Nokea
How many units of heparin would you administer subcutaneously using the below information? Doctor's order: 6,500 units of heparin subcutaneously Medication label: 4,500 units in one mL
- A. 1.4 mL
- B. 1.5 mL
- C. 1.475 mL
- D. 1.425 mL
- E. 1.375 mL
Correct Answer: A
Rationale: To calculate: 6,500 units ÷ 4,500 units/mL = 1.444 mL, rounded to 1.4 mL for practical administration.
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When a daily dose of fluoxetine hydrochloride is prescribed for a client, the nurse provides instructions regarding its administration. Which statement by the client indicates an understanding regarding the administration of the medication?
- A. I should take the medication with food only.
- B. It is best to take the medication in the morning.
- C. I should take the medication at bedtime with a snack.
- D. I should take the medication at noontime with an antacid.
Correct Answer: B
Rationale: A daily dose of fluoxetine hydrochloride, a selective serotonin reuptake inhibitor (SSRI), should be taken in the morning. If the medication is prescribed more than once daily, then the client is instructed to take the last dose of the day before 4:00 pm to avoid insomnia. It does not have to be taken with food. Antacids are avoided with its administration because the antacid will affect absorption.
A client is hospitalized for ingesting an overdose of acetaminophen. The nurse prepares to administer which specific antidote for this medication overdose?
- A. Flumazenil
- B. Phytonadione
- C. N-acetylcysteine
- D. Naloxone hydrochloride
Correct Answer: C
Rationale: Acetylcysteine restores sulfhydryl groups that are depleted by acetaminophen metabolism. Flumazenil is the antidote for benzodiazepine reversal. Phytonadione is the antidote for warfarin sodium. Naloxone hydrochloride reverses respiratory depression caused by an opioid.
A 4-year-old child is admitted with a tentative diagnosis of Kawasaki disease. Which of the following laboratory findings is most likely to be found in this child?
- A. Leukocytosis.
- B. Thrombocytopenia.
- C. Decreased sedimentation rate.
- D. Hypoalbuminemia.
Correct Answer: A
Rationale: Kawasaki disease is commonly associated with leukocytosis, reflecting the inflammatory process characteristic of the condition.
The nurse is teaching a client with a new diagnosis of hypertension about dietary modifications. Which of the following recommendations is most effective?
- A. Increase calcium intake.
- B. Reduce saturated fat intake.
- C. Limit carbohydrate intake.
- D. Avoid potassium-rich foods.
Correct Answer: B
Rationale: Reducing saturated fat intake lowers cholesterol and blood pressure, benefiting hypertension management.
A client with a history of osteoporosis is prescribed alendronate (Fosamax). The nurse should instruct the client to take the medication:
- A. At bedtime with a snack.
- B. First thing in the morning with water.
- C. With meals to enhance absorption.
- D. With milk to reduce stomach irritation.
Correct Answer: A
Rationale: Alendronate should be taken first thing in the morning with water, on an empty stomach, to maximize absorption and minimize esophageal irritation.