Nokea
A nurse is preparing to administer clonazepam 5 mg PO in 3 equally divided doses every 8 hr for a client who has seizures. The amount available is clonazepam 0.5 mg tablets. How many tablets should the nurse administer per dose? (Round off to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 1
Rationale: Correct Answer: 1
Rationale: To calculate the number of tablets per dose, divide the total dose (5 mg) by the dose per tablet (0.5 mg).
5 mg / 0.5 mg = 10 tablets for the total dose.
Since the total dose is divided into 3 equal doses, divide the total tablets by 3.
10 tablets / 3 = 3.33 tablets per dose.
Round off to the nearest tenth, which is 3.3.
Since we cannot administer a partial tablet, the nurse should administer 1 tablet per dose.
Summary:
A: 1 - Correct. Calculated based on dividing total dose by dose per tablet and rounding off.
B: 2 - Incorrect. Not the correct calculation based on the dose per tablet.
C: 3 - Incorrect. Not the correct calculation based on the dose per tablet.
D: 4 - Incorrect. Not the correct calculation based on the dose per tablet.
E
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A nurse is preparing to administer a client's antihypertensive medication. When using clinical judgment, which of the following findings indicates the nurse should further assess the client before administering medication?
- A. The client reports dizziness when ambulating to the bathroom
- B. The client reports having trouble sleeping the previous night
- C. The client ate 60% of their breakfast
- D. The client has a urine output of 400 mL for the past 8 hr
Correct Answer: A
Rationale: The correct answer is A. Dizziness when ambulating can be a sign of orthostatic hypotension, a potential side effect of antihypertensive medication. The nurse should further assess for signs of hypotension before administering the medication. Choices B, C, and D are less relevant to antihypertensive medication administration. Reporting trouble sleeping, eating 60% of breakfast, and having a urine output of 400 mL are not direct contraindications for administering antihypertensive medication.
A nurse is caring for a client who is taking lisinopril (ACE inhibitor). Which of the following outcomes indicates a therapeutic effect of the medication?
- A. Improved sexual function
- B. Decreased blood pressure
- C. Increase of HDL cholesterol
- D. Prevention of bipolar manic episodes
Correct Answer: B
Rationale: The correct answer is B: Decreased blood pressure. Lisinopril is an ACE inhibitor used to treat hypertension by relaxing blood vessels, leading to decreased blood pressure. This outcome is a therapeutic effect because it helps reduce the risk of cardiovascular events. Improved sexual function (A) is not a direct effect of lisinopril. Increase of HDL cholesterol (C) is not a primary effect of ACE inhibitors. Prevention of bipolar manic episodes (D) is unrelated to the mechanism of action of lisinopril.
A nurse is assessing a client who has circulatory overload. Which of the following findings should the nurse expect?
- A. Diaphoresis
- B. Weight loss
- C. Hypotension
- D. Tachycardia
Correct Answer: D
Rationale: The correct answer is D: Tachycardia. In circulatory overload, the body is trying to compensate for the increased volume of fluid in the circulatory system by increasing the heart rate to maintain adequate circulation. Diaphoresis (A) is excessive sweating, not typically associated with circulatory overload. Weight loss (B) is not expected as circulatory overload is characterized by excess fluid retention. Hypotension (C) is unlikely as the body's response to fluid overload is to increase blood pressure. Tachycardia (D) is the correct choice as the heart rate increases to help pump the excess fluid throughout the body.
A nurse is assessing a client who has fluid overload. Which of the following findings should the nurse expect? (Select all that apply.)
- A. Increased blood pressure
- B. Increased hematocrit
- C. Increased respiratory rate
- D. Increased heart rate
- E. Increased temperature
Correct Answer: A,C,D
Rationale: The correct answer is A, C, and D. Fluid overload leads to increased blood pressure due to the increased volume of fluid in the vascular system. Increased respiratory rate occurs as the body tries to compensate for the excess fluid by increasing oxygen intake. Increased heart rate is a response to the increased workload on the heart to pump the excess fluid. Increased hematocrit and temperature are not typically associated with fluid overload. Hematocrit may actually be decreased due to hemodilution, and temperature is usually unaffected unless there is an underlying infection.
A nurse is caring for a client who has a Penrose drain. Which of the following actions should the nurse take?
- A. Clean the skin near the drain in a circular motion from the outside to the inside
- B. Empty the drainage device when it is half full
- C. Place a perforated gauze pad around the drain to absorb drainage
- D. Connect the drain to continuous low-pressure suction
Correct Answer: C
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