A client is to receive methylprednisolone 6 mg IV push. The medication is available as a vial with 4mg/mL. What volume should the nurse administer?

Answer and Explanation

The Correct Answer is ["1.5"]

Step 1: Identify what is given
Prescribed dose: 6 mg
Available concentration: 4 mg/mL

Step 2: Use the formula
Volume (mL) = Prescribed Dose (mg) ÷ Concentration (mg/mL)
Volume = 6 ÷ 4 = 1.5 mL

Nursing Test Bank

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Correct Answer is D

Explanation

A. This is not correct because a decrease in CEA levels typically indicates that the current treatment is having a positive effect on the cancer. If CEA levels were increasing, a change in the treatment plan might be considered, but this is not the case here.

B. An increase in CEA levels is typically associated with disease progression or metastasis, not a decrease. The reduction in CEA levels suggests that the cancer is responding to treatment, not progressing.

C. Tumor lysis syndrome occurs when a large number of cancer cells break down rapidly, releasing their contents into the bloodstream. It is more common with certain aggressive cancers or when large tumor burdens are rapidly shrinking. This client's decreasing CEA levels do not indicate that tumor lysis syndrome is more likely.

D. A decrease in CEA levels is a positive indicator that the chemotherapy is working and reducing the cancer burden, which is the desired effect.

A. Call the blood bark B. Initiate the transfusion C. Take and record the patients vital signs D. Notify the physician

Correct Answer is A

Explanation

A. The first action should be to call the blood bank to report the mismatch in blood type. The patient is A positive, and the blood unit is AB negative, which is not compatible and could lead to a serious transfusion reaction. The blood bank can provide the correct unit of blood.
B. Initiating the transfusion with the wrong blood type is dangerous and could cause a life-threatening reaction.
C. Taking and recording vital signs is important but should only occur after confirming the correct blood product. Starting a transfusion with the wrong blood is a safety hazard.
D. While notifying the physician is important, the immediate action is to contact the blood bank to resolve the blood type mismatch.

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A client is to receive methylprednisolone 6 mg IV push. The medication is available as a vial with 4mg/mL. What volume should the nurse administer?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is reviewing lab results for a client receiving chemotherapy for the treatment of cancer. The nurse notes the carcinoembryonic antigen (CEA) was previously 198 ng/mL and is now 95ng/mL. The nurse is aware this finding indicates the:

Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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