The patient's discharge medication is available as a scored tablet with a dosage strength of 25 mg/tablet. The provider has ordered 37.5 mg of the medication PO twice daily. Which statement made by the patient indicates correct daily administration of the discharged medication?
I will cut one tablet in half, then take one and one-half tablets morning and evening.
I need to get a different dose of medication from the pharmacy.
I will take two tablets in the morning.
I will cut one tablet in half, then take one and one-half tablets daily.
The Correct Answer is A
A. I will cut one tablet in half, then take one and one-half tablets morning and evening: Each tablet is 25 mg, so one and a half tablets equals 37.5 mg. Taking this dose twice daily matches the provider’s order for safe and accurate dosing.
B. I need to get a different dose of medication from the pharmacy: A different strength is not necessary because the prescribed dose can be achieved by splitting the 25 mg tablet appropriately.
C. I will take two tablets in the morning: Two tablets equal 50 mg, which exceeds the ordered 37.5 mg and could result in an overdose.
D. I will cut one tablet in half, then take one and one-half tablets daily: Taking one and a half tablets only once a day provides half the prescribed total daily dose, which is insufficient for therapeutic effect.
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Related Questions
Correct Answer is B
Explanation
A. Ask the patient if they want to take the medication: While obtaining the patient’s cooperation is important, it does not ensure that the right patient receives the correct medication. Patient preference cannot substitute for proper identification and safety checks.
B. Identify the patient using two identifiers: Correct patient identification using two unique identifiers, such as name and date of birth, is the most critical safety step before administering any medication. It prevents medication errors and ensures that the drug reaches the intended recipient.
C. Tell the patient the medication is safe: Providing reassurance is important for patient comfort, but it does not guarantee safety. Safety is ensured through verification of the medication, dose, and patient identity before administration.
D. Verify the medication with another nurse: Double-checking is essential for high-risk medications, but for routine oral medications, the initial priority is accurate patient identification. Verification with another nurse is secondary to confirming the correct patient.
Correct Answer is B
Explanation
A. 2: Two tablespoons equal 30 mL, which is double the 15 mL being converted. Using this conversion would result in giving twice the intended dose, which could be dangerous.
B. 1: One tablespoon equals 15 mL, making this the correct household equivalent. This conversion allows the patient to accurately measure the prescribed medication using common kitchen utensils.
C. 4: Four tablespoons equal 60 mL, which is four times the intended 15 mL dose. This would significantly overdose the patient if used for measurement.
D. 3: Three tablespoons equal 45 mL, which is three times the intended 15 mL dose. This conversion is incorrect and could result in serious medication errors.
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