A nurse is caring for a client immediately following a hemodialysis treatment. For which of the following manifestations will the nurse administer a PRN dose of phenytoin?

Headache, restlessness

Decreased blood pressure, rapid pulse

Muscle cramps, chest heaviness

Pain and tingling at the access site

Answer and Explanation

The Correct Answer is A

The correct answer is Choice A

Choice A rationale: Headache and restlessness can be signs of a seizure or neurological disturbance, which phenytoin is used to treat. Phenytoin is an anticonvulsant medication that helps control seizures by stabilizing neuronal membranes and reducing excitability.

Choice B rationale: Decreased blood pressure and rapid pulse are not indications for phenytoin administration. These symptoms may suggest hypotension or cardiovascular issues, which require different interventions such as fluid resuscitation or vasopressors.

Choice C rationale: Muscle cramps and chest heaviness are not treated with phenytoin. These symptoms could indicate electrolyte imbalances or cardiac issues, which need specific treatments like electrolyte replacement or cardiac monitoring.

Choice D rationale: Pain and tingling at the access site are not indications for phenytoin administration. These symptoms may suggest local irritation or infection at the dialysis access site, requiring appropriate wound care or antibiotics.

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Correct Answer is A

Explanation

Choice A reason: As CKD progresses, the kidneys' ability to filter blood decreases, leading to an increase in urine albumin, a sign of kidney damage.

Choice B reason: GFR would decrease, not increase, as CKD progresses because the kidneys' filtering capacity diminishes.

Choice C reason: Creatinine levels would increase, not decrease, as kidney function worsens in CKD.

Choice D reason: Proteinuria would increase, not decrease, as CKD progresses due to the kidneys' impaired filtering

ability

Correct Answer is ["2"]

Explanation

Step 1: The total amount of olanzapine required per dose is 20 mg.

Step 2: Each tablet contains 10 mg of olanzapine.

Step 3: To find out how many tablets are needed, we divide the total amount required by the amount in each tablet. So, 20 mg ÷ 10 mg/tablet.

Step 4: The result is 2 tablets.

So, the nurse should administer 2 tablets per dose. This is already a whole number, so no rounding is necessary.

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A nurse is caring for a client immediately following a hemodialysis treatment. For which of the following manifestations will the nurse administer a PRN dose of phenytoin?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has progressing chronic kidney disease (CKD). Which of the following laboratory results would the nurse expect to find in the client's electronic health record?

Correct Answer is A

Explanation

A nurse is preparing to administer olanzapine 20 mg PO daily. Available are olanzapine 10 mg orally-disintegrating tablets. How many tablets should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["2"]

Explanation

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