A nurse is preparing to administer lansoprazole 30 mg PO daily to a client. The amount available is lansoprazole 10 mg per tablet. How many tablets should the nurse administer per dose?
(Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
The Correct Answer is ["3"]
Step 1: Determine the total daily dose of lansoprazole.
- Total daily dose = 30 mg
Step 2: Determine the amount of lansoprazole available per tablet.
- Each tablet = 10 mg
Step 3: Calculate the number of tablets needed per dose.
- Number of tablets per dose = 30 mg ÷ 10 mg
- Number of tablets per dose = (30 ÷ 10)
- Number of tablets per dose = 3
Step 4: Round the answer to the nearest whole number.
- Rounded number of tablets per dose = 3 (no rounding needed) So, the nurse should administer 3 tablets per dose.
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Naxlex Comprehensive Predictor Exams
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Correct Answer is D
Explanation
Choice A reason: Placing the shoulder harness straps below the level of the newborn’s armpits is incorrect. The shoulder harness straps should be at or below the level of the newborn’s shoulders to ensure a snug and secure fit.
Choice B reason: Keeping the car seat rear-facing until the newborn can sit unsupported is incorrect. The car seat should remain rear-facing until the child reaches the maximum height or weight limit specified by the car seat manufacturer, which is typically around 2 years of age.
Choice C reason: Placing the retainer clip across the newborn’s abdomen is incorrect. The retainer clip should be positioned at the level of the newborn’s armpits to ensure the harness straps are properly aligned and to prevent the baby from slipping out of the harness.
Choice D reason: Positioning the newborn at a 45-degree angle in the car seat is correct. This angle helps keep the newborn’s airway open and reduces the risk of airway obstruction. It also ensures that the baby is securely positioned in the seat.
Correct Answer is A
Explanation
Choice A reason: Weigh the client daily is important because chlorpromazine can cause weight gain as a side effect. Regular monitoring of the client’s weight helps in managing and mitigating this potential adverse effect.
Choice B reason: Monitor the client for signs of bleeding is not typically necessary for clients taking chlorpromazine. This medication does not commonly cause bleeding issues. Monitoring for bleeding would be more relevant for clients on anticoagulants or medications that affect platelet function.
Choice C reason: Monitor the client’s respirations every 4 hours is not specifically required for clients on chlorpromazine. While respiratory depression can be a concern with some medications, it is not a common side effect of chlorpromazine.
Choice D reason: Administer an antacid with the medication to decrease nausea is not recommended. Antacids can interfere with the absorption of chlorpromazine, reducing its effectiveness. If the client experiences nausea, other antiemetic strategies should be considered.
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