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?
Withhold oral intake until the troche dissolves in the client's mouth.
Give the client two troches in the morning and two troches in the evening.
Tell the client to keep the troche under the tongue for 5 min before swallowing it
Instruct the client to swallow the troche with 240 mL (8 oz) water.
The Correct Answer is A
A troche is a type of lozenge that is designed to dissolve slowly in the mouth to release medication over time.
The nurse should instruct the client to place the troche in their mouth and allow it to dissolve slowly without chewing or swallowing it.
The client should also avoid eating or drinking anything until the troche has completely dissolved to ensure maximum absorption of the medication.
The other options are incorrect because they do not accurately describe how a troche should be taken.
Option b is incorrect because it does not specify how the troches should be taken, only the timing of the doses.
Option c is incorrect because it instructs the client to keep the troche under the tongue for only 5 minutes before swallowing it, which may not allow enough time for the troche to dissolve completely and release its medication.
Option d is incorrect because it instructs the client to swallow the troche with water, which would prevent the
medication from being absorbed through the mucous membranes in the mouth and may reduce its effectiveness.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["2"]
Explanation
To find out how many tablets of prednisone the nurse should administer, we need to convert the prescribed dose from grams to milligrams.
There are 1000 milligrams in 1 gram. Therefore, to convert 0.04 g to mg, we multiply 0.04 by 1000.
This gives us 40 mg. Since each tablet contains 20 mg of prednisone, the nurse should administer 40/20 = 2
tablets. The answer is rounded to the nearest whole number as instructed.
Correct Answer is ["3.5"]
Explanation
First, we need to convert the child's weight from pounds to kilograms.
Since there are approximately 2.20462 pounds in 1 kilogram, 52 pounds is equivalent to 52/2.20462 =
23.587 kilograms.
The prescribed dose of digoxin is 7.5 mcg/kg/day, so for a child who weighs 23.587 kg, the total daily dose is 7.5 * 23.587 = 176.9 mcg/day.
Since the medication is available as a 50 mcg/mL elixir, the nurse should administer 176.9/50 = 3.538 mL/day.
Since the medication is to be administered once daily, the nurse should administer 3.5mL per dose. The answer is rounded to the nearest tenth as instructed.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today