A client receives a prescription for acetaminophen 1,000 mg PO every 8 hours PRN for pain. The bottle is labeled "Acetaminophen for Oral Suspension, USP 500 mg per 15 mL." How many tablespoons should the nurse instruct the client to take with each dose? (Enter numerical value only.)

Answer and Explanation

The Correct Answer is ["2"]

To administer the correct dose of acetaminophen, the client needs to take 1,000 mg. Since the oral suspension is 500 mg per 15 mL, the client would need 30 mL to get the 1,000 mg dose. There are 15 mL in one tablespoon, so the client should take two tablespoons to equal the 30 mL required for the 1,000 mg dose.

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Correct Answer is A

Explanation

A. Hypoparathyroidism can lead to hypocalcemia, which increases the risk of tetany and seizures, making the risk for injury the highest priority.
B. Deficient knowledge is important to address but is secondary to immediate physiological risks.
C. Anxiety may be present but is not as critical as the risk for injury due to hypocalcemia.
D. Imbalanced nutrition should be managed but is not the immediate priority compared to the risk for injury.

A. Keep head of bed raised 45 degrees. B. Monitor blood glucose level. C. Maintain strict intake and output. D. Assess warmth of extremities.

Correct Answer is C

Explanation

A. Raising the head of the bed can help improve lung expansion and reduce aspiration risk, which is beneficial for a client with pneumonia. However, while this intervention supports respiratory function, it does not directly address the systemic perfusion and organ failure risks associated with septic shock. Therefore, it is not the highest priority intervention in a sepsis protocol.
B. Blood glucose monitoring is important in sepsis because stress-induced hyperglycemia is common and uncontrolled glucose can worsen outcomes. However, this intervention is supportive rather than critical in the early management of septic shock and does not take priority over interventions that directly evaluate perfusion and organ function.
C. Strict intake and output monitoring is essential in septic shock because it provides immediate information about renal perfusion and fluid balance. Septic shock causes widespread vasodilation and capillary leak, leading to decreased organ perfusion and acute kidney injury. Urine output is a key indicator of organ function and response to fluid resuscitation, making this intervention a core component of sepsis management.
D. Assessing extremity warmth helps evaluate peripheral perfusion and can indicate early versus late septic shock. While this is a useful assessment, it is less critical than objective measures such as urine output that directly reflect organ perfusion and guide treatment decisions.

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A client receives a prescription for acetaminophen 1,000 mg PO every 8 hours PRN for pain. The bottle is labeled "Acetaminophen for Oral Suspension, USP 500 mg per 15 mL." How many tablespoons should the nurse instruct the client to take with each dose? (Enter numerical value only.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which is the priority nursing problem for a client with hypoparathyroidism?

Correct Answer is A

Explanation

The nurse is caring for a client with pneumonia who now develops initial signs of septic shock and multi-organ failure. The healthcare provider prescribes a sepsis protocol. Which intervention is most important for the nurse to include in the plan of care?

Correct Answer is C

Explanation

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