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.).

200 mg.

180 mg.

400 mg.

440 mg.

Answer and Explanation

The Correct Answer is A

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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Correct Answer is B

Explanation

The nurse should first auscultate the client’s bowel sounds.
This will provide important information about the client’s gastrointestinal function and can help determine the cause of the client’s symptoms.
Choice A is wrong because while offering pain medication may provide temporary relief, it does not address the underlying cause of the client’s symptoms.
Choice C is wrong because palpating the abdomen before auscultating bowel sounds can alter the bowel sounds and make it more difficult to accurately assess the client’s condition.
Choice D is wrong because administering an antiemetic may provide temporary relief from nausea and vomiting, but it does not address the underlying cause of the client’s symptoms.

A. Discuss the client's prior coping mechanisms. B. Teach the client to use progressive relaxation techniques. C. Help the client to find a local support group. D. Develop a list of goals with the client.

Correct Answer is A

Explanation

The priority intervention for a client with a new diagnosis of terminal cancer is to discuss the client’s prior coping mechanisms.
This can help the nurse understand how the client has dealt with difficult situations in the past and can provide insight into how the client may cope with their current diagnosis.
Choice B is wrong because while teaching the client to use progressive relaxation techniques may be helpful in managing stress and anxiety, it is not the priority intervention.
Choice C is wrong because while helping the client find a local support group may provide emotional support, it is not the priority intervention.
Choice D is wrong because while developing a list of goals with the client may provide direction and focus, it is not the priority intervention.

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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.).

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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.).