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Practice Question

A nurse is preparing to administer diphenhydramine 12.5 mg PO every 6 hr. Available is diphenhydramine syrup 12.5 mg/5 mL. How many tsp should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Answer Choices:

Correct Answer:

1 tsp

Rationale:

🔹 The ordered dose (12.5 mg) exactly matches the strength in 5 mL, so the client needs 5 mL.

🔹 1 teaspoon = 5 mL, making the dose equal to 1 tsp.

🔹 Using teaspoon units ensures accurate household measurement.

🔹 No rounding is needed because the result is a whole number.

🔹 This dose matches safe pediatric administration guidelines for diphenhydramine.

2 tsp

🔹 Would give 10 mL = 25 mg, double the intended dose.

🔹 Risk of sedation or toxicity.

12.5 tsp

🔹 Extremely inaccurate—this would be 62.5 mL, a dangerous overdose.

🔹 Not mathematically related to ordered dose.

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This question is from NR 414 Medication Administration and Dosage Calculation Exam Pediatric and Adult Focus which contains 35 questions.

More Questions from This Exam
A nurse reviews a medication order and finds that it is incomplete, lacking dosage information. What should the nurse do next

Answer Choices:

A. Use clinical judgment to determine an appropriate dose for the client and administer the medication.
B. Administer a standard dose of the medication and document the action taken.
C. Contact the prescriber to obtain the missing dosage information before administering the medication.
D. Hold the medication and document the reason for not administering it in the client's record.
When teaching a parent about pediatric dosing for a 6-month-old infant's fever after immunization, which of the following statements regarding medication should the nurse emphasize?

Answer Choices:

A. Aspirin is safe for reducing fever in infants and can be given freely.
B. It is important to consult a pediatrician before administering any medication for fever.
C. Dosing should be based on the child's weight, and medications like acetaminophen can be given as needed.
D. All medications can be given in the same dose as adults since infants have similar metabolism.
A child weighing 77 lb. is prescribed Ibuprofen 300 mg PO q8h. Calculate the total daily dose prescribed 20-40 mg/kg/day PO. Is it within the safe range?

Answer Choices:

A. Yes, because the total daily dose is 600 mg, which is within the safe range of 700 mg to 1400 mg.
B. Yes, because the total daily dose is 900 mg, which is within the safe range of 700 mg to 1400 mg.
C. No, because the total daily dose is 900 mg, which is below the safe range of 1000 mg to 1.400 mg.
D. No. because the total daily dose is 1200 mg, which exceeds the safe range of 700 mg to 1400 mg
From Exam
NR 414 Medication Administration and Dosage Calculation Exam Pediatric and Adult Focus

35 Questions

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Question Details
  • Category: RN Nursing Exam(s)
  • Subcategory: Examplify Exam(s)
  • Domain: Pharmacology
  • Answer Choices: 4
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