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A client who weighs 160 pounds receives a prescription for gentamicin 5 mg/kg/day IV in divided doses every 8 hours. How many mg should the nurse administer with each dose? (Enter numerical value only. If rounding is required, round to the nearest whole number.)

Answer and Explanation

The Correct Answer is ["121"]

Calculation Steps:

Step 1: Convert weight from pounds to kilograms: 160 pounds ÷ 2.2 = 72.7 kg. Result = 72.7 kg.

Step 2: Calculate the total daily dose: 5 mg/kg/day × 72.7 kg = 363.5 mg/day. Result = 363.5 mg/day.

Step 3: Calculate the dose per administration: 363.5 mg/day ÷ 3 doses/day = 121.2 mg/dose. Result = 121.2 mg/dose.

Step 4: Round to the nearest whole number: 121.2 mg ≈ 121 mg.

Result = 121 mg.

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Correct Answer is B

Explanation

Choice A reason: Attempting to comfort the client by agreeing with the delusions is not therapeutic and may reinforce the delusional beliefs.

Choice B reason: Presenting a personal perception of reality in a nonconfrontational manner helps the client recognize reality without creating conflict or distress.

Choice C reason: Disagreeing with the statement and setting clear limits may be perceived as confrontational and could increase the client's distress.

Choice D reason: Informing the healthcare provider is important but should not be the immediate action. Addressing the client's delusions therapeutically is the first priority.

A. EMR tracking alerts the hospital information systems of the nurse's attempts to access the record. B. Encourage the friend to share her concerns with her daughter and other family members. C. EMR safeguards prohibit access to medical records for personnel not involved in direct care of the client. D. The daughter's permission needs to be obtained before the information can be shared by the nurse. E. Review of the EMR violates client confidentiality and is not permitted legally or ethically.

Correct Answer is ["A","C","D","E"]

Explanation

Choice A reason: EMR tracking systems monitor and alert for unauthorized access attempts, ensuring compliance with privacy regulations.

Choice B reason: While encouraging the friend to discuss concerns is good advice, it is not directly related to the legal and ethical aspects of accessing the EMR.

Choice C reason: EMR safeguards ensure that only authorized personnel involved in direct care can access a client's medical records.

Choice D reason: Obtaining the client's permission is a prerequisite for sharing medical information, ensuring respect for client privacy and autonomy.

Choice E reason: Reviewing the EMR without proper authorization violates client confidentiality and is both legally and ethically prohibited.

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A client who weighs 160 pounds receives a prescription for gentamicin 5 mg/kg/day IV in divided doses every 8 hours. How many mg should the nurse administer with each dose? (Enter numerical value only. If rounding is required, round to the nearest whole number.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client who has a history of experiencing delusions. The client describes singing in a concert in the afternoon for thousands of people. Which action should the nurse take?

Correct Answer is B

Explanation

The friend of a nurse who works in an acute care hospital asks the nurse to review the adult daughter's electronic medical record (EMR) to determine if she is honestly disclosing her medical condition. The nurse's reply should include which information? Select all that apply.

Correct Answer is ["A","C","D","E"]

Explanation

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