A nurse is caring for a client who reports that she has insomnia.

Which of the following interventions is appropriate for the nurse to recommend?

Eat a light carbohydrate snack before bedtime.

Take a 30-min nap daily.

Drink a cup of hot cocoa before bedtime.

Exercise 1 hr before bedtime.

Answer and Explanation

The Correct Answer is A

Eating a light carbohydrate snack before bedtime can help promote sleep by increasing the level of tryptophan in the brain.
Choice B is wrong because taking a 30-min nap daily can disrupt nighttime sleep and worsen insomnia.
Choice C is wrong because drinking a cup of hot cocoa before bedtime can interfere with sleep due to its caffeine content.
Choice D is wrong because exercising 1 hr before bedtime can increase alertness and make it more difficult to fall asleep.

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Correct Answer is D

Explanation

Notify the healthcare provider.
The nurse should first notify the healthcare provider of the error in administering the IV bolus.
This is important because the healthcare provider can assess the situation and provide guidance on how to proceed.
Choice A is not the correct answer because obtaining the client’s vital signs is important but not the first action the nurse should take.
Choice C is not the correct answer because documenting the incident in the client’s medical record is important but not the first action the nurse should take.
Choice D is not the correct answer because assessing the client for adverse reactions is important but not the first action the nurse should take.

A. 200 mg. B. 180 mg. C. 400 mg. D. 440 mg.

Correct Answer is A

Explanation

To calculate the dose of gentamicin to administer to a client who weighs 220 Ib, first convert the client’s weight from pounds to kilograms.
220 Ib is equivalent to 100 kg (220 Ib /.2 Ib/kg = 100 kg).
Then, multiply the client’s weight in kilograms by the dose of gentamicin per kilogram: 100 kg * 2 mg/kg = 200 mg.
Therefore, the nurse should administer 200 mg of gentamicin.
Choice B is wrong because 180 mg is not the correct dose.
Choice C is wrong because 400 mg is not the correct dose.
Choice D is wrong because 440 mg is not the correct dose.

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A nurse is caring for a client who reports that she has insomnia. Which of the following interventions is appropriate for the nurse to recommend?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a prescription for a 250 mL IV fluid bolus. The nurse administers a 500 mL IV bolus. Which of the following actions should the nurse take first?

Correct Answer is D

Explanation

A nurse is preparing to administer gentamicin 2 mg/kg IV to a client who weighs 220 Ib. How many mg should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.).

Correct Answer is A

Explanation

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A nurse is caring for a client who reports that she has insomnia.

Which of the following interventions is appropriate for the nurse to recommend?