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A nurse is preparing to teach a caregiver about phenytoin oral
suspension.
Which of the following information should the nurse include in
the teaching?
(Brand Name: Phenytoin; Oral Suspension USP; 100 mg/4 mL;
SHAKE WELL
BEFORE USING; Store below 30 C (86 F); Protect from light;
Delivers 4 mL)
A. Keep med in well-lit area
B. The total amount in a unit dose container is 100 mL
C. Store the med in a cool area
D. Roll the unit dose container gently before administering -
ANSWER -C. Store the med in a cool area
,Explanation: The nurse should instruct the caregiver that the
medication is sensitive to temperatures and should be stored at
temperatures below 30° C (86° F).
A nurse is preparing to administer phenytoin 200 mg PO.
Available is phenytoin
oral suspension 125 mg/5 mL. How many mL should the
nurse administer?
(Round to nearest whole number. Use a leading zero if it
applies. Do not use a
trailing zero.) - ANSWER -
Answer: mL
Follow these steps for the Ratio and Proportion method of
calculation:
Step 1: What is the unit of measurement the nurse should
calculate? mL
Step 2: What is the dose the nurse should administer? Dose to
administer =
Desired 200 mg
Step 3: What is the dose available? Dose available = Have 125
mg
Step 4: Should the nurse convert the units of
measurement? No Step 5: What is the quantity of
the dose available? 5 mL Step 6: Set up an
equation and solve for X.
Have/Quantity = Desired/X
125 mg/ 5 mL = 200 mg /X mL
,X mL = 8 mL
Step 7: Round if necessary.
Step 8: Determine whether the amount to administer makes
sense. If there are 125 mg/5 mL and the prescription reads 200
mg, it makes sense to administer 8 mL. The nurse should
administer phenytoin 8 mL PO.
A nurse is caring for a patient who weighs 128 lb. What is the
patient's weight in
kg?
(Round to nearest tenth. Use a leading zero if it applies. Do
not use a trailing
zero.) - ANSWER -Answer:
58.2 kg
Follow these steps for the Ratio and Proportion method of
calculation: Step 1: What is the unit of measurement the
nurse should calculate? kg Step 2: Set up an equation and
solve for X.
2.2 lb/ 1 kg = Client's weight in lb /X kg
2.2 lb/ 1 kg = 128 lb / X kg
X kg = 58.181818 kg
Step 3: Round if necessary. 58.181818 kg = 58.2 kg
Step 4: Determine whether the weight conversion makes sense.
If the client weighs 128 lb and 2.2 lb equals 1 kg, it makes sense
that the client weighs 58.2 kg.
, A nurse is reviewing a patient's prescriptions. The nurse
should contact the
provider to clarify which of the following
prescriptions?
A. Lovastatin 20 mg PO once daily
B. Diltiazem 30 mg PO 3 times/daily; hold for apical pulse rate
less than 50/min
C. Hydrochlorothiazide 50 mg twice daily with meals
D. Enoxaparin 30 mg subcutaneous Q12H - ANSWER -C.
Hydrochlorothiazide 50 mg twice daily with meals
Explanation: The nurse should contact the provider for
clarification of this
prescription because it is missing a route of
administration.
A nurse is preparing to administer benzathine penicillin G
1,200,000 units IM.
Available is benzathine penicillin G injection 600,000 units/mL.
How many mL
should the nurse
administer?
(Round answer to nearest whole number. Use a leading zero
if it applies. Do
not use a trailing zero.) - ANSWER -
Answer: 2 mL