A nurse is preparing to administer metoclopramide 15 mg PO QID before meals and at bedtime for a client who has GERD. The amount available is metoclopramide 5 mg/5mL. 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.)
The Correct Answer is ["15"]
Rationale:
Desired dose = 15 mg
Available concentration = 5 mg per 5 mL = 1 mg/mL
Volume needed = Desired dose ÷ Concentration = 15 mg ÷ 1 mg/mL = 15 mL
Rounded to nearest whole number = 15 mL
Final Answer: 15 mL
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Rationale:
A. While bleeding is a potential risk of paracentesis, it is less common than infection.
B. This is not a typical complication of paracentesis.
C. Although large-volume paracentesis can occasionally affect kidney perfusion, renal failure is not the most common complication.
D. Infection of the peritoneal cavity (spontaneous bacterial peritonitis) is the most common and serious complication associated with paracentesis. Proper aseptic technique is essential to minimize this risk.
Correct Answer is B
Explanation
Rationale:
A. Elevated AST indicates hepatocellular injury, but it does not directly reflect fluid volume status.
B. In liver cirrhosis, the liver produces less albumin, leading to reduced plasma oncotic pressure. Low albumin allows fluid to leak into interstitial spaces, causing ascites, edema, and overall fluid volume excess.
C. Prolonged PT reflects impaired clotting factor synthesis in cirrhosis, not fluid status.
D. High bilirubin indicates impaired bile excretion and liver dysfunction, but it is not a direct marker of fluid overload.
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