The healthcare provider prescribes allopurinol 0.2 grams PO for a client with gout. The available medication is labeled, "Allopurinol tablets 200 mg." How many tablets should the nurse administer? (Enter numerical value only, rounded to the nearest whole number.)

Answer and Explanation

The Correct Answer is ["1"]

1 gram= 1000mg
0.2 grams = 200 milligrams

Since each tablet is 200 mg, the nurse should administer:

200 mg ÷ 200 mg/tablet = 1 tablet

Therefore, the nurse should administer 1 tablet of allopurinol.

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Correct Answer is ["B","C","D","E"]

Explanation

Send wound drainage for culture and sensitivity.

Culturing the wound drainage helps identify the specific bacteria causing the infection and determine its antibiotic susceptibility, guiding appropriate treatment.

C. Monitor the client's white blood cell count.

Monitoring the white blood cell count helps assess for signs of infection and the body's immune response to the MRSA infection.

D. Use standard precautions and wear a mask.

Standard precautions should always be followed to prevent the transmission of infections in healthcare settings. Wearing a mask may be indicated if there is a risk of respiratory droplet transmission during wound care or other procedures.

E. Institute contact precautions for staff and visitors.

Contact precautions should be implemented to prevent the spread of MRSA to others. This includes wearing gloves and gowns when providing care, as well as educating staff and visitors about proper hand hygiene and infection control measures.

A. Contraction of the left pupil when light shines in the right eye. B. Active bowel sounds in the lower right quadrant. C. Capillary refill of 2 seconds in the lower right foot. D. Basilar lung sounds that are diminished in the left lung.

Correct Answer is D

Explanation

A chart by exception system requires nurses to document deviations from the expected or normal findings rather than documenting every single detail.

D All lung zones should have clear vesicular breath sounds. The presence of diminished sounds indicated lung consolidation which can occur in pneumonic processes or pleural effecusion.

A This finding indicates a normal response known as a consensual response, where the left pupil constricts when light is shone into the right eye.

B Active bowel sounds are considered normal and indicate proper gastrointestinal motility.

C Capillary refill is a quick bedside test used to assess peripheral circulation and tissue perfusion. A refill time of 2 seconds is within the normal range (typically 2 seconds or less), indicating adequate perfusion.

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The healthcare provider prescribes allopurinol 0.2 grams PO for a client with gout. The available medication is labeled, "Allopurinol tablets 200 mg." How many tablets should the nurse administer? (Enter numerical value only, rounded to the nearest whole number.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client who is paraplegic is admitted with a foul-smelling drainage from a sacral ulcer. The client is suspected to have a methicillin- resistant Staphylococcus aureus (MRSA) infection. Which nursing intervention(s) should the nurse include in the plan of care? Select all that apply.

Correct Answer is ["B","C","D","E"]

Explanation

A healthcare organization requires nurses to chart by exception. Which assessment should the nurse document?

Correct Answer is D

Explanation

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