A nurse is reconciling the medications of a client who was newly admitted for management of mania. Which of the following prescriptions should the nurse clarify with the provider?

Divalproex 1.5 g PO twice daily

Lithium 300 mg PO three times daily

Clonazepam 0.5 mg PO three times daily

Risperidone 3.0 mg PO daily

Answer and Explanation

The Correct Answer is A

A. Divalproex 1.5 g PO twice daily:
Divalproex (valproic acid) is used for managing mania and typically dosed between 750 mg and 3 g daily, depending on the specific needs of the client and their blood levels. However, 1.5 g twice daily (3 g total daily) might be higher than usual initial dosing and could warrant clarification to ensure that this is an appropriate dose for the client and does not exceed recommended maximums.

B. Lithium 300 mg PO three times daily:
Lithium is commonly prescribed for mania, and 300 mg three times daily is a standard dosing regimen. Lithium levels are monitored to ensure therapeutic efficacy and avoid toxicity, so this dosage is within a typical range.

C. Clonazepam 0.5 mg PO three times daily:
Clonazepam is a benzodiazepine that can be used to manage anxiety or agitation associated with mania. A dose of 0.5 mg three times daily is within the usual range for short-term management and does not typically require clarification.

D. Risperidone 3.0 mg PO daily:
Risperidone is an atypical antipsychotic used to manage symptoms of mania, and 3 mg daily is a common starting dose. This dosage is appropriate and generally does not require further clarification.

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Free Nursing Study Resources

Correct Answer is ["2"]

Explanation

The nurse should administer 2 tablets of alprazolam.

Step-by-Step Calculation

Understanding the Problem

Desired alprazolam dose: 0.5 mg

Available tablets: 0.25 mg each

We need to find the number of tablets to administer.

Calculations

Calculate the number of tablets:

Number of tablets = Desired dose / Tablet strength

Number of tablets = 0.5 mg / 0.25 mg/tablet = 2 tablets

The nurse should administer 2 tablets of alprazolam.

Correct Answer is ["2"]

Explanation

Desired dose: 10 mg

Available concentration: 5 mg/mL

To determine the volume to administer, we can use the following formula:

Volume to administer (mL) = Desired dose (mg) / Concentration (mg/mL)

Volume to administer = 10 mg / (5 mg/mL) = 2 mL

Therefore, the nurse should administer 2 mL of olanzapine.

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A nurse is reconciling the medications of a client who was newly admitted for management of mania. Which of the following prescriptions should the nurse clarify with the provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer alprazolam 0.5 mg PO to a client. Available is alprazolam 0.25 mg 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.)

Correct Answer is ["2"]

Explanation

A nurse is preparing to administer olanzapine 10 mg IM to a client who has schizophrenia. Available is olanzapine 5 mg/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 ["2"]

Explanation

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