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The healthcare provider prescribes cefixime oral suspension 200 mg by mouth twice a day for an older adult who has difficulty swallowing pills. The bottle is labeled, "Cefixime for Oral Suspension, USP 100 mg per 5 mL." How many mL should the nurse administer daily? (Enter numerical value only.)

Answer and Explanation

The Correct Answer is ["20"]

To calculate the total daily dose, we first need to determine the dose per administration:

Desired dose = 200 mg/dose
Concentration = 100 mg/5 mL

Volume (mL) = Desired dose (mg) / Concentration (mg/mL)

Volume = 200 mg / (100 mg/5 mL) = 10 mL

Now, calculate the total daily volume:

10 mL/dose 2 doses/day = 20 mL/day

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Correct Answer is D

Explanation

A. Positioning the client in a lateral lying position might help with comfort but does not address the immediate concern of the low blood pressure.
B. Documenting the blood pressure and monitoring the client is important, but it does not address the need to prevent potential adverse effects from administering the medication at such a low blood pressure.
C. Encouraging an increase in oral fluid intake may be helpful in managing blood pressure, but the immediate priority should be to address the potential effects of the medication on the low blood pressure.
D. Holding the medication and notifying the healthcare provider is the appropriate action because administering the medication with a blood pressure of 80/50 mm Hg could worsen hypotension and lead to further complications. The healthcare provider should be informed to reassess the medication plan.

A. Dizziness can occur during cleansing. B. Foreskin should not be retracted. C. An erection may occur while providing care. D. Pubic area should be kept shaved.

Correct Answer is C

Explanation

A. Dizziness is not typically associated with routine perineal care, so it is not a common concern for the caregiver to monitor during cleansing. Normal care does not usually affect blood pressure or circulation enough to cause dizziness.

B. The foreskin should be gently retracted in male clients who are uncircumcised to clean beneath it, as failing to do so can lead to buildup of secretions and increase the risk of infection. Proper retraction is important for hygiene and to prevent conditions like balanitis.

C. An erection may occur as a reflex response during perineal care, especially in males with intact neurologic function. Caregivers should be aware of this possibility and continue care calmly and professionally without assuming it is sexual in nature.

D. The pubic area does not need to be shaved for routine hygiene, and shaving can cause microabrasions that increase the risk of infection. Proper cleansing with soap and water is sufficient to maintain perineal hygiene.

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The healthcare provider prescribes cefixime oral suspension 200 mg by mouth twice a day for an older adult who has difficulty swallowing pills. The bottle is labeled, "Cefixime for Oral Suspension, USP 100 mg per 5 mL." How many mL should the nurse administer daily? (Enter numerical value only.)

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Naxlex Comprehensive Predictor Exams

The healthcare provider prescribes two doses of an antihypertensive medication for a client. Before administering the second dose, the nurse obtains a blood pressure measurement of 80/50 mm Hg. Which action should the nurse take?

Correct Answer is D

Explanation

The nurse is explaining perineal care to the caregiver of a male client. Which information should the nurse include?

Correct Answer is C

Explanation

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