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 C
Explanation
To find the milliliters per hour, you need to calculate the following:
- The patient's weight in kilograms
- The dose of Principen in milligrams
- The infusion rate in milliliters per hour using the formula: Infusion rate (mL/h) = (Total volume (mL) x Flow factor (gt/mL)) / Time (min) x 60 min/h
First, convert the patient's weight from pounds to kilograms by dividing by 2.2:
22 lb / 2.2 = 10 kg
Next, multiply the patient's weight by the dose of Principen per kilogram to get the total dose in milligrams:
10 kg x 25 mg/kg = 250 mg
Then, use the formula for infusion rate to find how many milliliters per hour the IV pump should deliver:
Infusion rate (mL/h) = (Total volume (mL) x Flow factor (gt/mL)) / Time (min) x 60 min/h
Since the medication is prepared in 50 mL of solution and the infusion time is 30 minutes, plug in these values into the formula:
Infusion rate (mL/h) = (50 mL x 1 gt/mL) / 30 min x 60 min/h
Simplify and solve for the infusion rate:
Infusion rate (mL/h) = 100 mL/h
Therefore, the nurse should administer **100 mL/h** to infuse Principen 250 mg over 30 minutes.
Correct Answer is A
Explanation
To set the IV pump correctly, you need to calculate the following:
- The patient's weight in kilograms
- The dose of Zofran in milligrams
- The infusion rate in milliliters per hour
First, convert the patient's weight from pounds to kilograms by dividing by 2.2:
176 lb / 2.2 = 80 kg
Next, multiply the patient's weight by the dose of Zofran per kilogram to get the total dose in milligrams:
80 kg x 0.15 mg/kg = 12 mg
Then, use the formula for infusion rate to find how many milliliters per hour the IV pump should deliver:
Infusion rate (mL/h) = (Total volume (mL) x Flow factor (gt/mL)) / Time (min) x 60 min/h
Since the medication is mixed in 50 mL of normal saline and the infusion time is 15 minutes, plug in these values into the formula:
Infusion rate (mL/h) = (50 mL x 1 gt/mL) / 15 min x 60 min/h
Simplify and solve for the infusion rate:
Infusion rate (mL/h) = 200 mL/h
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