How it Works
Try Naxlex NCLEX-RN (Free-Trial)

The client is awake and alert, interacting with parents at the bedside.
She has thin, copious mucus from her nose and mouth and a cough.
She took her bottle in 20 minutes, with no issues.
The client’s monitor alarmed, oxygen saturation is 59%. She is cyanotic.
The client was placed in a knee-to-chest position, and the rapid response team was called.
What could be the potential cause of the client’s condition?

A.

Seizure activity.

B.

Arrhythmia.

C.

Increased oxygen demand.

D.

Acidosis.

Answer and Explanation

The Correct Answer is B

Choice A rationale 
Seizure activity typically presents with symptoms such as convulsions, loss of consciousness, or abnormal behavior, which are not described in the scenario. 
Choice B rationale 
Arrhythmia, or an abnormal heart rhythm, could potentially cause a sudden drop in oxygen saturation and cyanosis. It could also lead to a rapid response team being called. 
Choice C rationale 
Increased oxygen demand could potentially lead to low oxygen saturation. However, it would not typically cause cyanosis or require the rapid response team to be called unless it was associated with another condition such as heart or lung disease. 
Choice D rationale 
Acidosis, or a high level of acid in the body, could potentially cause low oxygen saturation. However, it would not typically cause cyanosis or require the rapid response team to be called unless it was severe or associated with another condition. 
 
 


Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Free Nursing Study Resources

Related Questions

Correct Answer is D

Explanation

Choice A rationale
While it’s good that the client has reduced her alcohol intake, consuming alcohol during pregnancy can cause problems for the baby throughout pregnancy, including before a woman knows she is pregnant. Therefore, praising the client for her actions and offering to discuss ways to decrease consumption even more might not be enough.
Choice B rationale
Insisting that the client stop all alcohol use and drawing a blood alcohol level at each prenatal visit could be seen as invasive and might not address the underlying issue of alcohol dependency.
Choice C rationale
Notifying child protective services of the client’s illicit drug use and probable child endangerment is not applicable in this situation as the client has not mentioned any illicit drug use.
Choice D rationale
Referring the client to an outpatient alcohol abuse program for disulfiram therapy could be the most beneficial action. Disulfiram is a drug that is used to support the treatment of chronic alcoholism by producing an acute sensitivity to alcohol.

Correct Answer is ["25"]

Explanation

Answer and explanation

Step 1 is to convert the child’s weight from pounds to kilograms since the dosage is prescribed in mg/kg. We know that 1 kg is approximately 2.2 lbs. So, the child’s weight in kg is 55 lbs ÷ 2.2 = 25 kg (rounded to the nearest whole number for simplicity).

Step 2 is to calculate the total daily dosage. The prescription is for isoniazid 10 mg/kg/day. So, the total daily dosage in mg is 10 mg/kg/day × 25 kg = 250 mg/day.

Step 3 is to calculate the volume of the oral solution to administer. The bottle is labeled, “Isoniazid Oral Solution, USP 50 mg per 5 mL.”. So, the volume in mL to administer is (250 mg/day ÷ 50 mg) × 5 mL = 25 mL. Therefore, the nurse should administer 25 mL of the Isoniazid Oral Solution, USP 50 mg per 5 mL, once a day.

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Register