The following medication is ordered for the patient: ARIPiprazole 3 mg PO daily.
On March 7, xx at 0900 the nurse checks the medication administration record and the available medication.
Medication Administration Record
Date: 3-7-xx
Time: 0900
Medication: Abilify 3 mg PO daily.
Nurse's Initials:
ARIPiprazole
(Abilify) tablets
Each tablet contains
2-mg ARIPiprazole
30 scored tablets
How many tablets will the nurse administer at 0900?
Two tablets
One tablet
One-half tablet
One and one-one half tablets
The Correct Answer is D
Calculation:
Ordered Dose (D) = 3 mg
Available Dose (H) = 2 mg
Quantity (Q) = 1 tablet (The tablets are scored, allowing for halves.)
Tablets = (Dose Ordered (D) / Dose Available (H)) x Quantity (Q)
= (3 mg / 2 mg) x 1 tablet
= 1.5 tablets
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. x mg: 0.5 tablet: This setup reverses the relationship and would not allow the nurse to calculate the correct number of tablets for the ordered dose.
B. 7.5 mg: x tablet: This correctly sets up a proportion with the desired dose (7.5 mg) on the left and the unknown number of tablets (x) on the right. Using the known tablet strength (15 mg per tablet) allows accurate calculation of the fraction of a tablet to administer.
C. x mg: 1 tablet: This setup incorrectly places the unknown dose as the numerator. It does not align with standard proportion calculations for determining the number of tablets needed.
D. 15 mg: x tablet: This setup represents the known tablet strength but does not pair it with the prescribed dose, so it is incomplete for solving the calculation safely.
Correct Answer is D
Explanation
A. The tall man lettering helps to quickly identify that the drug is an injectable drug: Tall man lettering does not indicate the route of administration. Injectable and oral forms can both use tall man lettering if name confusion is possible.
B. The tall man lettering means that this drug contains a boxed warning: Boxed warnings are indicated separately on labeling and in the prescribing information, not by tall man lettering. Tall man lettering addresses name confusion, not risk level.
C. The tall man lettering means this is a high-alert drug: High-alert medications are identified by special warnings, not by tall man lettering. Tall man lettering specifically targets drugs with look-alike or sound-alike names.
D. The tall man lettering helps to distinguish this drug from other drugs that have similar names: Tall man lettering emphasizes differences in similar drug names (e.g., “predniSONE” vs. “prednisoLONE”) to prevent medication errors. This strategy is designed to reduce confusion and improve patient safety.
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