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RN Nursing · Dosage Calculation · Practice question

Vitamin D 6,000 international units oral every day is ordered. The vitamin D is supplied in 2,000-international-unit per capsule. How many capsules would the nurse administer with each dose?

Answer & explanation

Correct: 3 Capsules

When the ordered dose and available dose are in the same units (international units in this case), the calculation is straightforward: divide the desired dose by the strength of each capsule. Ordered: 6,000 international units. Available: 2,000 international units per capsule. Number of capsules = 6,000 ÷ 2,000 = 3 capsules. This is a clean division with no remainder, confirming 3 capsules as correct. Option 4 capsules would deliver 8,000 international units, which is 2,000 units above the ordered dose — an overdose. Option 2 capsules would deliver only 4,000 international units, which is 2,000 units short of the ordered dose — an underdose. Option 5 capsules would deliver 10,000 international units, which is a significant overdose. For solid oral medications like capsules or tablets, nurses should also apply the general safety rule that administering more than 3 tablets or capsules for a single dose warrants rechecking the order or the available supply, as this may indicate a calculation or supply error. Three capsules falls within the acceptable range.

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