A patient is prescribed 800 mg of quetiapine per day, divided into two doses. If quetiapine is available in 200 mg tablets, how many tablets should be given per dose?
2 tablets.
4 tablets.
5 tablets.
3 tablets.
The Correct Answer is A
Choice A reason: The total daily dose of quetiapine is 800 mg, divided into two doses, meaning each dose is 400 mg (800 mg ÷ 2). With 200 mg tablets, each dose requires 400 mg ÷ 200 mg = 2 tablets. This is the correct calculation for the number of tablets per dose.
Choice B reason: Four tablets per dose would result in 800 mg per dose (4 × 200 mg), totaling 1600 mg daily, which doubles the prescribed daily dose of 800 mg. This is incorrect and could lead to an overdose.
Choice C reason: Five tablets per dose would result in 1000 mg per dose (5 × 200 mg), totaling 2000 mg daily, far exceeding the prescribed 800 mg daily dose. This is incorrect and unsafe.
Choice D reason: Three tablets per dose would result in 600 mg per dose (3 × 200 mg), totaling 1200 mg daily, which exceeds the prescribed 800 mg daily dose. This is incorrect and not aligned with the prescription.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason:Major depressive disorder carries a high risk of suicide, especially in acute settings. Monitoring for self-harm is the priority to ensure the client’s safety, as it addresses an immediate, life-threatening risk before other interventions.
Choice B reason:Administering antidepressants is important for managing depression, but it is not the priority over safety. Antidepressants take weeks to become effective, and the risk of self-harm must be addressed first.
Choice C reason:Assisting with activities of daily living supports the client’s functional needs, but it is not the priority. Safety concerns, such as self-harm risk, take precedence in acute depression.
Choice D reason:Encouraging fluid intake is important for physical health, but it is not the priority in major depressive disorder. Preventing self-harm is critical due to the high risk of suicide in this condition.
Correct Answer is A
Explanation
Choice A reason: This response uses therapeutic communication by reflecting the client’s feelings, which encourages further expression and demonstrates empathy without judgment. It acknowledges the client’s concern while maintaining professional boundaries.
Choice B reason: This response, although supportive, does not focus on the client’s expressed feelings. It dismisses the concern by shifting to the nurse’s perspective rather than validating the client’s emotions.
Choice C reason: This is a dismissive and minimizing response. Suggesting deep breathing without addressing the underlying delusion fails to use therapeutic communication techniques in mental health care.
Choice D reason: This response is confrontational and places the client in a defensive position. It may escalate agitation and is not consistent with therapeutic communication principles.
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