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Dosage calculation pn mental health proctored assessment 3.2

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Total Questions : 35

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Question 1:

A nurse is caring for a school-age child who has attention deficit disorder and a new prescription for methylphenidate 10 mg PO at 0800 and 1200 and 5 mg at 1600. What is the total daily dose in mg prescribed for this client? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Answer and Explanation
Correct Answer: "25" mg

Explanation

Identify the doses and times:

8:00 AM: 10 mg

12:00 PM (noon): 10 mg

4:00 PM (1600): 5 mg

Add the doses together:

10 mg + 10 mg + 5 mg = 25 mg


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Question 2:

A nurse is caring for a client who has a new prescription for bupropion 450 mg PO daily divided equally every 8 hr. Available is bupropion 150 mg sustained-release tablets. How many tablets should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading cero fit applies. Do not use a trailing zero.)

Answer and Explanation
Correct Answer: "1" tablet

Explanation

Calculate the number of doses per day:

The medication is administered every 8 hours.

There are 24 hours in a day, so there are 24 hours / 8 hours = 3 doses per day.

Calculate the dose per administration:

The total daily dose is 450 mg.

There are 3 doses per day, so each dose is 450 mg / 3 doses = 150 mg.

Calculate the number of tablets per dose:

Each tablet contains 150 mg of bupropion.

The required dose is 150 mg.

150 mg / 150 mg per tablet = 1 tablet per dose


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Question 3:

A nurse is preparing to administer desipramine 0.15 g PO to a client. The nurse should Identify that this is equivalent to how many mg? (Round answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Answer and Explanation
Correct Answer: "150" mg

Explanation

Understand the relationship between grams (g) and milligrams (mg):

1 gram (g) is equal to 1000 milligrams (mg).

Set up the conversion:

We need to convert 0.15 grams to milligrams. We can use the following formula:

(Grams) x (1000 mg/g) = Milligrams

Plug in the value and calculate:

(0.15 g) x (1000 mg/g) = 150 mg


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Question 4:

A nurse is reviewing new prescriptions for a client. Which of the following prescriptions should the nurse clarify?

Answer and Explanation

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Question 5:

A nurse is reconciling the medications of a client who was newly admitted for management of mania. Which of the following prescriptions should the nurse clarify with the provider?

Answer and Explanation

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Question 6:

A nurse is preparing to administer epinephrine 0.5 mg IM to a client. Available is epinephrine 1 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Answer and Explanation
Correct Answer: "0.5" mL

Explanation

Identify the desired dose:

The doctor has ordered 0.5 mg of epinephrine.

Identify the available medication concentration:

The available epinephrine injection is 1 mg/mL.

Set up the calculation:

We need to find out how many mL are needed to administer 0.5 mg of the medication. We can use the following formula:

(Desired dose) / (Concentration) = Volume to administer

Plug in the values and calculate:

(0.5 mg) / (1 mg/mL) = 0.5 mL


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Question 7:

A nurse is preparing to administer quetiapine extended release 0.6 g PO to a client. How many mg of quetiapine should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Answer and Explanation
Correct Answer: "600" mg

Explanation

Understand the relationship between grams (g) and milligrams (mg):

1 gram (g) is equal to 1000 milligrams (mg).

Set up the conversion:

We need to convert 0.6 grams to milligrams. We can use the following formula:

(Grams) x (1000 mg/g) = Milligrams

Plug in the value and calculate:

(0.6 g) x (1000 mg/g) = 600 mg


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Question 8:

A nurse is preparing to administer benztropine mesylate 3 mg IM to a client who has schizophrenia and is experiencing an extrapyramidal reaction to an antipsychotic medication. Available is benztropine mesylate injection 1 mg/mL in 2 mL ampules. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Answer and Explanation
Correct Answer: "3" mL

Explanation

Identify the desired dose:

The doctor has ordered 3 mg of benztropine mesylate.

Identify the available medication concentration:

The available benztropine mesylate injection is 1 mg/mL.

Set up the calculation:

We need to find out how many mL are needed to administer 3 mg of the medication. We can use the following formula:

(Desired dose) / (Concentration) = Volume to administer

Plug in the values and calculate:

(3 mg) / (1 mg/mL) = 3 mL


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Question 9:

A nurse is preparing to administer naloxone 0.2 mg IM to client. Available is naloxone injection 0.4 mg/mL. How many ml. should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use trailing zero.)

Answer and Explanation
Correct Answer: "0.5" mL

Explanation

Identify the desired dose:

The doctor has ordered 0.2 mg of naloxone.

Identify the available medication concentration:

The available naloxone injection is 0.4 mg/mL.

Set up the calculation:

We need to find out how many mL are needed to administer 0.2 mg of the medication. We can use the following formula:

(Desired dose) / (Concentration) = Volume to administer

Plug in the values and calculate:

(0.2 mg) / (0.4 mg/mL) = 0.5 mL


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Question 10:

A nurse is preparing to administer olanzapine 10 mg IM to a client who has schizophrenia. Available is olanzapine 5 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Answer and Explanation
Correct Answer: "2" mL

Explanation

Identify the desired dose:

The doctor has ordered 10 mg of olanzapine.

Identify the available medication concentration:

The available olanzapine injection is 5 mg/mL.

Set up the calculation:

We need to find out how many mL are needed to administer 10 mg of the medication. We can use the following formula:

(Desired dose) / (Concentration) = Volume to administer

Plug in the values and calculate:

(10 mg) / (5 mg/mL) = 2 mL


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