Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
The nurse receives an order to give atropine 300mcg SQ now. The medication is available in 1mg/mL vial. How many mL should the nurse administer?
(Record the answer to the tenth, or one decimal place. Use a leading zero if it applies. Do not use a trailing zero.)
This question is an excerpt from Nurse Dive's nursing test bank - Ramsussen Section 4 Module 11. Pharmocology For Professional Nursing Proctored Exam. Take the full exam now
Full Explanation
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Convert the ordered dose from micrograms (mcg) to milligrams (mg):
- 300 mcg = 0.3 mg (since 1 mg = 1000 mcg)
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Use the formula:
Dose to administer = (Desired Dose ÷ On-Hand Dose) × Quantity Available- Desired Dose (D) = 0.3 mg
- On-Hand Dose (H) = 1 mg
- Quantity Available (Q) = 1 mL
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Calculate:
0.3 mg ÷ 1 mg × 1 mL = 0.3 mL
The nurse should administer 0.3 mL of the medication.
Similar Questions
A client with type 1 diabetes who takes insulin reports taking propranolol for hypertension. Why is the nurse concerned?
A. The beta-blocker can mask the symptoms of hypoglycemia.
While beta-blockers can mask some symptoms of hypoglycemia, the major concern in this scenario is ketoacidosis.
B. Using the two agents together increases the risk of ketoacidosis.
Beta-blockers, like propranolol, can mask the typical symptoms of hypoglycemia (tachycardia, palpitations), leading to a delayed recognition of low blood sugar levels.
C. Propranolol increases insulin requirements because of receptor blocking.
Propranolol may enhance the hypoglycemic effect of insulin, but the primary concern in this case is ketoacidosis.
D. The beta-blocker can cause insulin resistance.
Beta-blockers can indeed cause insulin resistance, but the primary concern in this context is the risk of ketoacidosis.
Full Explanation
A) While beta-blockers can mask some symptoms of hypoglycemia, the major concern in this scenario is ketoacidosis.
B) Beta-blockers, like propranolol, can mask the typical symptoms of hypoglycemia (tachycardia, palpitations), leading to a delayed recognition of low blood sugar levels.
C) Propranolol may enhance the hypoglycemic effect of insulin, but the primary concern in this case is ketoacidosis.
D) Beta-blockers can indeed cause insulin resistance, but the primary concern in this context is the risk of ketoacidosis.
Which statement by the client shows a correct understanding of how they should take their levothyroxine?
A. "My dose should skip the next dose if the medication makes me sleepy."
Taking levothyroxine at bedtime may affect sleep, but this statement suggests an incorrect understanding of the dosing schedule.
B. "I should take it after my noon meal."
Taking levothyroxine with a meal may interfere with its absorption. The medication is generally recommended to be taken on an empty stomach.
C. "I should take it before breakfast on an empty stomach."
Taking levothyroxine before breakfast on an empty stomach is the standard recommendation for optimal absorption.
D. "I should stop taking it if my thyroid-stimulating hormone (TSH) level is high."
Stopping levothyroxine based on TSH levels should be done under the guidance of a healthcare provider, and it's not the routine approach to medication administration.
Full Explanation
A) Taking levothyroxine at bedtime may affect sleep, but this statement suggests an incorrect understanding of the dosing schedule.
B) Taking levothyroxine with a meal may interfere with its absorption. The medication is generally recommended to be taken on an empty stomach.
C) Taking levothyroxine before breakfast on an empty stomach is the standard recommendation for optimal absorption.
D) Stopping levothyroxine based on TSH levels should be done under the guidance of a healthcare provider, and it's not a routine approach to medication administration.
The diabetic client receives an injection of insulin glargine. What is the duration of insulin glargine?
A. 15 minutes
This is not the correct duration for insulin glargine. Insulin glargine has a much longer duration.
B. 2 to 4 hours
The duration of 2 to 4 hours is too short for insulin glargine.
C. 18 to 24 hours
Insulin glargine is a long-acting insulin with a duration of 18 to 24 hours.
D. 6 to 14 hours
The duration of 6 to 14 hours is too short for insulin glargine.
Full Explanation
A) This is not the correct duration for insulin glargine. Insulin glargine has a much longer duration.
B) The duration of 2 to 4 hours is too short for insulin glargine.
C) Insulin glargine is a long-acting insulin with a duration of 18 to 24 hours.
D) The duration of 6 to 14 hours is too short for insulin glargine.