The patient has a medication bottle that says "Each tablet contains 750 mcg of medication." The pharmacist provides a refill of the same medication with the information "Each tablet contains 0.75 mg of medication." The nurse is correct to inform the patient that:

The tablets in the new refill contain the same amount of medication.

The tablets in the refill bottle contain less medication.

The tablets in the refill bottle have a greater dose of medication.

The pharmacy needs to provide tablets that contain 750 mcg of medication.

Answer and Explanation

The Correct Answer is A

A. The tablets in the new refill contain the same amount of medication: 0.75 mg is equivalent to 750 mcg (1 mg = 1000 mcg), so the dose strength has not changed. The patient is receiving the same amount of active drug.

B. The tablets in the refill bottle contain less medication: Converting 0.75 mg to micrograms shows it equals 750 mcg, so the refill does not contain less medication.

C. The tablets in the refill bottle have a greater dose of medication: The dose is identical, not greater. There is no change in the amount of active ingredient per tablet.

D. The pharmacy needs to provide tablets that contain 750 mcg of medication: Although the labeling changed, 0.75 mg is equivalent to 750 mcg. The refill is correct and safe to use.

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Correct Answer is B

Explanation

A. IV, SL: Intravenous (IV) and sublingual (SL) routes are not indicated on the label. Administering via these routes could result in improper absorption or adverse effects.

B. IM, SUBQ: The label clearly states “For IM or SUBQ Use Only,” indicating that intramuscular and subcutaneous administration are the safe and approved routes for cyanocobalamin. This ensures correct absorption and patient safety.

C. IV, IM: While intramuscular (IM) is correct, intravenous (IV) is not listed as an approved route. Using IV could cause complications or medication errors.

D. IM, PO: Oral (PO) administration is not appropriate for cyanocobalamin in this formulation. The medication is designed for injection, and taking it orally would prevent effective absorption.

A. 15 mL B. 7.5 mL C. 5 mL D. 10 mL

Correct Answer is A

Explanation

Given volume = 0.5 oz

Conversion factor: 1 oz = 30 mL

Calculate the volume in milliliters (mL).

Volume (mL) = Volume in oz x Conversion factor

= 0.5 oz x 30 mL/oz

= 15 mL

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The patient has a medication bottle that says "Each tablet contains 750 mcg of medication." The pharmacist provides a refill of the same medication with the information "Each tablet contains 0.75 mg of medication." The nurse is correct to inform the patient that:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse reads the following drug label: Cyanocobalamin Injection, USP 1,000 mcg per mL For IM or SUBQ Use Only 1 mL Multi-Dose Vial Contains a preservative. Protect from light. The nurse demonstrates safe practice when the routes of administration are identified as:

Correct Answer is B

Explanation

A nurse is preparing to administer furosemide 20 mg PO in 0.5 oz of apple juice. How many mL of apple juice will the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is A

Explanation

Which of the following best describes the "right documentation" of medication administration?

The order is for amoxicillin oral suspension 3 tsp every 12 hours. To help the patient take the medication using a medicine cup with household measurements, the nurse tells the patient that will provide the ordered dose.

The following medication order is in the patient's medication administration record (MAR):

The patient is ordered 25 mg of an oral tablet every 12 hours. The drug bottle lists "50- mg scored tablets" on the label. Which statement, made by the nurse, provides accurate instruction to the patient?

The nurse prepares to give 5 mg of a medication, but the vial label reads "10 mg/mL." How many mL should the nurse administer?

The patient receives 5 liters of fluid. The nurse correctly records that the patient has received ______ mL.