The order is for the patient to take 100 mg PO daily. The nurse reads the following label and correctly informs the patient:

Azithromycin

for Oral Suspension, USP

100 mg per 5 mL

300 mg (15 mL when mixed)

FOR ORAL USE ONLY

MIXING DIRECTIONS:

Shake to loosen powder. Add 9 mL of water to the bottle.

After mixing, use within 10 days.

SHAKE WELL BEFORE USING.

Discard after full dosing is completed.

That every tablespoon has 300 mg of the drug

That every teaspoon has 300 mg of the drug

That they should use a measuring device that accurately measures mL

That they should mix the ordered dose with an 8-oz glass of water

Answer and Explanation

The Correct Answer is C

A. That every tablespoon has 300 mg of the drug: One tablespoon is 15 mL, which in this preparation contains 300 mg only after reconstitution. However, instructing the patient this way could lead to dosing errors, especially if they use household utensils instead of an accurate measuring device.

B. That every teaspoon has 300 mg of the drug: One teaspoon equals 5 mL, which contains 100 mg after reconstitution. Telling the patient that a teaspoon has 300 mg would result in a threefold overdose, making this statement unsafe.

C. That they should use a measuring device that accurately measures mL: Using an oral syringe or dosing cup ensures precise measurement of the prescribed 100 mg (5 mL) dose. This method minimizes errors and promotes safe administration, particularly for pediatric or adult liquid medications.

D. That they should mix the ordered dose with an 8-oz glass of water: The preparation instructions specify adding 9 mL of water to reconstitute the medication, not mixing the dose in a glass of water. Following this incorrect instruction could result in improper concentration and dosing errors.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is D

Explanation

A. 0.054 mg is more than 0.06 mg: Numerically, 0.054 is less than 0.06, so this statement is incorrect. Administering 0.054 mg would result in a slightly lower dose than 0.06 mg.

B. The new dose is calculated to the thousandths place so it is 10 times greater: Changing the decimal place does not increase the dose tenfold. In fact, 0.054 mg is slightly smaller than 0.06 mg.

C. The new dose is about the same as the previous dose of 0.06 mg: While 0.054 mg is close to 0.06 mg, it is technically a lower dose. Stating it is “about the same” could be misleading in clinical contexts where precise dosing matters.

D. 0.054 mg is less than 0.06 mg: Comparing the numeric values shows that 0.054 mg is slightly smaller than 0.06 mg. This statement accurately informs the patient of the dose reduction.

A. Ask the patient if they want to take the medication. B. Identify the patient using two identifiers. C. Tell the patient the medication is safe. D. Verify the medication with another nurse.

Correct Answer is B

Explanation

A. Ask the patient if they want to take the medication: While obtaining the patient’s cooperation is important, it does not ensure that the right patient receives the correct medication. Patient preference cannot substitute for proper identification and safety checks.

B. Identify the patient using two identifiers: Correct patient identification using two unique identifiers, such as name and date of birth, is the most critical safety step before administering any medication. It prevents medication errors and ensures that the drug reaches the intended recipient.

C. Tell the patient the medication is safe: Providing reassurance is important for patient comfort, but it does not guarantee safety. Safety is ensured through verification of the medication, dose, and patient identity before administration.

D. Verify the medication with another nurse: Double-checking is essential for high-risk medications, but for routine oral medications, the initial priority is accurate patient identification. Verification with another nurse is secondary to confirming the correct patient.

View Question and Answer

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient's medication dose was changed from 0.06 mg to a new dose of 0.054 mg. In reviewing the change in dose, the nurse is correct to inform the patient that:

Correct Answer is D

Explanation

A nurse is preparing to administer an oral medication. Which of the following is the priority safety steр?

Correct Answer is B

Explanation

The patient's discharge medication is available as a scored tablet with a dosage strength of 25 mg/tablet. The provider has ordered 37.5 mg of the medication PO twice daily. Which statement made by the patient indicates correct daily administration of the discharged medication?

The order is for the patient to take 30 mL of a liquid medication daily. The patient tells the home health nurse that he takes 3 teaspoons every day. Which statement by the nurse is correct?

The nurse is preparing to record the patient's weight (80 lb) in kilogram (kg). Which of the following equivalent measurements would the nurse use to convert pounds to kilograms?

The order is for amoxicillin oral suspension 3 tsp every 12 hours. To help the patient take the medication using a medicine cup with household measurements, the nurse tells the patient that will provide the ordered dose.

In reading the following medication orders, which order requires further clarification?

The nurse is reading the following drug label. Which action indicates appropriate understanding in the administration of this drug? GlipiZIDE Extended-Release Tablets 2.5 mg 30 Tablets

A student nurse makes the following statements regarding the units of measurements commonly found on drug labels. Which statement indicates a need for further clarification?