A nurse is administering medications to a client who weighs 132 lb. The prescription reads chloramphenicol, 50mg/kg/day in 4 divided doses. Available is chloramphenicol 100 mg/mL. How many mL should the nurse give with each dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Answer and Explanation

The Correct Answer is ["7.5"]

Convert the client's weight from pounds to kilograms. We can use the formula 1 kg = 2.2 lb. So, 132 lb / 2.2 = 60 kg.

Calculate the total daily dose of chloramphenicol for the client. We can use the formula Dose (mg) = Weight (kg) x Dosage (mg/kg). So, 60 kg x 50 mg/kg = 3000 mg.

Divide the total daily dose by 4 to get the dose for each administration. So, 3000 mg / 4 = 750 mg.

Calculate the volume of chloramphenicol solution needed for each dose. We can use the formula Volume (mL) = Dose (mg) / Concentration (mg/mL). So, 750 mg / 100 mg/mL =

7.5 mL.

Round the answer to the nearest tenth. So, the nurse should give 7.5 mL of chloramphenicol solution with each dose.

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Correct Answer is A

Explanation

A. Leg tenderness: Leg tenderness can be a sign of deep vein thrombosis (DVT), a rare but serious complication associated with oral contraceptives. Therefore, the nurse should report this finding immediately for further evaluation and management to prevent complications such as pulmonary embolism.

B. Cramps: Mild cramps are a common side effect of oral contraceptives and do not typically require immediate reporting unless they are severe or persistent.
C. Nausea: Nausea is a common side effect of oral contraceptives, especially during the initial weeks of use. It usually improves over time and does not typically require immediate reporting unless it is severe or persistent.
D. Abdominal bloating: Abdominal bloating is a common side effect of oral contraceptives and is usually mild and self-limiting. It does not typically require immediate reporting unless it is severe or persistent.

A. “I will consume foods that are soft or semisolid." B. "I will avoid consuming alcoholic beverages." C. “I will perform oral hygiene using a firm-bristle toothbrush." D. “I will rinse my mouth with saline every 2 hours while awake" E. None F. None

Correct Answer is B

Explanation

A. “I will consume foods that are soft or semisolid." While soft or semisolid foods may be easier to eat if the gums are sore, dietary modifications are not the primary focus of gingivitis management. Proper oral hygiene and avoiding irritants are more crucial. B. "I will avoid consuming alcoholic beverages." Alcohol can contribute to oral irritation, dry mouth, and worsening gingivitis. Avoiding alcohol helps reduce gum inflammation and promotes healing. C. “I will perform oral hygiene using a firm-bristle toothbrush." A firm-bristle toothbrush can cause gum irritation and worsen gingival inflammation. A soft-bristle toothbrush is recommended to clean the teeth effectively while protecting the gums. D. “I will rinse my mouth with saline every 2 hours while awake." Although saline rinses can help with minor oral irritation, frequent rinsing is not necessary for gingivitis. Instead, proper brushing, flossing, and using an antimicrobial mouthwash are more effective in managing the condition.

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Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who is taking combination oral contraceptives. Which of the following findings should the nurse report to the provider immediately?

Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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