A nurse is preparing to administer lorazepam 1 mg PO to an older adult client who has insomnia and who cannot swallow oral tablets.

Available is lorazepam oral solution 2 mg/mL. How many mL should the nurse plan to administer?
(Round to the nearest tenth. Use a leading zero if it applies.)

Answer and Explanation

The Correct Answer is ["0.5"]

Step 1 is to determine the amount of lorazepam that needs to be administered, which is 1 mg.

Step 2 is to calculate the volume of lorazepam oral solution needed to deliver this dose. This is done using the formula:

Dose (mg) ÷ Concentration (mg/mL)

Given that the solution has a concentration of 2 mg/mL, we calculate:

1 mg ÷ 2 mg/mL = 0.5 mL

Therefore, the nurse should administer 0.5 mL of lorazepam oral solution.

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Correct Answer is D

Explanation

Choice A rationale:

Switching brands of phenytoin can lead to variations in drug absorption and serum drug levels, potentially leading to a loss of seizure control or toxicity. Therefore, this is not a correct instruction.

Choice B rationale:

Altering the phenytoin administration regimen each week can lead to fluctuations in serum drug levels, potentially leading to a loss of seizure control or toxicity. Therefore, this is not a correct instruction.

Choice C rationale:

Phenytoin does not turn urine blue. This is a side effect associated with some other medications, but not phenytoin. Therefore, this is not a correct instruction.

Choice D rationale:

Alcohol can increase serum phenytoin levels, potentially leading to toxicity. Therefore, this is a correct instruction.

So, the correct answer is D. Alcohol increases the chance of phenytoin toxicity.

Correct Answer is ["15"]

Explanation

Step 1: Determine how many milligrams are in each milliliter of the suspension.

Total milligrams ÷ Total milliliters
25 mg ÷ 5 mL = 5 mg/mL

Step 2: Determine how many milliliters are needed to administer 75 mg.

Desired milligrams ÷ Milligrams per milliliter
75 mg ÷ 5 mg/mL = 15 mL

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A nurse is preparing to administer lorazepam 1 mg PO to an older adult client who has insomnia and who cannot swallow oral tablets. Available is lorazepam oral solution 2 mg/mL. How many mL should the nurse plan to administer? (Round to the nearest tenth. Use a leading zero if it applies.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing discharge teaching with a client who has a prescription for phenytoin.Which of the following instructions should the nurse include in the teaching?.

Correct Answer is D

Explanation

A nurse is preparing to administer phenytoin 75 mg PO. Available is phenytoin suspension 25 mg/5 mL. How many mL 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.)

Correct Answer is ["15"]

Explanation

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A nurse is preparing to administer lorazepam 1 mg PO to an older adult client who has insomnia and who cannot swallow oral tablets.

Available is lorazepam oral solution 2 mg/mL. How many mL should the nurse plan to administer?
(Round to the nearest tenth. Use a leading zero if it applies.)