A client receives a prescription for penicillin 1.2 million units IM. The available vial is labeled, "600,000 units/2 mL." How many mL should the nurse administer? (Enter numeric value only.)
The Correct Answer is ["4"]
Calculations:
Desired dose: 1.2 million units
Available dose: 600,000 units/2 mL
To find the volume to administer, we can use the following formula:
Volume to administer = (Desired dose / Available dose) * Volume per dose
Volume to administer = (1,200,000 units / 600,000 units/mL) * 2 mL = 4 mL
Therefore, the nurse should administer 4 mL of the penicillin solution.
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Related Questions
Correct Answer is D
Explanation
A. Apply warm compresses to legs:
While leg cramps can be uncomfortable, addressing them with warm compresses does not address the potential underlying issues related to the client's symptoms, especially considering the possibility of more severe conditions.
B. Monitor intake and output:
Monitoring intake and output is important in managing fluid balance, especially with diuretics like furosemide. However, this action does not directly address the immediate concerns raised by symptoms like palpitations and a cough.
C. Raise the head of the bed:
Raising the head of the bed can be helpful if the client is experiencing shortness of breath or orthopnea. However, it does not address the need to evaluate cardiac function, which is crucial given the presence of palpitations and other symptoms.
D. Place on cardiac monitoring:
The client's symptoms—palpitations, cough, fatigue—could indicate significant electrolyte imbalances or cardiac issues, which are common with furosemide use. Cardiac monitoring is the most appropriate initial action to quickly identify and address any cardiac complications.
Correct Answer is B
Explanation
A. Use relaxation techniques to reduce excessive anxiety:
This is a good practice and complements the use of medication for managing anxiety. Relaxation techniques can help improve overall anxiety control.
B. Stop taking the medication if intended effect is not immediate:
Lorazepam, a benzodiazepine, typically starts working within hours to a few days, but it is not instantaneously effective for all individuals. Stopping the medication prematurely without consulting the healthcare provider can be harmful and is not advised. It is important to follow the prescribed regimen and consult the provider for any concerns.
C. Avoid alcohol and other sedatives while taking the medication:
This is crucial advice as combining lorazepam with alcohol or other sedatives can increase the risk of severe sedation, respiratory depression, and impaired motor skills.
D. Move slowly from a sitting position to a standing position:
This is a recommended practice to avoid dizziness or orthostatic hypotension, which can be a side effect of lorazepam and other benzodiazepines.
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