Provider's Order: Valacyclovir HCI 1,000 mg PO daily.
Pharmacy sends:
Valtrex®
(valacyclovir HCI)
1 gram
Caplets
The correct action by the nurse is to:
Request 1,000 mg caplets from pharmacy.
Calculate the ordered dose as 0.01 gram.
Plan to give the patient one caplet.
Ask the pharmacist to clarify the ordered dose.
The Correct Answer is C
A. Request 1,000 mg caplets from pharmacy: This is unnecessary because the pharmacy already dispensed caplets containing 1 gram, which is equivalent to 1,000 mg.
B. Calculate the ordered dose as 0.01 gram: Converting 1,000 mg to grams results in 1 gram, not 0.01 gram. This calculation is incorrect and could cause confusion.
C. Plan to give the patient one caplet: Each caplet contains 1 gram (1,000 mg), matching the prescribed dose. Administering one caplet fulfills the provider’s order accurately.
D. Ask the pharmacist to clarify the ordered dose: The order and the medication provided are consistent, so clarification is not necessary in this case.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Calculation:
Prescribed volume = 3 teaspoons (tsp)
Conversion factor = 1 tablespoon (tbsp) = 3 teaspoons (tsp)
- Calculate the volume in tablespoons (tbsp).
Volume (tbsp) = (Volume in tsp / Conversion factor)
= (3 tsp / 3 tsp/tbsp)
= 1 tablespoon.
Correct Answer is A
Explanation
A. mcg/15 mL: Writing the strength as “mcg/15 mL” is incomplete because it does not specify the actual amount of drug per 15 mL. This could lead to dosing errors, as the patient order must clearly indicate the exact micrograms per milliliter.
B. 1 mcg/1 mL: This correctly represents the concentration of the solution, clearly showing that each milliliter contains 1 microgram of calcitriol. It provides precise guidance for accurate dosing.
C. 1 mcg per 1 mL: This phrasing is clear and unambiguous, specifying the exact amount of drug in each milliliter. It is an acceptable way to document the dosage strength.
D. 1 mcg/Ml: Despite the lowercase “l” for milliliter, this notation still accurately communicates the concentration. While proper capitalization is preferred, it does not significantly risk misinterpretation.
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