The nurse is caring for an older patient with hypothyroidism and receives an order to administer 0.25 mg of levothyroxine sodium (Synthroid) PO every morning before breakfast. The nurse has on hand 100 mcg/tablet. How many tablet(s) should the nurse administer?
2.5 tablets
1 tablet
3 tablets
0.5 tablet
The Correct Answer is A
0.25 mg = 250 mcg
Number of tablets = Desired dose (mcg) / Tablet strength (mcg) Plugging in the given values:
Number of tablets = 250 mcg / 100 mcg/tablet Number of tablets = 2.5 tablets
Therefore, the nurse should administer 2.5 tablets of levothyroxine sodium (Synthroid) to the patient.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Number of tablets = Desired dose (mg) / Tablet strength (mg) Plugging in the given values:
Number of tablets = 0.125 mg / 0.25 mg/tablet Number of tablets = 0.5 tablet
Therefore, the nurse should prepare 0.5 tablet of digoxin to administer to the patient.
Correct Answer is D
Explanation
A. While it's important to communicate any concerns about medication adherence with the physician, the nurse should first try to address the underlying issue, which in this case is the patient's memory impairment.
B. While decreasing the frequency of medications may be possible in some cases, it's important to consult with the physician before making any changes to the medication regimen.
C. Relying on a family member to administer medications can be problematic, as it may not be feasible for them to do so on a regular basis. It's important for the patient to take responsibility for their own medication management, with the support of the nurse.
D. Memory impairment is a common problem in older adults and can affect medication adherence. Using a pill dispenser can help patients remember when to take their medications. Pill dispensers are often organized by day and time, making it easier for patients to keep track of their medication schedule.
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