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A nurse is reviewing a new prescription for propranolol 20 mg PO four times daily for a client who has premenstrual migraine headaches. Available is propranolol solution 4 mg/mL. The nurse should recognize that the client should take how many mL per dose? (Round the answer to the nearest whole number. Use a leading zero If it applies. Do not use a trailing zero.)

Answer and Explanation

The Correct Answer is ["5"]

Given:

Prescribed dose: 20 mg of propranolol per dose

Available concentration: 4 mg/mL

Steps to solve:

Determine the volume to be administered:

Set up a proportion to solve for the unknown volume (X):

4 mg/mL = 20 mg/X mL

Cross-multiplying gives us:

4 mg x X mL = 20 mg x 1 mL

Simplifying:

4X = 20

Solving for X:

X = 20 / 4 = 5 mL

Nursing Test Bank

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Free Nursing Study Resources

Correct Answer is ["30"]

Explanation

Given:

Prescribed dose: 4 mg of loperamide

Available concentration: 1 mg/7.5 mL

Steps to solve:

Determine the volume to be administered:

Set up a proportion to solve for the unknown volume (X):

1 mg/7.5 mL = 4 mg/X mL

Cross-multiplying gives us:

1 mg x X mL = 4 mg x 7.5 mL

Simplifying:

X = 30

A. Ibuprofen 600mg PO every 6hr PRN for moderate pain B. Bisacodyl 10mg rectal now C. Calcium carbonate 750mg PO D. Oxycodone 5 mg PO every 4 hr PRN for severe pain

Correct Answer is B

Explanation

A) Ibuprofen 600 mg PO every 6 hr PRN for moderate pain: Ibuprofen is a commonly prescribed analgesic for postpartum pain relief. The dosage and frequency of 600 mg every 6 hours as needed for moderate pain are appropriate and fall within the recommended dosage range for ibuprofen.
B) Bisacodyl 10 mg rectal now: Bisacodyl is typically used as a laxative, and 10 mg is a common dose for rectal administration, particularly for stimulating bowel movements. However, the need for a 10 mg dose of bisacodyl as a single dose may be high for a postpartum client, particularly if the client is not experiencing severe constipation. Bisacodyl can cause significant cramping and diarrhea, and postpartum clients may be more sensitive to such effects. Clarifying the necessity of this dose or considering a lower dose or an alternative laxative might be warranted.

C) Calcium carbonate 750 mg PO: Calcium carbonate is commonly used to prevent or treat hypocalcemia, especially in postpartum women, as it helps maintain bone health and prevent calcium deficiency. The 750 mg dosage is within the usual range for over-the-counter calcium carbonate supplements.
D) Oxycodone 5 mg PO every 4 hr PRN for severe pain: Oxycodone is a potent opioid analgesic commonly prescribed for moderate to severe pain, especially in the postpartum period. The 5 mg dose every 4 hours as needed for severe pain is a standard prescription and falls within the usual dosing guidelines for oxycodone.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer loperamide 4mg PO to a client who is postpartum and has diarrhea. Available is loperamide liquid 1 mg/7.5 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 ["30"]

Explanation

A nurse is assisting with the admission of a client to the postpartum unit and is reviewing the client's prescribed medications. The nurse should clarify which of the following prescription with the provider?

Correct Answer is B

Explanation

A nurse is preparing to administer 0.45% sodium chloride 000 mL IV to infuse over 6 hr to a postpartum client. 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.)

A nurse is preparing to administer ampicillin 150mg IM to an infant. Available is ampicillin injection 250mg/mL. How many mL should the nurse administer? Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.

A nurse is preparing to administer ferrous sulfate 120 mg PO. Available is ferrous sulfate syrup 90 mg/5 mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)