The nurse prepares to administer promethazine 35 mg intramuscularly prescribed as needed for a client with cholecystitis who has severe nausea. The ampule label reads that the medication is available in 25 mg/mL. How many milliliters should the nurse administer?

Record your answer using one decimal place.

1.4

1.5

0.7

Answer and Explanation

The Correct Answer is B

Choice A rationale: this corresponds with 25 mg which is lower than the prescribed amount.

Choice B rationale: To answer this question, we need to use the formula: volume (mL) = dose (mg) / concentration (mg/mL). We plug in the given values: volume (mL) = 35 mg / 25 mg/mL. We simplify the fraction: volume (mL) = 7/5. We convert the fraction to a

decimal: volume (mL) = 1.4. Therefore, the nurse should administer 1.4 mL of promethazine.

Choice C rationale: this corresponds with 37.5 mg which is too high.

Choice D rationale: this corresponds with 17.5 mg which is too low.

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Correct Answer is D

Explanation

Choice A rationale: Phenelzine is an antidepressant that typically does not affect blood glucose levels significantly.

Choice B rationale: Allopurinol, used for gout, is not known to significantly impact blood glucose levels.

Choice C rationale: Metoprolol, a beta-blocker, might mask some symptoms of hypoglycemia but is not typically associated with causing hyperglycemia.

Choice D rationale: Methylprednisolone, a corticosteroid, can elevate blood glucose levels and might contribute to hyperglycemia in a person with diabetes mellitus.

A. Tachycardia, decreased pedal pulses B. Muscle weakness, Diarrhea, dizziness C. Decreased level of consciousness, irregular muscle twitching D. Jaundice skin, hypotension, bradycardia

Correct Answer is B

Explanation

Choice A rationale: These side effects are not related to spironolactone use.

Choice B rationale: These are common side effects of spironolactone, as it causes potassium retention and sodium loss.

Choice C rationale: These side effects are not related to spironolactone use.

Choice D rationale: These side effects are not related to spironolactone use.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is D

Explanation

Spironolactone (Aldactone) is prescribed for a client with chronic cirrhosis and ascites. The nurse should monitor the client for which of the following medication-related side effects?

Correct Answer is B

Explanation

A 21-year-old college student has come to see the nurse practitioner for treatment of a vaginal infection. Physical assessment reveals inflammation of the vagina and vulva, and vaginal discharge has a cottage cheese appearance. These findings are consistent with:

A nurse assesses a group of clients who have rheumatoid arthritis (RA). Which client would the nurse see first?

You are working in a Family Practice office. A patient comes into the office with right facial drooping. The physician makes a diagnosis of Bell's palsy. You know that the primary treatment for this disease is likely to include:

Which of the following imagine the nurse will recognize as a positive evidence of adenomyosis?

Which assessment finding in a 36-yr-old patient is most indicative of a need for further evaluation?

A nurse is teaching a client newly diagnosed with osteoarthritis (OA) about drugs used to treat the disease. For which drug does the nurse less likely plan health teaching?

Which disorder is associated with the compression of the bilateral nerve roots of the lumbosacral region?