The licensed prescriber orders penicillin V 300,000 units po four times a day for your patient with chronic otitis. The drug is supplied in oral solution 200,000 units/5 mL. How many milliliters will you administer per dose?
The Correct Answer is ["7.5"]
To determine how many milliliters to administer per dose, use the formula:
Volume to administer = (Desired dose ÷ Available dose) × Volume on hand
Volume = (300,000 units ÷ 200,000 units) × 5 mL
Volume = 1.5 × 5 mL = 7.5 mL
Answer: 7.5 mL
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Increasing the client’s sodium intake is contraindicated. Sodium contributes to fluid retention, which can worsen ascites in clients with cirrhosis.
B. Decreasing the client’s fluid intake is correct. Fluid restriction is often recommended for clients with ascites to help control fluid accumulation in the abdominal cavity and reduce discomfort.
C. Increasing the client’s saturated fat intake is not advisable, as it can contribute to further liver damage and complications in clients with liver disease.
D. Decreasing the client’s carbohydrate intake is unnecessary unless blood glucose control is an issue. Clients with cirrhosis often need adequate carbohydrates for energy, especially since protein intake may be limited to prevent hepatic encephalopathy.
Correct Answer is B
Explanation
A. While nausea and vomiting are common side effects of many chemotherapy agents, this is not specific to vesicants, which are drugs that can cause tissue damage if they leak outside the vein.
B. Vesicant chemotherapy agents can cause severe tissue damage, necrosis, and ulceration if they extravasate (leak into surrounding tissue). Close monitoring of the IV site for signs of redness, swelling, or pain is essential.
C. This may indicate gastrointestinal or bladder irritation from other types of chemotherapy agents, but it is not the hallmark concern with vesicants.
D. This is unrelated to vesicant properties. Orthostatic hypotension may occur from dehydration or autonomic effects, but not from vesicant infiltration.
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