Nokea
Ergonovine maleate (Ergotrate) 200 mcg I.M. has been ordered. The ampule label reads 0.2 mg/mL. The nurse should administer how many milliliters?
- A. 1 mL
- B. 2 mL
- C. 0.5 mL
- D. 1.5 mL
Correct Answer: C
Rationale: First, convert micrograms to milligrams: 200 mcg = 0.2 mg. Then: 0.2 mg / X mL = 0.2 mg / 1 mL, so X = 1 mL.
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The nurse assesses a client with diverticulitis and suspects peritonitis when which of the following symptoms is noted?
- A. Hyperactive bowel sounds.
- B. Rigid abdominal wall.
- C. Explosive diarrhea.
- D. Excessive flatulence.
Correct Answer: B
Rationale: A rigid abdominal wall is a hallmark sign of peritonitis, indicating peritoneal inflammation, often due to perforation in diverticulitis.
A therapeutic milieu is:
- A. A safe environment of care that is conducive to the prevention of medical errors.
- B. A client care area that provides personal privacy and the confidentiality of medical information.
- C. A European method of design and color to promote health and wellness.
- D. The provision of a therapeutic environment of consistency to promote health.
Correct Answer: D
Rationale: A therapeutic milieu is a structured environment designed to promote healing and recovery through consistency, safety, and therapeutic interactions.
Allopurinol (Zyloprim) is prescribed for a client who has chronic gout. Which of the following comments indicates that the client understands how to take the allopurinol?
- A. I will take the medication whenever my joints hurt.'
- B. I must take this drug on an empty stomach.'
- C. I should drink plenty of fluids when taking allopurinol.'
- D. I should not take aspirin when taking allopurinol.'
Correct Answer: C
Rationale: Drinking plenty of fluids prevents uric acid crystal formation, enhancing allopurinol's effectiveness in managing gout.
A postoperative client has a Jackson-Pratt drain. Which finding should the nurse report immediately?
- A. Clear, serous drainage.
- B. Bright red drainage of 50 mL in 2 hours.
- C. Slight swelling around the drain site.
- D. Drainage with a foul odor.
Correct Answer: B
Rationale: Bright red drainage suggests active bleeding, a serious complication requiring immediate reporting.
A client with a history of tuberculosis is prescribed isoniazid (INH). The nurse should monitor the client for which of the following adverse effects?
- A. Hepatotoxicity.
- B. Hypoglycemia.
- C. Hypertension.
- D. Weight loss.
Correct Answer: A
Rationale: Isoniazid can cause hepatotoxicity, requiring regular liver function monitoring.