The nurse is educating a client with insomnia how to promote better sleep. Which interventions should she include for this client? (Select all that apply).

The question asks how many milligrams of the medication will be in 1 mL of D5W. To find this, we need to know the concentration of the medication in the solution.

Concentration is the amount of medication per unit volume of solution. We can use this formula:

Concentration = Mass / Volume

We know that 250 mg of the medication is diluted in 500 mL of D5W. So we can plug these values into the formula:

Concentration = 250 mg / 500 mL Simplifying, we get:

Concentration = 0.5 mg / mL

This means that there are 0.5 mg of the medication in every 1 mL of D5W. So the answer is

1. To check our answer, we can use another formula:

Mass = Concentration x Volume

If we want to find the mass of the medication in 1 mL of D5W, we can multiply the concentration by the volume:

Mass = 0.5 mg / mL x 1 mL Simplifying, we get:

Mass = 0.5 mg

This matches our answer.

The other choices are wrong because they do not use the correct formula or values. Here is why:

Choice A is wrong because it uses the inverse of the concentration (1 / 0.5) instead of the concentration (0.5).

Choice B is wrong because it uses the mass of the medication (250 mg) instead of the concentration (0.5 mg / mL).

This is because the patient may be experiencing serotonin toxicity, a potentially life- threatening condition caused by excessive levels of serotonin in the brain. Paroxetine (Paxil) is a selective serotonin reuptake inhibitor (SSRI) that increases serotonin levels, and some other medications or supplements may interact with it and cause serotonin toxicity. Some of the symptoms of serotonin toxicity include agitation, increased sweating, and hallucinations.

Choice B is wrong because administering an anti-anxiety medication may worsen serotonin toxicity, especially if the medication is also an SSRI or another serotonergic agent.

Choice C is wrong because placing the patient in loose bilateral arm restraints may increase the risk of injury or agitation, and does not address the underlying cause of the symptoms.

Choice D is wrong because telling the patient that the voices they are hearing are not real may not be helpful or reassuring, and may also increase the patient’s distress or confusion.