The healthcare provider prescribed octreotide 150 mcg/day subcutaneously for a client with dumping syndrome. The medication is available in 0.2 mg/mL vials. How many mL should the practical nurse (PN) administer? (Enter numerical value only. If rounding is required, round to the nearest hundredth).
The Correct Answer is ["0.75"]
To calculate the amount of mL to administer, the PN should use the following formula:
mL = (mcg x 1 mg/1000 mcg) / (mg/mL)
Plugging in the given values, we get:
mL = (150 x 1/1000) / (0.2)
mL = 0.15 / 0.2
mL = 0.75
Therefore, the PN should administer 0.75 mL of octreotide subcutaneously.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
- Oral hygiene is the care of the mouth, teeth, and gums. It is important to perform oral hygiene on unconscious clients to prevent infection, dryness, and discomfort.
- When performing oral hygiene on an unconscious client, the client should be placed in a **Fowler's position** or a **semi-Fowler's position**, which means the head of the bed is elevated 45 to 90 degrees or 15 to 45 degrees, respectively. This position helps to prevent aspiration of fluids or secretions into the lungs, which can cause pneumonia or other complications.
- A **side-lying position** is when the client is lying on one side, with the lower arm under the head or pillow and the upper arm resting on a pillow in front of the chest. This position may be used for comfort or to relieve pressure on certain areas of the body, but it is not suitable for oral hygiene on an unconscious client, as it does not prevent aspiration.
- An **emesis basin** is a kidney-shaped container that is used to collect vomit or other fluids from the mouth. It should be placed under the client's chin during oral hygiene to catch any excess water or debris, but it does not prevent aspiration.
- In the scenario, the unlicensed assistive personnel (UAP) is performing oral hygiene on an unconscious client who is lying in a flat side-lying position with an emesis basin on the bedside table near the chin. This is an unsafe and incorrect technique, as it puts the client at risk of aspiration. The practical nurse (PN) should stop the procedure and tell the UAP to place the client in Fowler's position, which is the correct and safe position for oral hygiene on an unconscious client.
Therefore, option B is the correct answer, while options A, C, and D are incorrect.
Option A is incorrect because enrolling the UAP in a hospital education class on conducting safe client care does not address the immediate problem or correct the error.
Option C is incorrect because praising the UAP for doing oral hygiene but encouraging family participation does not address the error or ensure the client's safety.
Option D is incorrect because telling the UAP to continue because the unconscious client is positioned safely is false and negligent.
Correct Answer is B
Explanation
This is the observation that indicates that the UAPs need additional information about the turning procedure because it is incorrect and may cause complications for the client. The client who had a hip arthroplasty with prosthesis placement should not keep both legs straight and together while turning because this may cause dislocation of the prosthesis, nerve damage, or bleeding. The client should keep the affected leg slightly abducted and supported with pillows or an abduction device.
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