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A nurse is about to administer a daily dose of potassium chloride 20 mEq suspension orally. The available amount is potassium chloride suspension 10 mEq/mL. How many mL should the nurse administer? How many mL of potassium chloride should the nurse administer?
Correct Answer: 2
Rationale: To determine the amount of suspension needed, divide the desired dose (20 mEq) by the concentration (10 mEq/mL). 20 mEq ÷ 10 mEq/mL = 2 mL. This calculates the correct amount of 2 mL. Other choices are incorrect as they do not follow this calculation, leading to inaccurate dosing.
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A nurse is caring for an older adult patient with left-sided heart failure. What assessment findings should the nurse expect? What finding should the nurse expect in left-sided heart failure?
- A. Frothy sputum
- B. Dependent edema
- C. Nocturnal polyuria
- D. Jugular distention
Correct Answer: A
Rationale: The correct answer is A: Frothy sputum. In left-sided heart failure, the failing left ventricle results in blood backing up into the lungs causing pulmonary congestion. This leads to the production of frothy, pink-tinged sputum due to blood-tinged fluid leaking into the alveoli. Dependent edema (choice B) is more indicative of right-sided heart failure. Nocturnal polyuria (choice C) is not a typical finding in left-sided heart failure. Jugular distention (choice D) is more commonly seen in right-sided heart failure due to increased venous pressure.
A nurse is providing dietary education for a patient who has a new prescription for a monoamine oxidase inhibitor (MAOI). Which items in the patient's sample lunch menu would require intervention by the nurse? Which lunch menu item requires intervention for MAOI?
- A. Celery sticks
- B. Sliced apples
- C. Bologna sandwich
- D. Glass of whole milk
Correct Answer: C
Rationale: The correct answer is C: Bologna sandwich. MAOIs interact with tyramine, which can lead to a hypertensive crisis. Bologna is a high-tyramine food that can cause this reaction. Celery, apples, and milk are low in tyramine and safe to consume with MAOIs. Therefore, the bologna sandwich requires intervention to prevent potential adverse effects.
A nurse is preparing to administer furosemide 40 mg IV. Available is furosemide 10 mg/1 mL. How many mL should the nurse administer per dose? How many mL of furosemide should the nurse administer?
Correct Answer: 4
Rationale: The correct answer is 4 mL. To determine this, the nurse uses the formula: Desired dose (40 mg) ÷ Stock strength (10 mg/1 mL) = mL to administer. Thus, 40 mg ÷ 10 mg/1 mL = 4 mL. This calculation ensures the proper dosage is given. Other choices are incorrect because they do not follow the correct dosage calculation based on the given information.
A nurse is caring for a patient who has a prescription for digoxin. Which of the following findings should the nurse report to the provider before administering the medication? Which finding should the nurse report before digoxin?
- A. Heart rate 62/min
- B. Blood pressure 130/80 mm Hg
- C. Potassium level 3.2 mEq/L
- D. Respiratory rate 18/min
Correct Answer: C
Rationale: The correct answer is C: Potassium level 3.2 mEq/L. This finding should be reported to the provider before administering digoxin because hypokalemia can increase the risk of digoxin toxicity. Digoxin and hypokalemia can lead to life-threatening cardiac dysrhythmias. A potassium level below the normal range (3.5-5.0 mEq/L) can potentiate the effects of digoxin on the heart, leading to serious complications.
The other options (A, B, D) are within normal limits and not directly related to the potential interactions with digoxin. Therefore, they do not pose an immediate risk to the patient in the context of digoxin administration. Reporting a potassium level of 3.2 mEq/L is crucial to prevent adverse effects and ensure the safety of the patient.
A nurse is providing health promotion education to the parents of a toddler. Which information should the nurse include in the teaching?,Which information should be included in toddler health promotion education?
- A. Need for increased caloric intake.
- B. How to establish trust.
- C. Management of tantrums.
- D. How to encourage cooperative play.
- E. Dental care.
Correct Answer: A,C,D,E
Rationale: The correct answer includes information on caloric intake (A) to ensure the toddler's proper growth and development. Management of tantrums (C) is crucial for behavioral management. Encouraging cooperative play (D) fosters social skills. Dental care (E) is essential for oral health. Establishing trust (B) is important but not directly related to health promotion. No information is given for choices F and G.