The client arrives at the emergency room following a sexual trafficking incident. She is experiencing significant pain but has difficulty swallowing pills. The provider prescribes 15 mL of Codeine with acetaminophen oral elixir to be taken by mouth once.
Pharmacy Formulary
Codeine with acetaminophen oral elixir available:
2.4 mg/mL of codeine
24 mg/mL of acetaminophen
Complete the following sentence using the drop-down options. The client is prescribed
The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A","dropdown-group-3":"A"}
Step 1: Identify the Prescribed Volume
The provider prescribed 15 mL of codeine with acetaminophen oral elixir to be taken by mouth once.
Correct choice: 15 mL
Step 2: Calculate the Codeine Dose
The formulary concentration states:
- 2.4 mg/mL of codeine
15mL×2.4mg/mL=36 mg of codeine
Correct choice: 36 mg of codeine
Step 3: Calculate the Acetaminophen Dose
The formulary concentration states:
- 24 mg/mL of acetaminophen
15mL×24mg/mL=360mg of acetaminophen
Correct choice: 360 mg of acetaminophen
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. "There is an increased risk of introducing infection." – While infections can occur, the primary concern with internal examinations in placenta previa is hemorrhage rather than infection.
B. "There is an increased risk of rupture of the membranes." – While membrane rupture is a risk with any vaginal examination, it is not the primary concern in placenta previa.
C. "This could result in profound bleeding." – With placenta previa, the placenta partially or completely covers the cervix. Digital or speculum exams can disrupt the placenta, causing significant hemorrhage, which is why they are contraindicated.
D. "This could initiate preterm labor." – While stimulation of the cervix could lead to contractions, the primary risk with an internal exam in placenta previa is significant bleeding, not preterm labor.
Correct Answer is B
Explanation
A. During the next attempt to get pregnant
This is incorrect because waiting until the next pregnancy increases the risk of congenital rubella syndrome in future pregnancies. The vaccine should be given immediately postpartum to provide immunity.
B. Immediately after delivery
This is correct because the rubella vaccine (MMR) is a live vaccine and is contraindicated during pregnancy due to teratogenic effects. It should be given postpartum before hospital discharge to prevent future rubella infections.
C. During the third trimester of pregnancy
This is incorrect because live vaccines are contraindicated in pregnancy due to the risk of fetal infection.
D. During the first trimester of pregnancy
This is incorrect because administering a live vaccine early in pregnancy is dangerous and could cause fetal harm or congenital anomalies.
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