Nokea
A nurse is preparing to administer diphenhydramine 30 mg IM stat to a client who is having an allergic reaction. Available is diphenhydramine 50 mg/mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. (Do not use a trailing zero))
Correct Answer: 0.6 mL
Rationale: 30 mg ÷ 50 mg/mL = 0.6 mL. The nurse should administer 0.6 mL per dose.
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A nurse is providing care for an older adult client who has hyperglycemia, polydipsia, and polyuria. Which of the following manifestations supports the clinical presentation of hyperosmolar hyperglycemic syndrome (HHS)? (Select All that Apply.)
- A. Acetone breath.
- B. Fever.
- C. Serum glucose 800 mg/dL (74 to 106 mg/dL).
- D. Serum bicarbonate 15 mEq/L (21 to 28 mEq/L).
- E. Insidious onset.
Correct Answer: B,C,E
Rationale: Fever, serum glucose of 800 mg/dL, and insidious onset are characteristic of HHS, often triggered by infection and marked by extreme hyperglycemia without significant ketoacidosis.
Phenazopyridine hydrochloride turns the urine which color?
- A. Purple.
- B. Orange.
- C. Blue.
- D. Green.
Correct Answer: B
Rationale: Phenazopyridine hydrochloride turns the urine orange, a common and harmless side effect due to its dye properties.
A nurse is reinforcing teaching with a client who has a urinary tract infection (UTI). Which of the following risk factors should the nurse include in the teaching?
- A. COPD.
- B. Anemia.
- C. Diabetes mellitus.
- D. Osteoporosis.
Correct Answer: C
Rationale: Diabetes mellitus increases UTI risk due to high blood sugar levels promoting bacterial growth and impaired immune function.
A nurse is reinforcing teaching with a client who is to self-administer regular insulin and NPH insulin from the same syringe. Which of the following instructions should the nurse provide?
- A. Discard regular insulin if it appears cloudy.
- B. Draw up the NPH insulin into the syringe first.
- C. Shake the NPH insulin until it is well-mixed.
- D. Inject air into the regular insulin first.
Correct Answer: A
Rationale: Regular insulin should be clear; if it appears cloudy, it may be contaminated or expired and should be discarded to ensure safe administration.
A nurse is reinforcing dietary instructions with a client who has chronic kidney disease. Which of the following information should the nurse include?
- A. Maintain a low carbohydrate diet.
- B. Eliminate ingestion of foods high in protein.
- C. Increase intake of sodium-containing food.
- D. Reduce intake of foods high in potassium.
Correct Answer: D
Rationale: Reducing foods high in potassium is crucial in CKD to prevent hyperkalemia due to impaired renal potassium excretion.