Nokea
A nurse is preparing to administer ondansetron 4 mg IM stat. The amount available is ondansetron for injection 2 mg/mL. How many mL 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 mL
Rationale: 4 mg ÷ 2 mg/mL = 2 mL. The nurse should administer 2 mL.
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A nurse is phoning a provider to report a client's serum potassium of 6.2 mEq/L. Which of the following medications should the nurse expect the provider to prescribe?
- A. Potassium iodide.
- B. Lactulose.
- C. Sodium polystyrene sulfonate.
- D. Acetylcysteine.
Correct Answer: C
Rationale: Sodium polystyrene sulfonate is used to treat hyperkalemia by exchanging sodium ions for potassium ions in the intestines, lowering serum potassium levels.
A nurse is contributing to the plan of care for a client who is postoperative following a total hip arthroplasty. Which of the following information should the nurse include?
- A. Position the lower extremities so that they are touching.
- B. Ensure that the client's heels are touching the bed.
- C. Instruct the client to avoid movement of the affected leg.
- D. Prevent hip flexion of the affected extremity.
Correct Answer: D
Rationale: Preventing hip flexion of the affected extremity is correct because excessive hip flexion can increase the risk of dislocation after a total hip arthroplasty.
A nurse is caring for a client who is 1 day postoperative following a transurethral resection of the prostate (TURP) and has a continuous bladder irrigation in place. Which of the following actions should the nurse take? (Select all that apply.)
- A. Contact the surgeon if the client reports a continual need to void.
- B. Use sterile technique when preparing the irrigation solution.
- C. Add the amount of bladder irrigation to the total output.
- D. Notify the surgeon if the urine is bright red or has large clots.
- E. Make sure the drainage tubing is patent and without obstruction.
Correct Answer: B,D,E
Rationale: Using sterile technique, notifying the surgeon for bright red urine or clots, and ensuring tubing patency are critical to prevent infection, manage bleeding, and maintain irrigation effectiveness.
A nurse is reinforcing teaching with a client who has type 1 diabetes mellitus. Which of the following statements from the client indicates to the nurse the teaching is effective?
- A. I will freeze unopened insulin vials.
- B. I should increase my insulin when I exercise.
- C. I should inject the insulin into my abdominal area.
- D. I will shake the insulin vial vigorously to mix.
Correct Answer: C
Rationale: Injecting insulin into the abdominal area ensures consistent absorption, a recommended site for effective insulin administration.
A nurse is reinforcing teaching for a client who has rheumatoid arthritis and a new prescription for aspirin 650 mg orally every 6 hr. The nurse should instruct the client to monitor for which of the following adverse effects of aspirin therapy?
- A. Constipation.
- B. Blurred vision.
- C. Insomnia.
- D. Bleeding.
Correct Answer: D
Rationale: Bleeding is a well-known adverse effect of aspirin due to its inhibition of platelet aggregation, increasing the risk of gastrointestinal bleeding or bruising.