The healthcare provider prescribes interferon beta-1b 0.125 mg every other day for a client with multiple sclerosis. The nurse reconstitutes the single-use vial of powder labeled, "0.3 mg with 2 mL of sterile water." How many mL should the nurse administer to the client? (Enter the numerical value only. If rounding is required, round to the nearest tenth.)

Answer and Explanation

The Correct Answer is ["0.8"]

The vial contains 0.3 mg of medication, which has been reconstituted with 2 mL of sterile water. Therefore, each milliliter of solution contains 0.15 mg of medication.

The prescribed dose is 0.125 mg, so the nurse should administer $ \frac{0.125\ mg}{0.15\ mg/mL} = 0.8333 $ mL of the solution.

After rounding to the nearest tenth, the nurse should administer 0.8 mL of the reconstituted solution to the client every other day.

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Correct Answer is D

Explanation

D. Since the client has reported only minimal reduction in symptoms after taking lansoprazole (a proton pump inhibitor used to treat GERD) for one full week, it suggests that the current dosage may not be sufficient for adequate symptom relief. Therefore, the nurse should notify the healthcare provider.

A. Auscultating the client's bowel sounds and measure the abdominal girth. This action is not directly related to the client's reported lack of symptom improvement with lansoprazole.

B. Lansoprazole is typically taken before meals to maximize its effectiveness in reducing gastric acid production.

C.While it is true that healing of erosive esophagitis may take several weeks with treatment, the client's report of minimal symptom reduction suggests that further evaluation and potentially a change in treatment approach are warranted.

A. Explain that the need to restrict fluids is the primary limitation. B. Instruct the client to avoid foods with gluten, such as wheat bread. C. Describe the use of an elimination diet to find trigger foods. D. Advise the client to limit foods that are high in calcium and Iron.

Correct Answer is C

Explanation

C. Describing the use of an elimination diet to find trigger foods is a helpful approach. Crohn's disease can have trigger foods that worsen symptoms like abdominal pain, diarrhea, and bloating. By eliminating potential trigger foods one at a time and observing symptom changes, the client can identify which foods exacerbate their condition.

A. Explaining that the need to restrict fluids is the primary limitation is incorrect. Crohn's disease doesn't typically require fluid restriction unless complications like severe diarrhea or dehydration occur.

B. Instructing the client to avoid foods with gluten, such as wheat bread, is also not accurate unless the client has been diagnosed with celiac disease or has a gluten sensitivity.

D. Advising the client to limit foods that are high in calcium and iron is not generally recommended unless there are specific issues like intestinal strictures or obstructions that limit absorption.

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Naxlex Comprehensive Predictor Exams

A client who is newly diagnosed with erosive esophagitis secondary to gastroesophageal reflux disease (GERD) reports to the home health nurse that there has been only a minimal reduction in symptoms after taking lansoprazole PO for one full week. Which action should the nurse take?

Correct Answer is D

Explanation

A client with newly diagnosed Crohn's disease asks the nurse about dietary restrictions. How should the nurse respond?

Correct Answer is C

Explanation

A client with chronic cirrhosis has esophageal varices. It is most important for the nurse to monitor the client for the onset of which problem?

Patient Data Exhibits What order(s) would the nurse question? (Select all that apply.)

The nurse is performing a routine dressing change for a client with a stage 3 pressure injury that is red with significant granulation. The wound has a gauze dressing covering the area. Which action should the nurse implement?

A client receives a prescription for ophthalmic ketorolac, Prior to administering the medication, the nurse should review the medical record for which condition?

Patient Data Exhibits What actions can the nurse do to assist the client in improving their ventilation and oxygenation? Select all that apply.

The nurse notes that a client has been receiving hydromorphone every six hours for four days. Which assessment is most important for the nurse to complete?

The healthcare provider prescribes an IV solution of clindamycin 850 mg in 75 mL of DW to infuse over 30 minutes. The drop factor is 15 gtt/mL. The nurse should regulate the IV to deliver how many glt/minute? (Enler numeric value only. If rounding is required, round to the nearest whole number.)