A nurse is preparing to administer cefadroxil oral suspension 15 mg/kg PO to a client who weighs 98 lb. Available is cefadroxil 250 mg/5 mL. Which of the following actions should the nurse take first?

Round the amount to be administered to the nearest whole number.

Calculate the dosage in milligrams.

Calculate the dosage in milliliters.

Convert the client's weight to kilograms.

Answer and Explanation

The Correct Answer is D

Choice A rationale:

Rounding the amount to be administered to the nearest whole number is a step that may be necessary, but it should not be the first action taken. The nurse should first ensure that the dosage calculation is accurate and based on the client's weight in kilograms. Once the dosage in milligrams is calculated, rounding can be considered.

Choice B rationale:

Calculating the dosage in milligrams is an essential step, but it is not the first action the nurse should take. To determine the correct dosage in milligrams, the nurse needs to convert the client's weight from pounds to kilograms first, as the medication order is given in milligrams per kilogram.

Choice C rationale:

Calculating the dosage in milliliters is not the first action to take because the medication is available in milligrams, and the order is based on weight in kilograms. Converting the weight to kilograms is the initial step to ensure that the dose is calculated correctly.

Choice D rationale:

Converting the client's weight to kilograms is the first and most crucial step in this dosage calculation. The medication order is given in milligrams per kilogram, and the client's weight is provided in pounds. To ensure accurate dosing, the nurse must convert the weight to kilograms, as this is the foundation for calculating the correct dosage in milligrams.

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Correct Answer is A

Explanation

Choice A rationale:

Skilled nursing is the most appropriate resource to anticipate for a postoperative client who needs physical therapy 2-3 times per day for two weeks. Skilled nursing facilities provide care from licensed nurses and therapists, making them well-suited for short-term rehabilitation and therapy services. These facilities offer a higher level of medical care compared to the other options, ensuring that the client's postoperative needs are adequately met.

Choice B rationale:

Assisted living is not the most suitable option for a postoperative client who requires physical therapy multiple times a day. Assisted living facilities are generally designed for individuals who need assistance with daily activities but do not require constant medical or therapeutic interventions.

Choice C rationale:

Long-term care is not the appropriate choice for a postoperative client with a two-week prescription for physical therapy. Long-term care facilities are designed for individuals who require ongoing, extended care, often due to chronic illnesses or disabilities. The client's condition is temporary, so long-term care is not warranted.

Choice D rationale:

Palliative care is intended for clients with serious, life-limiting illnesses, focusing on pain management and improving the quality of life. It is not suitable for a postoperative client who needs physical therapy for a limited duration. The primary goal of palliative care is different from the client's needs in this scenario.

A. Assist the client to a side-lying position. B. Hold the dropper 2 cm (1 in) above the naris. C. Instruct the client to stay in the same position for 2 min. D. Tell the client to blow her nose gently before the instillation.

Correct Answer is D

Explanation

The correct answer is choice D.

Choice A rationale:

Assisting the client to a side-lying position is not necessary when administering nasal decongestant drops. The client can be in an upright position or slightly tilted back.

Choice B rationale:

Holding the dropper 2 cm (1 in) above the naris is not a standard guideline for administering nasal decongestant drops. The dropper should be inserted into the nostril without touching the inside of the nostril to avoid contamination.

Choice C rationale:

Instructing the client to stay in the same position for 2 min is not necessary. After the administration of the nasal decongestant drops, the client can resume their normal activities.

Choice D rationale:

Telling the client to blow her nose gently before the instillation is the correct action. This action will help remove any secretions or crusts that could interfere with the distribution and absorption of the medication.

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A nurse is preparing to administer cefadroxil oral suspension 15 mg/kg PO to a client who weighs 98 lb. Available is cefadroxil 250 mg/5 mL. Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An acute care nurse is caring for a client who is postoperative and has a prescription for physical therapy 2-3 times per day for 2 weeks.Which of the following resources should the nurse anticipate that the client will require upon discharge?

Correct Answer is A

Explanation

A nurse is administering nasal decongestant drops for a client. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

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A nurse is preparing to administer cefadroxil oral suspension 15 mg/kg PO to a client who weighs 98 lb. Available is cefadroxil 250 mg/5 mL. Which of the following actions should the nurse take first?

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