Tylenol with Codeine 1T is equivalent to how many mL?

Choice A reason: The belief that clients who talk about suicide are less likely to attempt it is a myth. Verbalizing suicidal ideation often reflects severe distress and heightened risk, as it may indicate prefrontal cortex dysfunction and impaired impulse control. This misconception underestimates the neurobiological basis of suicidal behavior, requiring vigilant assessment.

Choice B reason: Assuming clients who fail a suicide attempt will not try again is incorrect. Previous attempts increase future risk, as suicidal behavior is linked to persistent psychological distress and serotonin dysregulation. This assumption ignores the chronicity of underlying conditions like depression, necessitating ongoing monitoring and intervention to prevent recurrence.

Choice C reason: Claiming failed suicide attempts indicate a lack of intent to die is false. Many attempts fail due to external factors, not lack of intent. Suicidal behavior reflects complex neurobiological factors, including serotonin imbalance and prefrontal cortex deficits, requiring serious intervention regardless of outcome, as intent persists in high-risk individuals.

Choice D reason: A specific suicide plan indicates high risk, as it reflects advanced ideation and intent, often linked to prefrontal cortex dysfunction and reduced impulse control. Detailed planning suggests the client has visualized the act, increasing likelihood of completion. This principle guides nursing care to prioritize safety and immediate psychiatric intervention.

Choice A reason: Tylenol with Codeine (acetaminophen and codeine) in tablet form (1T) typically refers to a standard dose, but in liquid form, the concentration varies. Assuming a common elixir (120 mg acetaminophen/12 mg codeine per 5 mL), 15 mL delivers the standard dose. 15.5 mL slightly exceeds this, risking overdose and potential hepatotoxicity from acetaminophen, making it incorrect.

Choice B reason: Tylenol with Codeine elixir is commonly 120 mg acetaminophen and 12 mg codeine per 5 mL. One tablet equivalent (1T) typically corresponds to 15 mL, delivering 360 mg acetaminophen and 36 mg codeine, aligning with standard dosing for pain relief. This volume ensures therapeutic efficacy without exceeding safe limits, matching pharmacological guidelines.

Choice C reason: A 40 mL dose of Tylenol with Codeine elixir (120 mg acetaminophen/12 mg codeine per 5 mL) would deliver 960 mg acetaminophen and 96 mg codeine, far exceeding safe single-dose limits. This risks acetaminophen-induced liver toxicity and opioid-related respiratory depression, as it disrupts the therapeutic window, making this choice scientifically inappropriate.

Choice D reason: A 30 mL dose of Tylenol with Codeine elixir (120 mg acetaminophen/12 mg codeine per 5 mL) provides 720 mg acetaminophen and 72 mg codeine, doubling a typical single dose. This excessive amount increases the risk of hepatotoxicity and opioid side effects like sedation or respiratory depression, rendering it unsuitable for standard administration.