A nurse is preparing to administer metronidazole 750 mg capsule oral every 8 hr to a client who has bacterial vaginosis. The amount available is metronidazole 375 mg/capsule. How many capsule should the nurse administer in a 24 hr period?( Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Answer and Explanation

The Correct Answer is ["6 "]

To calculate the number of capsules the nurse should administer in a 24 hr period, the nurse should first divide the prescribed dose by the available dose.

This gives 750 mg / 375 mg = 2 capsules.

Then, the nurse should multiply the number of capsules per dose by the number of doses per day.

This gives 2 capsules x 3 doses = 6 capsules.

Therefore, the nurse should administer 6 capsules of metronidazole in a 24 hr period to the client who has bacterial vaginosis.

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Correct Answer is C

Explanation

Choice A Reason:

Avoid entering the client's room unless requested during the night is inappropriate. While minimizing entries can reduce disruptions, it's important for the nurse to perform necessary checks and care interventions. Avoiding the room completely might compromise the client's safety or care.

Choice B Reason:

Turn off alarms on bedside monitoring equipment is inappropriate. Disabling alarms can jeopardize patient safety as these alarms often indicate critical changes in the client's condition. Adjusting alarm settings or investigating if noise levels can be reduced without compromising safety would be more appropriate.

Choice C Reason:

Conduct staff communications away from the client's room is appropriate. This intervention helps minimize noise levels near the client's room, creating a quieter environment conducive to sleep. Staff conducting communications away from the room reduces unnecessary disturbances that might affect the client's rest.

Choice D Reason:

Turn on the client's TV to distract from hallway noise is inappropriate. Introducing more noise, such as from a TV, might not effectively address the issue of sleep disturbance due to external noise. Additionally, it's essential to respect the client's preferences, and some may prefer a quiet environment for sleep rather than additional noise from a TV.

A. Check a client's peripheral IV site for redness or swelling. B. Measure the intake and output of a client who has received furosemide. C. Reinforce teaching with a client about crutch-gait walking. D. Assess the pain level of a client who has received acetaminophen.

Correct Answer is B

Explanation

A. Check a client's peripheral IV site for redness or swelling.
This task involves assessing the client's IV site for signs of complications. While it requires observation and reporting, it may involve some interpretation and judgment. This task is better suited for a licensed nurse.

B. Measure the intake and output of a client who has received furosemide.
Measuring intake and output is a routine task that involves quantifying the fluids a client consumes and eliminates. This is a task that can be appropriately delegated to an assistive personnel (AP) under the supervision and direction of the nurse.

C. Reinforce teaching with a client about crutch-gait walking.
Teaching requires a level of education, explanation, and clarification that goes beyond routine tasks. This is typically a nursing responsibility and should not be delegated to an AP.

D. Assess the pain level of a client who has received acetaminophen.
Pain assessment involves subjective information, and determining the appropriate response may require clinical judgment. This task is better suited for a licensed nurse.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse on a medical-surgical unit is caring for a postoperative client who reports difficulty sleeping due to noise. Which of the following interventions is appropriate for the nurse to implement?

Correct Answer is C

Explanation

A nurse is coordinating care of a group of clients with an assistive personnel (AP). Which of the following tasks should the nurse assign to the AP?

Correct Answer is B

Explanation

A nurse is performing postmortem care for a client who was a devout Muslim. Which of the following actions should the nurse take?

A nurse is preparing to administer a medication from an ampule. Which of the following is an appropriate action for the nurse to take?

A nurse is assisting with the care of a client who has a closed chest tube drainage system. Which of the following actions should the nurse take?

A nurse is caring for a client who has an indwelling urinary catheter and a prescription for furosemide. Which of the following actions should the nurse take?

A home health nurse is reinforcing teaching about dietary needs with the son of a client. The son states, "I don't know what to do because he's not eating." Which of the following responses should the nurse make?

A nurse is collecting data from a client who is receiving IV fluid replacement to treat diarrhea but now has oliguria. Laboratory results include a potassium level of 5.6 mEq/L. The nurse should report which of the following findings to the provider immediately?

A nurse is preparing to administer an opioid analgesic IM to a client. The vial contains 2 mg of medication, but the client's prescription is for 1 mg. After administering the medication, which of the following actions should the nurse take when handling the remaining medication in the vial?

A nurse is reviewing a client's medication administration record at 1930. The nurse notes that the documentation for the 1700 regular insulin dose is missing. Which of the following is an appropriate action for the nurse to take?