A nurse is preparing to administer esomeprazole 20 mg IV bolus in 100 mL 5% dextrose in water for a client who has peptic ulcer disease. Available is esomeprazole 40 mg/5 mL. How many milliliters should the nurse add to the 5% dextrose in water? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Rationale:

A. Food exchange lists for meal planning from the American Diabetes Association: The ADA provides evidence-based, reliable resources for meal planning that help clients manage blood glucose levels and make informed dietary choices. These lists are tailored for diabetes management.

B. Food label recommendations from the Institute of Medicine: While the IOM provides general nutrition guidelines, they are not specifically designed for diabetes management and may not address individualized meal planning needs for blood glucose control.

C. Diabetes medication information from the Physicians' Desk Reference: The PDR contains medication details but is intended for healthcare professionals, not clients. It may be too technical for patient education purposes.

D. Personal blogs about managing the adverse effects of diabetes medications: Blogs may provide anecdotal information that is not evidence-based and could be inaccurate or misleading, making them an unreliable resource for client education.

A. Speech-language pathologist: Speech-language pathologists (SLPs) specialize in evaluating and treating swallowing disorders (dysphagia). They can assess the client’s swallowing ability, recommend appropriate diet modifications, and provide strategies to reduce choking risk.

B. Social worker: Social workers provide support for psychosocial needs, discharge planning, and community resources, but they do not assess or manage swallowing difficulties. Referral to a social worker may be appropriate for broader care needs but not for dysphagia.

C. Respiratory therapist: Respiratory therapists focus on airway management, ventilation, and pulmonary function. While they can assist if aspiration leads to respiratory complications, they do not primarily assess swallowing function.

D. Occupational therapist: Occupational therapists help clients with activities of daily living and adaptive equipment. Although they may assist with feeding techniques or positioning, they are not specialized in assessing or treating swallowing disorders.