A nurse is administering prochlorperazine 0.13 mg/kg IM to a child who weighs 55 lb. Available is prochlorperazine injection 5 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest hundredth. Use a leading zero if it applies. Do not use a trailing zero.)

Answer and Explanation

The Correct Answer is ["0.65"]

To calculate the dosage of prochlorperazine that the nurse should administer, we first convert the child's weight from pounds to kilograms, knowing that 1 kilogram is approximately 2.2 pounds. The child weighs 55 pounds, which is equivalent to 55 / 2.2 = 25 kilograms (rounded to the nearest whole number for simplicity). Next, we multiply the child's weight in kilograms by the dosage prescribed, which is 0.13 mg/kg. So, 25 kg * 0.13 mg/kg = 3.25 mg. Finally, since the available medication is 5 mg/mL, we divide the total milligrams needed by the concentration, resulting in 3.25 mg / 5 mg/mL = 0.65 mL. Therefore, the nurse should administer 0.65 mL, rounded to the nearest hundredth.

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Correct Answer is ["2"]

Explanation

To calculate the dosage of haloperidol for the child, first determine the total daily dose by multiplying the child's weight by the prescribed amount per kilogram. For a child weighing 40 kg, this would be 0.15 mg/kg/day * 40 kg, which equals 6 mg/day. Since the medication is to be administered in divided doses every 8 hours, divide the total daily dose by the number of doses per day. There are 24 hours in a day, so with doses every 8 hours, that's 3 doses per day. Therefore, 6 mg/day divided by 3 doses per day equals 2 mg per dose.

A. Give the client two troches in the morning and two troches in the evening. B. Withhold oral intake until the troche dissolves in the client's mouth. C. Tell the client to keep the troche under the tongue for 5 min before swallowing it. D. Instruct the client to swallow the troche with 240 mL. (8 oz) water.

Correct Answer is B

Explanation

A. Give the client two troches in the morning and two troches in the evening. This option misinterprets the frequency of administration; the prescription is for four times a day, not twice.
B. Withhold oral intake until the troche dissolves in the client's mouth. Nystatin troches are designed to dissolve slowly in the mouth, allowing the medication to come into contact with the mucous membranes to treat fungal infections effectively. The client should avoid eating or drinking until the troche has fully dissolved to ensure maximum effectiveness.
C. Tell the client to keep the troche under the tongue for 5 min before swallowing it. Troches should dissolve completely in the mouth, not just be held under the tongue for a specific time.
D. Instruct the client to swallow the troche with 240 mL (8 oz) water. Troches should not be swallowed whole with water; they need to dissolve in the mouth to be effective.

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A nurse is administering prochlorperazine 0.13 mg/kg IM to a child who weighs 55 lb. Available is prochlorperazine injection 5 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest hundredth. Use a leading zero if it applies. Do not use a trailing zero.)

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Naxlex Comprehensive Predictor Exams

Correct Answer is ["2"]

Explanation

A nurse is reviewing a prescription for nystatin 200,000 units in a troche PO 4 times per day. How should the nurse interpret this prescription?

Correct Answer is B

Explanation

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