Skip to content
View in the app

A better way to browse. Learn more.
allnurses

A full-screen app on your home screen with push notifications, badges and more.

To install this app on iOS and iPadOS
  1. Tap the Share icon in Safari
  2. Scroll the menu and tap Add to Home Screen.
  3. Tap Add in the top-right corner.
To install this app on Android
  1. Tap the 3-dot menu (⋮) in the top-right corner of the browser.
  2. Tap Add to Home screen or Install app.
  3. Confirm by tapping Install.
Discussion

A NCLEX question

I was doing Kaplan QT and there was a question regarding medication administration, the answer doesn't make sense to me, so I posted here, anyone's opinion is welcome.

A client is ordered to take aspirin gr.X, PO. The drug label reads: Aspirin 325 mg per tablet." Which of the following action should the nurse make:

A. Request that the pharmacy send a correctly labeled medication.

B. Notify the doctor regarding the dosage.

C. Give one tablet.

D. Give two tablet.

The correct answer is D.

Isn't that too 50 mg more than the actual ordered dose? Is this practical in clinical setting? Thanks!

  • Quote

    • Featured Replies

    Hi, I am not a nurse but my wife is and most of my family are in the medical field so I am not 100% sure but here is the answer. I am a computer guy so don't take my word for it.

    one aspirin is 325mg or gr v. but gr v is 300mg. The reason for the unit to another. It is not an exact conversion but we use the nearest one.

    so a gr x will can be considered 600mg.

    gr v and gr x is an apothecary system and the inconsistency during the conversions is the reason why it is not used often.

    Hope this helps.

  • Quote
    • Experts

    I know; 50 mg is less than a gr too much!

    Interestingly, this exact question appeared on one of our quizzes not long ago; now I know where to find study questions! We were taught that this amount of overage is negligible and fairly inconsequential and to just give the two tabs.

  • Quote

    My school gave us dosage calculations questions every quarter. We couldn't miss one question. This exact question was given every quarter. gr x is 60x10=600

    600/325=1.8 you round to 2 tablets

  • Quote
    • Author

    There are two acceptable conversion factors to use for grain to milligrams:

    1 gr=60 mg or 1 gr= 65mg. If we are using the second conversion factor, it should be 2 tabs even.

    Thanks for making this clear.

  • Quote

    1 gr = 60 mg (you have to know this formula for your nclex) !!!!

    there are x (10 gr) = 600 mg

    so you give 2 tabs !!!

  • Quote

    The X is Roman numeral for 10, like the previous replied stated.

  • Quote

    Thank you so much for the info! It certainly does make things clearer.

  • Quote

    • Join the conversation

    You can post now and register later. If you have an account, sign in now to post with your account.

    Guest
    Add a Comment
    Go to topic listing

    Currently Reading 0

    • No registered users viewing this page.

    Account

    Navigation

    Search

    Search

    Configure browser push notifications
    Chrome (Android)
    1. Tap the lock icon next to the address bar.
    2. Tap Permissions → Notifications.
    3. Adjust your preference.
    Chrome (Desktop)
    1. Click the padlock icon in the address bar.
    2. Select Site settings.
    3. Find Notifications and adjust your preference.