A nurse is preparing to administer levothyroxine 5 mcg/kg PO to a client who weighs 220 lb. Available is levothyroxine 75 mcg tablets. How many tablets should the nurse administer? (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 ["7"]
To calculate the correct dosage of levothyroxine, the nurse should follow these steps:
- Convert the patient's weight from pounds to kilograms: 220 lb ÷ 2.20462 lb/kg = 99.79 kg
- Calculate the total dose of levothyroxine: 5 mcg/kg × 99.79 kg = 498.95 mcg
- Determine the number of tablets to administer: 498.95 mcg ÷ 75 mcg/tablet = 6.65 tablets
Therefore, the nurse should administer 7 tablets of levothyroxine.
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Naxlex Comprehensive Predictor Exams
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Correct Answer is ["B","C","E"]
No explanation
Correct Answer is ["75"]
Explanation
The medication label for amoxicillin powder provides the instructions for reconstituting the oral suspension. The nurse should follow these steps:
- Tap the bottle until all the powder is loose.
- Add about 17 mL of water to the bottle (one-third of the total amount of 51 mL).
- Shake the bottle well to mix the powder and water.
- Add the remaining 34 mL of water to the bottle and shake again.
- Check that the final volume of the oral suspension is 75 mL.
The nurse should expect the bottle to contain 75 mL of oral suspension after reconstitution.
This is because each 5 mL of oral suspension contains 400 mg of amoxicillin, and the net contents of the powder are equivalent to 6 grams (6000 mg) of amoxicillin.
Therefore, 6000 mg / 400 mg = 15, which means that 15 doses of 5 mL each are needed to use up all the powder. Multiplying 15 by 5 mL gives 75 mL, which is the final volume of the oral suspension.
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