A nurse is preparing to administer vitamin K 1mg IM to a newborn. Available is vitamin K injection 1 mg/0.5 mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Answer and Explanation

The Correct Answer is ["0.5"]

To administer the correct dose of vitamin K, which is 1 mg, the nurse should refer to the concentration of the available vitamin K injection.

The available concentration is 1 mg per 0.5 mL. Therefore, to deliver a dose of 1 mg, the nurse needs to administer 0.5 mL. When rounding to the nearest tenth, the amount remains 0.5 mL.

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Correct Answer is A

Explanation

A. A lithium level of 1.2 mEq/L falls within the therapeutic range (0.6-1.2 mEq/L) for the treatment of bipolar disorder. Therefore, the nurse should administer the regular dose of lithium as prescribed and closely monitor the client for any side effects.
B. Repeating the lithium level is unnecessary because the current level is within the therapeutic range. Repeated testing may be warranted if the level is outside the therapeutic range or if there are clinical concerns.
C. This action is not indicated for a lithium level within the therapeutic range. ECG and seizure precautions are typically reserved for lithium toxicity, which presents with levels above the therapeutic range.
D. Increasing the dose of lithium is not warranted when the current level is within the therapeutic range. Doing so could increase the risk of toxicity.

A. Notify the provider immediately if urine turns red-brown in color. B. Take an antacid with the medication to avoid gastric upset. C. Shake the suspension vigorously prior to pouring the medication. D. Obtain an annual flu vaccine while taking phenytoin.

Correct Answer is C

Explanation

A. Phenytoin can rarely cause a side effect known as "purple glove syndrome" if it infiltrates into the surrounding tissues during intravenous administration, leading to discoloration. However, this is not relevant to oral suspension administration.
B. Taking an antacid with phenytoin is generally not recommended as it may decrease the absorption of phenytoin. Phenytoin should be taken on an empty stomach to ensure optimal absorption.

C. Phenytoin oral suspension may settle over time, so it's important to shake the bottle well before measuring and administering each dose to ensure uniform distribution of the medication.
D. While obtaining an annual flu vaccine is generally advisable for individuals with epilepsy, it's not directly related to phenytoin administration and should be part of routine healthcare maintenance rather than specific guidance for phenytoin therapy.

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A nurse is preparing to administer vitamin K 1mg IM to a newborn. Available is vitamin K injection 1 mg/0.5 mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the morning laboratory report for a client who has bipolar disorder and recently started taking lithium. The client's current lithium level is 1.2 mEq/L. Which of the following actions should the nurse plan to take?

Correct Answer is A

Explanation

A nurse is reinforcing teaching with a client who has a prescription for oral suspension phenytoin. Which of the following information should the nurse include in the teaching?

Correct Answer is C

Explanation

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