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A nurse is calculating the intake of a client during the past 9 hr. The client's intake includes lactated Ringer's IV at 150 mL/hr, cefazolin 2 g IV intermittent bolus in 100 mL of 0.9% sodium chloride, two units of packed RBCs of 275 mL and 250 mL; two IV bolus infusions of 250 mL of 6.0% sodium chloride, famotidine 20 mg IV intermittent bolus in 50 mL of 0.9% sodium chloride. How many mL of intake should the nurse record?

1,350 mL

1,600 mL

2525 mL

2,100 mL

Answer and Explanation

The Correct Answer is C

The correct answer is c. 2,525 mL.

Choice A reason:

1,350 mL is calculated by considering only the lactated Ringer’s IV intake. The calculation is as follows:

Lactated Ringer’s IV at 150 mL/hr for 9 hr: 150 mL/hr × 9 hr = 1,350 mL. This option does not include the intake from cefazolin, packed RBCs, sodium chloride boluses, or famotidine.

Choice B reason:

1,600 mL is not a correct calculation based on the given intake. This value does not accurately sum up any combination of the provided intake components.

Choice C reason:

2,525 mL is the correct total intake. The detailed calculation is:

Lactated Ringer’s IV at 150 mL/hr for 9 hr: 150 mL/hr × 9 hr = 1,350 mL.
Cefazolin in 100 mL of 0.9% sodium chloride: 100 mL.
Two units of packed RBCs: 275 mL + 250 mL = 525 mL.
Two IV bolus infusions of 250 mL of 6.0% sodium chloride: 250 mL + 250 mL = 500 mL.
Famotidine in 50 mL of 0.9% sodium chloride: 50 mL.

Adding these together: 1,350 mL + 100 mL + 525 mL + 500 mL + 50 mL = 2,525 mL.

Choice D reason:

2,100 mL is not a correct calculation based on the given intake. This value does not accurately sum up any combination of the provided intake components.

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Free Nursing Study Resources

Correct Answer is D

Explanation

Choice A reason: You should avoid alcohol intake while taking codeine, not limit it to 12 ounces daily. Alcohol can increase the risk of side effects such as drowsiness, dizziness, and respiratory depression.

Choice B reason: You should not expect to experience diarrhea while taking codeine. Codeine can cause constipation, not diarrhea. You should increase your fluid and fiber intake and use laxatives as prescribed to prevent constipation.

Choice C reason: You should not take the medication on an empty stomach to prevent nausea. Codeine can cause nausea and vomiting, especially on an empty stomach. You should take the medication with food or milk to reduce nausea.

Choice D reason: You should change positions slowly while taking codeine. Codeine can cause orthostatic hypotension, which is a sudden drop in blood pressure when you stand up. This can cause dizziness, fainting, and falls. You should change positions slowly and use caution when walking or climbing stairs.

A. Insulin is never given intravenously. B. Only regular insulin can be administered intravenously. C. Insulin aspart or insulin lispro can be administered intravenously, but there must be a 50% dose reduction. D. Any form of insulin can be administered intravenously at the same dose as that ordered for subcutaneous administration.

Correct Answer is B

Explanation

Choice A reason: This is incorrect because insulin can be given intravenously in certain situations, such as diabetic ketoacidosis, hyperglycemic hyperosmolar state, or perioperative care.

Choice B reason: This is correct because regular insulin is the only type of insulin that can be administered intravenously, as it is a short-acting insulin that has a rapid onset and peak. Other types of insulin, such as intermediate-acting or long-acting, are not suitable for intravenous use, as they have a delayed onset and peak and may cause hypoglycemia.

Choice C reason: This is incorrect because insulin aspart and insulin lispro are rapid-acting insulins that have a faster onset and peak than regular insulin. They are not recommended for intravenous use, as they may cause severe hypoglycemia. They are usually given subcutaneously before meals to control postprandial blood glucose levels.

Choice D reason: This is incorrect because not all forms of insulin can be administered intravenously, as explained above. Only regular insulin can be given intravenously, and the dose may differ from the subcutaneous dose depending on the patient's blood glucose level and insulin sensitivity.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who has a new prescription for codeine. Which of the following instructions should the nurse include in the teaching?

Correct Answer is D

Explanation

The nurse is preparing to administer insulin intravenously. Which statement about the administration of intravenous insulin is true?

Correct Answer is B

Explanation

When a patient is taking an adrenergic agonist drug, the nurse expects to observe which effect?

A nurse is teaching a client who has a new prescription for codeine. Which of the following instructions should the nurse include in the teaching?

A nurse is preparing to administer lispro insulin to a client who has type 1 diabetes mellitus. Which of the following actions should the nurse take?

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A nurse is teaching a client who has type 1 diabetes about insulin administration. Which of the following statements by the client indicates an understanding of the teaching?

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