A client with hypertension currently takes two and a half tablets of bisoprolol per day, each containing 100 mg. The new order is 500 mg of bisoprolol per day.
What instruction should be given to this client for the effective management of hypertension?
"Take five and a half tablets daily."
"Take two and a half tablets daily."
"Take five tablets daily."
"Take two tablets daily."
The Correct Answer is C
The instruction that should be given to this client for the effective management of hypertension is to take
**five tablets** of bisoprolol per day, each containing 100 mg.
This is because the new order of 500 mg of bisoprolol per day is twice as much as the current dose of 250 mg of bisoprolol per day (two and a half tablets of 100 mg each). Therefore, the client needs to double the number of tablets they take per day from two and a half to five.

Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
To find the rate in mL/hr, you need to use the formula for infusion rate:
Infusion rate (mL/h) = Total volume (mL) / Time (h)
Since the total volume is 500 mL and the time is 2 hours, plug in these values into the formula:
Infusion rate (mL/h) = 500 mL / 2 h
Simplify and solve for the infusion rate:
Infusion rate (mL/h) = 250 mL/h
Therefore, the nurse should set the IV pump to deliver **250 mL/h** to infuse LR 500 mL over 2 hours.
Correct Answer is B
Explanation
QD is an abbreviation for "quaque die" which means "every day" in Latin. However, QD is on the official "Do Not Use" list of the Joint Commission because it can be mistaken for QOD, which means "every other day" in Latin¹². This can lead to medication errors and patient harm. Therefore, the Joint Commission recommends writing "daily" instead of QD.
The other options are not on the official "Do Not Use" list of the Joint Commission. OS, PO, and OD are abbreviations for "oculus sinister" (left eye), "per os" (by mouth), and "oculus dexter" (right eye) respectively. They are commonly used in ophthalmology and pharmacy³. However, they should be used with caution and only when appropriate, as they can also be confused with other abbreviations or symbols.
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