A nurse is preparing to administer acetaminophen 650 mg PO every 6 hr PRN for pain. The client last received the medication at 2 p.m. Which of the following times is the earliest the nurse can administer the next dose?
1900
1700
1500
2000
The Correct Answer is D
A. 1900: Administering the medication at 7 p.m. would be 5 hours after the last dose at 2 p.m., which is too soon. Acetaminophen should be given no more frequently than every 6 hours to avoid toxicity.
B. 1700: Giving the medication at 5 p.m. is only 3 hours after the previous dose, which is unsafe and exceeds the recommended dosing frequency.
C. 1500: Administering at 3 p.m. is just 1 hour after the last dose, which is far too early and could result in an overdose.
D. 2000: Administering the next dose at 8 p.m. is 6 hours after the 2 p.m. dose, meeting the prescribed interval and ensuring safe timing between doses while providing effective pain management.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Calculation:
- Convert the Ordered Dose from grams (g) to milligrams (mg).
Ordered Dose = 0.75 g
Conversion factor = 1 g = 1,000 mg
Ordered Dose (mg) = 0.75 g x 1,000 mg/g
= 750 mg
Dose Ordered (D) = 750 mg (the converted dose)
Dose Available (H) = 250 mg
Quantity (Q) = 5 mL
Volume (mL) = (Dose Ordered (D) / Dose Available (H)) x Quantity (Q)
= (750 mg / 250 mg) x 5 mL
= 3 x 5 mL
= 15 mL
Correct Answer is D
Explanation
A. The units of measurement on drug labels help to identify the strength of the drug: Units on labels indicate the precise amount or potency of a medication, which guides safe and accurate dosing for therapeutic effect.
B. The unit of measurement labeled "unit" expresses the biological activity of the drug: Some medications, such as insulin and heparin, are measured in units to reflect their biological activity rather than weight or volume, which is accurate.
C. The mL, L, and meter are units of measurement found in the metric system: Milliliters, liters, and meters are standard metric units for volume and length, commonly used in medication administration and clinical measurements.
D. The mEq unit of measurement has the same concentration of solution as the mcg: Milliequivalents (mEq) measure chemical activity or ion concentration, whereas micrograms (mcg) measure mass. These units are not equivalent, so this statement requires clarification.
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