Nokea
A nurse is preparing to administer methylprednisolone 10 mg by IV bolus. The amount available is methylprednisolone injection 40-mg/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Do not use a trailing zero.)
- A. 0.3 mL
- B. 0.25 mL
- C. 0.4 mL
- D. 0.5 mL
Correct Answer: A
Rationale: To calculate the mL to administer, use the formula: Dose required (mg) · Stock concentration (mg/mL) = Volume to administer (mL). In this case, 10 mg · 40 mg/mL = 0.25 mL. However, when rounding to the nearest tenth, the answer should be 0.3 mL. Therefore, the nurse should administer 0.3 mL. Choice A is the correct answer. Choice B (0.25 mL) is the result obtained before rounding. Choice C (0.4 mL) and Choice D (0.5 mL) are incorrect calculations.
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When transferring a client to a long-term care facility, what information should the nurse include in the handoff report?
- A. Frequency of previous vital sign measurements
- B. Number of family members who have visited
- C. Time of the client's last bath
- D. Effectiveness of the last dose of pain medication
Correct Answer: D
Rationale: The correct answer is D: 'Effectiveness of the last dose of pain medication.' When transferring a client to a long-term care facility, it is crucial to provide information on the effectiveness of the last dose of pain medication to ensure continuity of care and appropriate pain management. This information helps the receiving facility understand the client's current pain status and plan future interventions accordingly. Choices A, B, and C are less relevant for the handoff report in this scenario. The frequency of previous vital sign measurements may be important, but the immediate effectiveness of pain medication takes precedence. The number of family members who have visited and the time of the client's last bath are not as critical for the receiving facility's immediate care planning compared to pain management details.
A client appears upset about the IV catheter insertion but does not communicate it to the nurse after being informed about the prescribed IV fluids. Which of the following is an appropriate nursing response?
- A. Ignore the client's discomfort
- B. Reassure the client without addressing concerns
- C. Is there something about this procedure that concerns you?
- D. Proceed with the procedure
Correct Answer: C
Rationale: The appropriate nursing response in this situation is to ask the client if there are any concerns about the procedure. By doing so, the nurse acknowledges the client's distress and opens up a dialogue to address any anxieties or misconceptions. Option A is incorrect as ignoring the client's discomfort can lead to increased anxiety and potential harm. Option B is not ideal as reassuring the client without addressing specific concerns may not alleviate the client's distress. Option D is incorrect because proceeding with the procedure without addressing the client's unspoken concerns can further escalate the client's distress.
If a security officer is reviewing actions to take in the event of a bomb threat by phone to a group of nurses, which statement by a nurse indicates understanding?
- A. "I will get the caller off the phone as soon as possible so I can alert the staff."
- B. "I will begin evacuating clients using the elevators."
- C. "I will not ask any questions and just let the caller talk."
- D. "I will listen for background noises."
Correct Answer: D
Rationale: The correct answer is D: "I will listen for background noises." Listening for background noises can provide useful information about the bomb's location, helping security to assess the situation more effectively. Choice A is incorrect because disconnecting the call abruptly may prevent gathering important details. Choice B is incorrect as using elevators during a bomb threat can be dangerous; it is safer to use stairs for evacuation. Choice C is incorrect because actively engaging with the caller to gather information is crucial in bomb threat situations.
Which statement by the nurse indicates culturally responsive care for a client following Islamic practices?
- A. "I will make sure the menu includes halal options."
- B. "I will ask the client if they want to schedule prayer times during the day."
- C. "I will avoid discussing care when the client's family is around."
- D. "I will make sure daily communion is available for this client."
Correct Answer: B
Rationale: The correct answer is B. Asking the client if they want to schedule prayer times during the day demonstrates respect and consideration for Islamic practices. Providing halal options (choice A) is important for dietary requirements in Islam, but it may not address the client's spiritual needs. Avoiding discussing care in front of the client's family (choice C) is not directly linked to Islamic practices and may not necessarily enhance cultural responsiveness. Offering daily communion (choice D) is associated with Christian religious practices, not Islamic practices, and may not meet the client's religious needs.
While auscultating a client's abdomen, a nurse hears a blowing sound over the aorta. The nurse should identify this sound as which of the following?
- A. Gallop
- B. Bruit
- C. Thrill
- D. Murmur
Correct Answer: B
Rationale: The correct answer is B: Bruit. A bruit is a blowing sound indicating turbulent blood flow, often heard over the aorta. Choices A, C, and D are incorrect. A gallop is a cardiac sound resembling the sound of a galloping horse. A thrill is a vibration felt on palpation, and a murmur is a swooshing or whooshing sound heard during auscultation of the heart or blood vessels. In this scenario, the blowing sound over the aorta specifically indicates a bruit, which signifies turbulent blood flow and should be further assessed by the healthcare provider.