which is Latin for "twice a day."
C) Colace 100 mg p.o. q.i.d. - This would mean "Colace 100 mg by mouth four times a day." "q.i.d." stands for "quater in die," which is Latin for "four times a day."
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