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The healthcare provider (HCP) prescribes diazepam 8 mg IM every 4 hours PRN for muscle spasms for a client with a fractured femur. The available vial is labeled "Diazepam Injection, USP 10 mg/2 mL." How many mL should the nurse administer to the client?

(Enter numerical value only. If rounding is required, round to the nearest tenth.)

Answer and Explanation

The Correct Answer is ["1.6"]

Calculations

Step 1: Identify the prescribed dose.

Prescribed dose = 8 mg

Step 2: Identify the concentration of the vial.

Concentration = 10 mg per 2 mL

Step 3: Calculate the mL per mg.

2 mL ÷ 10 mg = 0.2 mL per 1 mg

Step 4: Calculate the required volume to administer.

8 mg × 0.2 mL/mg = 1.6 mL

Result

The nurse should administer 1.6 mL to the client.

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Correct Answer is B

Explanation

Choice A reason: Notifying the surgical team to cancel the surgery is premature without confirming the pregnancy status. While it is critical to consider the possibility of pregnancy before surgery, the decision to cancel should be based on confirmed information rather than a possibility.

Choice B reason: Performing a bedside pregnancy test is the most appropriate immediate intervention. This test can provide rapid confirmation of pregnancy status. If the client is pregnant, the surgical team can then evaluate the risks and benefits of proceeding with or postponing the surgery. Immediate confirmation helps guide clinical decision-making and ensures the safety of both the client and the potential fetus.

Choice C reason: Continuing with surgery as scheduled without confirming the pregnancy status is not appropriate. Anesthesia and surgical procedures can pose risks to a pregnant client and the fetus. It is essential to verify the pregnancy status to make an informed decision about the safety and necessity of the surgery.

Choice D reason: Calculating gestation from the last menstrual cycle can provide an estimate of the pregnancy duration, but it does not confirm pregnancy. A bedside pregnancy test should be performed first to confirm whether the client is pregnant before considering gestational age. This information can then be used to further assess the situation and plan appropriate care.

A. Massage therapy. B. Structured exercise. C. Carnivore diet. D. Leg elevation.

Correct Answer is B

Explanation

Choice A reason: Massage therapy can help with relaxation and improving circulation in some cases, but it is not a primary intervention for managing PAD. Structured exercise is more effective in improving symptoms and overall cardiovascular health.

Choice B reason: Structured exercise is the most appropriate intervention for a client with PAD. Regular physical activity, especially walking, can help improve blood flow, reduce symptoms, and enhance overall cardiovascular health. It is recommended that clients with PAD engage in a supervised exercise program to ensure safety and effectiveness.

Choice C reason: A carnivore diet is not recommended for clients with PAD. A heart-healthy diet that includes a variety of fruits, vegetables, whole grains, lean proteins, and healthy fats is more beneficial for managing PAD and reducing cardiovascular risk factors.

Choice D reason: Leg elevation can help reduce swelling and improve comfort, but it is not a primary intervention for managing PAD. Structured exercise has a more significant impact on improving blood flow and reducing symptoms.

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Naxlex Comprehensive Predictor Exams

While completing a health assessment for a young adult female with acute appendicitis, the client informs the nurse that there is a chance that she may be pregnant. The operating team is preparing to take the client to surgery. Which intervention should the nurse implement immediately?

Correct Answer is B

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