Nokea
A nurse is preparing to administer levothyroxine 100 mcg PO daily. Available is levothyroxine 50 mcg tablets. How many tablets should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. (Do not use a trailing zero))
Correct Answer: 2 tablets
Rationale: 100 mcg ÷ 50 mcg/tablet = 2 tablets. The nurse should administer 2 tablets.
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A nurse is preparing to administer hydrochlorothiazide 25 mg PO. The amount available is hydrochlorothiazide 50 mg/tablet. How many tablets should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. (Do not use a trailing zero))
Correct Answer: 1 tablet
Rationale: 25 mg ÷ 50 mg/tablet = 0.5 tablets, but since tablets cannot be split without specific instructions, the nurse should administer 1 tablet as per standard practice.
A nurse is reviewing the laboratory results of a client who is postoperative and has a respiratory rate of 7/min. The arterial blood gas (ABG) values include: pH 7.22, PaCO₂ 68 mm Hg, Base excess -2, PaO₂ 78 mm Hg, Oxygen saturation 80%, Bicarbonate 28 mEq/L. Which of the following interpretations of the ABG values should the nurse make?
- A. Respiratory alkalosis.
- B. Respiratory acidosis.
- C. Metabolic acidosis.
- D. Metabolic alkalosis.
Correct Answer: B
Rationale: Low pH (7.22) and high PaCO₂ (68 mm Hg) indicate respiratory acidosis, caused by CO₂ accumulation due to inadequate ventilation.
A nurse is contributing to the plan of care for a client who has urolithiasis. Which of the following interventions should the nurse include in the plan?
- A. Tell the client to expect a decrease in urine output.
- B. Provide the client a high protein diet.
- C. Maintain the client on bed rest.
- D. Encourage the client to drink 3 L of fluids per day.
Correct Answer: D
Rationale: Encouraging the client to drink 3 L of fluids per day helps flush out stones, prevent new stone formation, and reduce urinary concentration.
A nurse is reviewing the admission prescriptions for a client who has benign prostatic hyperplasia. Which of the following medications should the nurse expect to administer?
- A. Oseltamivir.
- B. Silodosin.
- C. Ceftriaxone.
- D. Doxepin.
Correct Answer: B
Rationale: Silodosin, an alpha-blocker, treats BPH symptoms by relaxing prostate and bladder neck muscles, easing urination.
A nurse in the emergency department is assisting with the care of a client who is comatose. The provider suspects ketoacidosis. Which of the following findings should the nurse expect?
- A. Cheyne-Stokes breathing.
- B. Malignant hypertension.
- C. Acetone odor to breath.
- D. Blood glucose level below 40 mg/dL.
Correct Answer: C
Rationale: An acetone odor to the breath is a classic sign of diabetic ketoacidosis, occurring due to the accumulation of ketones in the blood.