A nurse in an acute care facility is collecting data from a client who has received the meningococcal conjugate vaccine.
The nurse should monitor the client for which of the following findings as an adverse effect of the vaccine?

To solve this problem, we first need to convert the client’s weight from pounds to kilograms. Then, we can calculate the total amount of amikacin needed. Finally, we can find out how many milliliters of amikacin injection the nurse should administer.

1. Convert the client’s weight to kilograms: Given that 1 kg = 2.2 lbs, we can calculate the client’s weight in kilograms as follows:

Weightinkg=WeightinlbsConversionfactor=110lbs2.2lbs/kg≈50kgWeightinkg=ConversionfactorWeightinlbs​=2.2lbs/kg110lbs​≈50kg

1. Calculate the total amount of amikacin needed: The doctor ordered 5 mg of amikacin per kg of body weight, so the total amount of amikacin needed is:

Totalamikacin=Doseperkg×Weightinkg=5mg/kg×50kg=250mgTotalamikacin=Doseperkg×Weightinkg=5mg/kg×50kg=250mg

1. Find out how many milliliters of amikacin injection the nurse should administer: Given that the available amikacin injection is 250 mg/mL, we can calculate the volume of injection needed as follows:

Volumeofinjection=TotalamikacinConcentrationofinjection=250mg250mg/mL=1mLVolumeofinjection=ConcentrationofinjectionTotalamikacin​=250mg/mL250mg​=1mL

So, the nurse should administer 1 mL of amikacin injection.

Choice A rationale:

Hypotension is not typically a symptom of withdrawal from diazepam. Withdrawal from diazepam, a benzodiazepine, usually results in symptoms opposite to its therapeutic effects.

Choice B rationale:

Drowsiness is not a symptom of withdrawal from diazepam. In fact, insomnia or difficulty sleeping may occur during withdrawal.

Choice C rationale:

Anorexia or loss of appetite may occur during withdrawal from some substances but it’s not typically associated with benzodiazepine withdrawal.

Choice D rationale:

Tremors are a common symptom of withdrawal from diazepam. Other symptoms can include anxiety, restlessness, irritability, and even seizures in severe cases.