A client is prescribed 250 mg of metformin. The pharmacy supplies 500 mg pre- scored tablets of metformin. How should the nurse administer the medication to the client?
Administer one half tablet
Administer two tablets
Administer one tablet
Administer one-and-a-half tablets
The Correct Answer is A
Administer one half tablet. To find the amount of tablets to administer, use the formula: (ordered dose / available dose). In this case, (250 mg / 500 mg) = 0.5 tablet. Since the tablet is pre-scored, it can be easily split in half.
Metformin is a medication that belongs to a class of drugs called biguanides. It is used to treat type 2 diabetes by lowering blood sugar levels and improving insulin sensitivity. Metformin works by reducing the amount of glucose produced by the liver and increasing the uptake of glucose by the muscles and other tissues.
Metformin can also help prevent or delay the onset of diabetes complications, such as heart disease and kidney damage.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
First, we need to convert the weight of the child from pounds to kilograms:. 44 lb / 2.2046 = 19.958 kg (rounded to three decimal places).
Next, we can calculate the dose of glycopyrrolate:. 0.02 mg/kg x 19.958 kg = 0.39916 mg.
We should always check our calculation and verify that the dose is appropriate and safe for the child. In this case, the dose of 0.39916 mg seems reasonable for a child with chronic severe drooling..
Now, we need to determine how much medication to administer to the child. We know that 5 mL of medication contains 1 mg of drug. Therefore, to administer 0.39916 mg of glycopyrrolate, we need to administer:
(0.39916 mg / 1 mg) x 5 mL = 1.9958 mL.
We should round this dose to the nearest appropriate unit of measure. In this case, we can round to 2 mL to make it easier to measure and administer..
Therefore, the nurse should administer 2 mL of glycopyrrolate to the child three times a day (tid) to treat chronic severe drooling.
Correct Answer is B
Explanation
The correct answer is choice B. 2 bottles. To find the number of bottles required, use the formula: (dose x duration) / (bottle size x tablet strength). In this case, (600 mg/day x 7 days) / (7 tablets/bottle x 300 mg/tablet) = 2 bottles.
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