The nurse prepares a continuous aminophylline infusion at 0.3 mg/kg/hr for a client weighing 165 pounds.

The bag is mixed with 500 mg of aminophylline in 250 mL of D5W.

At which rate should the nurse set the pump in mL/hr? Round the answer to the tenths place.

Acute trauma causes physiological and psychological distress, often manifesting as agitation or panic. Resolving this requires applying crisis intervention principles, prioritizing safety, and using therapeutic communication to de-escalate the client while monitoring for signs of worsening physical or mental instability.

Choice A rationale

Leaving an agitated, tachycardic client alone is unsafe. The client may fall, pull out invasive lines, or suffer a physiological crisis. Constant observation is necessary to maintain physical safety and monitor a heart rate exceeding 100/min.

Choice B rationale

While understanding coping mechanisms is part of psychosocial assessment, it is not the priority during an acute, agitated crisis. The immediate need is to stabilize the client and ensure safety before exploring long-term behavioral patterns.

Choice C rationale

Staying with the client provides immediate support and safety. Positioning near the door ensures nurse safety, while calm communication reduces sympathetic nervous system overactivity, helping to lower a heart rate of 128/min and rapid respirations.

Choice D rationale

Commanding a distressed client to calm down is often counterproductive and non-therapeutic. It minimizes the client's feelings and can increase agitation. Therapeutic intervention requires a calm presence rather than authoritative demands during a traumatic event.

Discharge teaching for post-radiation brain tumor patients requires understanding oncology and pharmacology. Knowledge of medication adherence, symptom monitoring for increased intracranial pressure, and integumentary protection is needed. Identifying misconceptions ensures patient safety and prevents potential neurological relapse or secondary injury.

Choice A rationale

Abrupt cessation of medications, especially anticonvulsants or steroids used in neuro-oncology, can trigger rebound edema or seizures. Maintaining therapeutic blood levels is critical for managing potential complications after radiation therapy has concluded to ensure neurological stability.

Choice B rationale

Headaches and visual disturbances are primary indicators of increased intracranial pressure or tumor recurrence. Patients must recognize these signs as urgent neurological changes that require immediate medical evaluation to prevent brain herniation or permanent functional loss.

Choice C rationale

Radiation therapy damages the DNA of skin cells, leading to thinning and increased sensitivity. Protecting the scalp from ultraviolet radiation prevents severe dermatitis and secondary burns on tissue that already has compromised healing capabilities.

Choice D rationale

Gradual reintegration into daily life is standard post-treatment advice. While energy levels dictate activity, resuming normal routines as tolerated is appropriate, provided the patient avoids hazardous activities if they have residual neurological deficits or seizure risks.