Which dosage strength, if transcribed onto the medication order sheet, would the nurse question?
mcg/15 mL
1 mcg/1 mL
1 mcg per 1 mL
1 mcg/Ml
The Correct Answer is A
A. mcg/15 mL: Writing the strength as “mcg/15 mL” is incomplete because it does not specify the actual amount of drug per 15 mL. This could lead to dosing errors, as the patient order must clearly indicate the exact micrograms per milliliter.
B. 1 mcg/1 mL: This correctly represents the concentration of the solution, clearly showing that each milliliter contains 1 microgram of calcitriol. It provides precise guidance for accurate dosing.
C. 1 mcg per 1 mL: This phrasing is clear and unambiguous, specifying the exact amount of drug in each milliliter. It is an acceptable way to document the dosage strength.
D. 1 mcg/Ml: Despite the lowercase “l” for milliliter, this notation still accurately communicates the concentration. While proper capitalization is preferred, it does not significantly risk misinterpretation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Calculation:
- Calculate the volume in milliliters (mL) to administer.
Ordered Dose (D) = 10 mEq
Available Dose (H) = 20 mEq
Quantity (Q) = 15 mL
Volume (mL) = (Dose Ordered (D) / Dose Available (H)) x Quantity (Q)
= (10 mEq / 20 mEq) x 15 mL
= 0.5 x 15 mL
= 7.5 mL
- Convert the volume from milliliters (mL) to teaspoons (tsp).
Volume in mL = 7.5 mL
Conversion factor: 1 teaspoon (tsp) = 5 mL
Volume (tsp) = Volume in mL / Conversion factor
= 7.5 mL / 5 mL/tsp
= 1.5 teaspoons (or 1 1/2 teaspoons)
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.
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