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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 D

Explanation

A. "I will have some pain that is similar to a toothache.": This statement shows an understanding that discomfort can occur after a bone marrow aspiration, which is a common experience.

B. "I understand that this is a sterile procedure.": This demonstrates awareness of the importance of sterility during the procedure to prevent infection, which is accurate.

C. "The nurse will check the puncture site at least every 4 hours after the procedure.": This indicates an understanding of the need for monitoring the puncture site for complications such as bleeding or infection, which is an appropriate expectation.

D. "The nurse will give me one 650 mg tablet of Aspirin for pain when the procedure is over.": This statement indicates a need for additional teaching because aspirin can increase the risk of bleeding, particularly after a procedure involving puncturing the skin. Generally, acetaminophen (Tylenol) would be recommended for pain relief instead of aspirin.

A. Meat and eggs mostly contain unsaturated fats B. Coconut oil has a rich flavor and is a good cooking oil C. "Olive oil is high in saturated fats so I should avoid it D. "Canola oil is a monounsaturated fat and is recommended.

Correct Answer is D

Explanation

A. Meat and eggs mostly contain unsaturated fats: This statement is incorrect. Meat and eggs are primarily sources of saturated fats, which should be limited in a diet aimed at reducing coronary artery disease risk.
B. Coconut oil has a rich flavor and is a good cooking oil: This is misleading. While coconut oil is popular, it is high in saturated fats, and many health guidelines recommend limiting its use, especially for those with coronary artery disease.

C. "Olive oil is high in saturated fats so I should avoid it": This statement is also incorrect. Olive oil is primarily composed of monounsaturated fats, which are considered heart-healthy and are recommended in moderation for individuals with coronary artery disease.

D. "Canola oil is a monounsaturated fat and is recommended": This statement is accurate. Canola oil contains a high proportion of monounsaturated fats and is often recommended as a healthier option for cooking and salad dressings for those looking to limit saturated fat intake.

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Naxlex Comprehensive Predictor Exams

The nurse understands that a client who has had a bone marrow aspiration to assist in the diagnosis of anaemia requires additional teaching when they state:

Correct Answer is D

Explanation

The nurse is conducting dietary teaching for a client diagnosed with coronary artery disease. Which statement made by the client indicates an understanding of fat sources and the need to limit saturated fats?

Correct Answer is D

Explanation

The nurse is caring for a client diagnosed with iron deficiency anemia as the result of a gastrointestinal (GI) bleed. What discharge instruction should the nurse provide if this client is also prescribed aspirin 81 mg daily?

The nurse who is providing instructions to a client with hypertension will stress that it is most important to:

The nurse should teach the client who is taking digoxin 0.125 mg PO daily to call the healthcare provider if which side effect is experienced?

The nurse auscultates a loud heart murmur while performing a cardiac assessment on a client. The nurse is aware that a heart murmur reflects:

The client with coronary artery disease asks the nurse. "Why do I get this chest pain?" Which would be the most appropriate response?

A client who has chronic stable angina is being discharged. Which statement by the client indicates an understanding of the discharge teaching?

The nurse caring for the client diagnosed with sickle cell crisis places priority on which specific goal(s) prior to discharge? (SELECT ALL THAT APPLY)

The nurse is reviewing the laboratory data of a client diagnosed with coronary artery disease. Which set of laboratory results indicates a need for client teaching regarding dietary modifications?