The healthcare provider prescribes diazepam 8 mg IM every 4 hours PRN 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"]

To determine how many milliliters (mL) of diazepam the nurse should administer to the client, first, we need to calculate the amount of medication needed for each dose.

The prescribed dose is 8 mg of diazepam.

Volume= Desired dose/available concentration per ml

Available concentration per ml= 10mg/2ml Available concentration per ml= 5mg/ml Volume= 8mg/5mg per ml

Volume= 1.6ml

So, the nurse should administer 1.6 mL of diazepam to the client.

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Correct Answer is B

Explanation

B. Comparing the client's pain scale rating with the prescribed dosing ensures that the nurse selects the appropriate medication and dosage based on the severity of the client's pain. This action helps ensure safe and effective pain management by matching the intensity of the client's pain with the appropriate analgesic medication and dose.
A. Although this may be relevant in some situations, particularly if the client's pain requires rapid relief, the nurse should prioritize selecting the medication and dose based on the severity of the client's pain rather than solely on the onset of action.
C. The process does not address the immediate need to select the appropriate analgesic medication for the client's pain.
D. This may not be appropriate, especially if the client is in pain or unable to make an informed decision about which medication to choose.

A. Fasting blood sugar of 200 mg/dl. (11.1 mmol/L). B. Serum creatinine of 1.9 mg/dl. (168 μmol/l) C. Glycosylated hemoglobin of 8%. D. Blood urea nitrogen of 22 mg/dL (7.9 mmol/L)

Correct Answer is B

Explanation

B. Creatinine is a waste product of muscle metabolism that is filtered by the kidneys. Elevated serum creatinine levels may indicate impaired kidney function. Since contrast agents can affect renal function, a serum creatinine level above the reference range should be reported to the healthcare provider before the MRI with contrast.

A. While elevated blood sugar levels may indicate diabetes or poor glycemic control, they are not directly related to kidney function or the risk of contrast-induced nephropathy. Therefore, this value is not the most pertinent for reporting before an MRI with contrast.
C.Glycosylated hemoglobin (HbA1c) reflects average blood glucose levels over the past two to three months and is used to assess long-term glycemic control in diabetes. While elevated HbA1c levels suggest poor diabetes management, they do not directly assess kidney function or the risk of contrast-induced nephropathy.
D. Blood urea nitrogen (BUN) levels reflect the amount of urea nitrogen in the blood and can indicate kidney function. Elevated BUN levels may suggest impaired renal function. However, an elevated serum creatinine is a more reliable marker for renal excretion.

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Naxlex Comprehensive Predictor Exams

A postoperative client reports incisional pain. The client has two prescriptions for PRN analgesia that accompanied the client from the postanesthesia unit. Before selecting which medication to administer, which action should the nurse implement?

Correct Answer is B

Explanation

Correct Answer is B

Explanation

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