A nurse is preparing to administer fluoxetine 40 mg PO daily.
The available medication is fluoxetine 20 mg/mL. How many mL should the nurse administer?

4 .

Answer and Explanation

The Correct Answer is B

Step 1 is… The provider has prescribed 40 mg of fluoxetine to be taken orally daily.

Step 2 is… The available medication is fluoxetine 20 mg/mL. Therefore, the nurse should administer 40 mg ÷ 20 mg/mL = 2 mL89.

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Correct Answer is A

Explanation

Choice A rationale

Hyperventilation is a potential treatment for brain herniation. Hyperventilation causes a decrease in carbon dioxide levels in the blood, leading to vasoconstriction of the cerebral blood vessels. This reduces cerebral blood flow and decreases intracranial pressure, which can help in the management of brain herniation.

Choice B rationale

Decreasing sedation is not typically a treatment for brain herniation. Sedation can be used in the management of increased intracranial pressure, but it is not a direct treatment for brain herniation.

Choice C rationale

Reducing the temperature in the room is not a direct treatment for brain herniation. While temperature control is important in the overall management of a patient with brain injury, it does not directly treat brain herniation.

Choice D rationale

Lowering blood pressure is not a direct treatment for brain herniation. While maintaining optimal blood pressure is important in the management of brain injury, aggressive lowering of blood pressure is not typically done as it could compromise cerebral perfusion.

A. “I’ll return later, and we can talk.”. B. “Everything will be okay.”. C. “Do you feel like crying helps?” D. “Would you like to be alone?”

Correct Answer is A

Explanation

Choice A rationale

The nurse should respect the patient’s need for space while also expressing willingness to talk when the patient is ready.

Choice B rationale

Telling the patient “Everything will be okay” may seem dismissive of the patient’s feelings and may not be helpful in this situation.

Choice C rationale

Asking “Do you feel like crying helps?” might come across as judgmental or dismissive.

Choice D rationale

Asking “Would you like to be alone?” might make the patient feel isolated or abandoned.

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A nurse is preparing to administer fluoxetine 40 mg PO daily. The available medication is fluoxetine 20 mg/mL. How many mL should the nurse administer?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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A nurse is preparing to administer fluoxetine 40 mg PO daily.
The available medication is fluoxetine 20 mg/mL. How many mL should the nurse administer?