A client with atrial fibrillation receives a prescription for a loading dose of digoxin 0.5 mg PO. The medication is available in 125 mcg tablets. How many tablets should the nurse administer? (Enter numerical value only.)

Answer and Explanation

The Correct Answer is ["4"]

Convert mg to mcg: 1 mg = 1000 mcg, so 0.5 mg = 0.5 x 1000 = 500 mcg

Divide the desired dose by the tablet strength: 500 mcg / 125 mcg/tablet = 4 tablets

So, the nurse should administer 4 tablets.

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

Explanation

A. Around the nostrils is a common area for skin damage when using a nasal cannula. The constant pressure and friction from the cannula tubing can cause irritation or breakdown around the nostrils.

B. Bridge of the nose is another area to assess for skin damage. The nasal cannula can cause pressure ulcers or redness on the bridge of the nose, especially if the cannula is not properly positioned or if the client wears it for prolonged periods.

C. Across the forehead is not typically an area affected by a nasal cannula. The cannula does not usually make contact with the forehead, so skin damage in this area is unlikely.

D. Over the cheeks is an important area to assess. The tubing of the nasal cannula can rub against the skin on the cheeks, causing irritation or breakdown, particularly if the tubing is too tight or not positioned correctly.

E. Tops of the ears should also be observed. The tubing of the nasal cannula can cause pressure on the ears, especially if the tubing is looped behind the ears, leading to irritation or skin breakdown.

A. Report any change in urine color. B. Keep mucous membranes moist. C. Record the client's daily weight. D. Maintain in high Fowler's position.

Correct Answer is B

Explanation

A. Report any change in urine color is not a primary intervention in palliative care for this client. While monitoring urine output is important in assessing hydration status, it does not directly address the client's comfort, which is a key goal in palliative care.

B. Keep mucous membranes moist is a critical intervention for this client. Mouth breathing and the refusal of fluids can lead to dry mucous membranes, causing discomfort. Regular oral care using swabs or rinses can alleviate dryness, improving the client's comfort and quality of life.

C. Record the client's daily weight is unnecessary in this situation. Monitoring weight is typically relevant for clients whose fluid balance or nutritional status is being managed, which is not a focus in palliative care for a terminally ill client.

D. Maintain in high Fowler's position is not the priority in this scenario. While positioning may be adjusted to support breathing, the focus should remain on comfort, such as alleviating the dryness associated with mouth breathing.

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A client with atrial fibrillation receives a prescription for a loading dose of digoxin 0.5 mg PO. The medication is available in 125 mcg tablets. How many tablets should the nurse administer? (Enter numerical value only.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse assesses a client who has a nasal cannula delivering oxygen at 2 liters/minute. To assess for skin damage related to the cannula, which areas should the nurse observe? Select all that apply.

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

Explanation

The palliative care nurse receives a consult for a terminally ill client in the intensive care unit (ICU). The client is weak, mouth breathing, and refusing anything to eat or drink. Which intervention should the nurse include in the plan of care?

Correct Answer is B

Explanation

The nurse assists a client who has obstructive sleep apnea (OSA) with evening care. Which intervention is most important for the nurse to implement before leaving the client alone?

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