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A nurse is caring for an 8-month-old infant who is receiving intravenous (IV) fluids via a 24-gauge catheter.
Which of the following statements by the client's mother indicates that the nurse should check the site for signs of infiltration?.

"There's blood backing up my baby's IV tubing.”.

"There's a long red streak up my baby's arm.”.

"The tape is coming off the IV needle.”.

"My baby's fingers are looking swollen.”. .

Answer and Explanation

The Correct Answer is D

Choice A rationale:

Blood backing up in the IV tubing indicates a problem with the IV line, not necessarily infiltration.

Choice B rationale:

A long red streak up the arm could indicate phlebitis, not infiltration.

Choice C rationale:

Loose tape could cause the IV needle to dislodge, but it doesn’t directly indicate infiltration.

Choice D rationale:

Swelling around the IV site is a common sign of infiltration.

So, the correct answer is D. “My baby’s fingers are looking swollen.”.

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Correct Answer is ["So"," the correct answer is 15 mL."]

Explanation

Step 1 is to determine how many milligrams are in each milliliter of the suspension. This is done by dividing the total milligrams by the total milliliters: 25 mg ÷ 5 mL = 5 mg/mL. Step 2 is to determine how many milliliters are needed to administer 75 mg. This is done by dividing the desired milligrams by the milligrams per milliliter: 75 mg ÷ 5 mg/mL = 15 mL.

Correct Answer is ["So"," the correct answer is 3 tablet(s)."]

Explanation

A nurse is preparing to administer olanzapine 7.5 mg PO to a client who has schizophrenia.

Available is olanzapine 2.5 mg tablets.

How many tablets should the nurse plan to administer? (Round to the nearest whole number.

Use a leading zero if it applies.

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A nurse is caring for an 8-month-old infant who is receiving intravenous (IV) fluids via a 24-gauge catheter.Which of the following statements by the client's mother indicates that the nurse should check the site for signs of infiltration?.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer phenytoin 75 mg PO. Available is phenytoin suspension 25 mg/5 mL. How many mL 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 ["So"," the correct answer is 15 mL."]

Explanation

A nurse is preparing to administer olanzapine 7.5 mg PO to a client who has schizophrenia. Available is olanzapine 2.5 mg tablets. How many tablets should the nurse plan to administer? (Round to the nearest whole number. Use a leading zero if it applies.

Correct Answer is ["So"," the correct answer is 3 tablet(s)."]

Explanation

A nurse is preparing to administer valproic acid 500 mg PO. Available is valproic acid oral solution 250 mg/5 mL. How many mL should the nurse administer? (Round the answer to the nearest whole number.

A nurse is caring for a client who states, "I am not going to take my medication anymore.”. Which of the following responses should the nurse make?.

A nurse is preparing to administer fluoxetine 30 mg PO for a client who has depression and cannot swallow capsules. Available is fluoxetine 20 mg/5 mL oral solution. How many mL should the nurse plan to administer? (Round to the nearest tenth. Use a leading zero if it applies.

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A nurse is preparing to administer lurasidone 120 mg PO for a client who has schizophrenia. Available is lurasidone 40 mg 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.).

A nurse is preparing to administer lorazepam 1 mg PO to an older adult client who has insomnia and who cannot swallow oral tablets. Available is lorazepam oral solution 2 mg/mL. How many mL should the nurse plan to administer? (Round to the nearest tenth. Use a leading zero if it applies.

A nurse is caring for an 8-month-old infant who is receiving intravenous (IV) fluids via a 24-gauge catheter.
Which of the following statements by the client's mother indicates that the nurse should check the site for signs of infiltration?.