A nurse is preparing to administer triamcinolone 40 mg IM to a child. Available is triamcinolone 80 mg/mL. What is the total mL the nurse should administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Answer and Explanation

The Correct Answer is ["0.5"]

To calculate the total milliliters of triamcinolone to administer, you would use the formula: \[Total Volume = (Ordered Dose) / (Concentration)\]. For an ordered dose of 40 mg and a concentration of 80 mg/mL, the calculation would be 40 mg divided by 80 mg/mL, which equals 0.5 mL. Therefore, the nurse should administer 0.5 mL of triamcinolone.

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Correct Answer is ["2.1"]

Explanation

To calculate the dosage of procaine penicillin G for the child, first convert the child's weight from pounds to kilograms, knowing that 1 kilogram equals 2.2 pounds. The child weighs 55 pounds, which is equivalent to 25 kilograms (55 ÷ 2.2). Next, multiply the child's weight in kilograms by the prescribed dosage of 50,000 units/kg, resulting in a total dosage of 1,250,000 units (25 kg × 50,000 units/kg). Finally, divide the total dosage by the concentration of the available medication, 600,000 units/mL, to find the volume to administer. This results in approximately 2.08 mL (1,250,000 units ÷ 600,000 units/mL). Therefore, the nurse should administer 2.1 mL.

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 preparing to administer triamcinolone 40 mg IM to a child. Available is triamcinolone 80 mg/mL. What is the total mL the nurse should administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

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Naxlex Comprehensive Predictor Exams

Correct Answer is ["2.1"]

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

A nurse is preparing to administer 0.9% sodium chloride 1,000 mL IV to infuse over 12 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

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