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The nurse calculates that 8 ml of cefazolin is to be drawn from a vial after reconstitution. The instructions state that the medication is to be further diluted in 50 mls of NSS for IV administration and to run over 30 minutes. At what rate will the nurse set to infusion pump to deliver the medication?

Answer and Explanation

The Correct Answer is ["116"]

To calculate the infusion rate, we'll follow these steps:

Determine the total volume to be administered:

8 mL (drawn from the vial) + 50 mL (dilution with NSS) = 58 mL

Calculate the infusion rate:

58 mL ÷ 30 minutes = 1.93 mL/minute

Convert mL/minute to mL/hour:

1.93 mL/minute × 60 minutes/hour = 116 mL/hour

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Correct Answer is C

Explanation

A. Your blood pressure reflects how strong your heart muscle contracts: This statement oversimplifies the complexities of blood pressure and doesn't directly address the client's misunderstanding about the implications of hypertension.

B. "If you feel good your medication is working properly": While this may be true, it fails to convey the importance of monitoring blood pressure, regardless of symptoms. It might lead the client to believe that feeling well means there are no health concerns.

C. "Even if you are feeling good, damage can occur to your heart and kidneys": This response is the most appropriate as it emphasizes that hypertension can cause silent damage over time, even in the absence of symptoms. It educates the client about the potential long-term consequences of uncontrolled hypertension.

D. "Have you told your doctor that you are feeling good?": While it encourages communication, it does not provide useful information or address the client’s misconceptions about hypertension and its risks.

A. "What were you doing when the pain started?" B. "How long has the pain lasted?" C. "How would you describe the pain?" D. "How has the pain affected your relationship with your spouse?" E. "Can you rate the pain on a 0-10 scale with 10 being the worst?"

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

Explanation

A. "What were you doing when the pain started?" This question helps identify potential triggers or activities that may have precipitated the chest pain, which is crucial for understanding the context of the pain.

B. "How long has the pain lasted?" Knowing the duration of the pain is vital in assessing the urgency of the situation and determining whether it may be related to a serious condition like angina or myocardial infarction.

C. "How would you describe the pain?" This question allows the client to characterize the pain (e.g., sharp, dull, squeezing), which can provide insights into the potential causes and the nature of the chest pain.

D. "How has the pain affected your relationship with your spouse?" While this question might provide some psychosocial context, it is less directly related to the immediate assessment of the chest pain itself and can be considered secondary.

E. "Can you rate the pain on a 0-10 scale with 10 being the worst?" Pain rating is essential in assessing the severity of the pain, which can help guide treatment and interventions.

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Naxlex Comprehensive Predictor Exams

The client diagnosed with primary hypertension states, "I don't know why the doctor is worried about my blood pressure. I am feeling just fine." Which statement by the nurse would be the most appropriate response?

Correct Answer is C

Explanation

The nurse is performing an admission assessment of a client complaining of chest pain. Which question(s) should the nurse ask in the assessment regarding the chief complaint? (SELECT ALL THAT APPLY)

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

Explanation

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