Your patient is prescribed Solu-Medrol 2 mg/kg/day in four divided doses. The medication is supplied as 10 mg/5 mL. The patient weighs 110 lbs. How many mL's will the nurse administer per dose?

Answer and Explanation

The Correct Answer is ["12.5"]

1 kilogram equals 2.2 pounds.

110 lbs, which is equivalent to 50 kg (110 lbs / 2.2).

The prescribed dose is 2 mg/kg/day, so the total daily dose is 100 mg (2 mg/kg * 50 kg). This total daily dose is divided into four doses, which means each dose is 25 mg (100 mg / 4).

The medication is supplied as 10 mg/5 mL, so for a 25 mg dose, the nurse will administer 12.5 mL (25 mg * (5 mL / 10 mg)). Therefore, the nurse will administer 12.5 mL per dose.

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Correct Answer is C

Explanation

A. This option refers to the pathogens themselves (infectious agents) and the places where they live and multiply (reservoirs). Washing hands does not directly affect the relationship between these two.
B. The portal of exit refers to how an infectious agent leaves the reservoir (e.g., through feces, urine, etc.), and the mode of transmission refers to how the agent spreads (e.g., via hands, surfaces, etc.). Handwashing helps reduce the potential for pathogens to be transmitted but does not specifically break the chain between these two links.
C. Handwashing after using the bathroom effectively breaks the chain of infection by interrupting the mode of transmission (direct contact with contaminated hands) and preventing pathogens from entering another person's body (portal of entry). By cleaning hands, the risk of spreading infectious agents to others is significantly reduced.

D. This option refers to the relationship between a person who is vulnerable to infection (susceptible host) and the pathogens that cause disease (infectious agents). While handwashing helps prevent infections, it primarily acts on the transmission aspect rather than directly affecting susceptibility.

A. There is no peak of action for this insulin, which reduces the risk of hypoglycemia B. Check blood glucose levels prior to and after exercising. C. Check blood glucose levels on a weekly basis D. Check for microalbuminuria if blood glucose levels are above 280 mg/dl E. Rotate sites when injecting insulin glargine

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

Explanation

A. Insulin glargine is a long-acting insulin that provides a steady release of insulin without a pronounced peak. This characteristic helps reduce the risk of hypoglycemia compared to shorter-acting insulins, making it an important point to educate the client on.
B. It is important for individuals with diabetes to monitor their blood glucose levels before and after exercise, as physical activity can significantly affect glucose levels. This practice helps the client avoid hypoglycemia during and after exercise, especially if they are on insulin.
C. Clients should monitor their blood glucose levels more frequently than weekly, especially if they are on insulin. Daily monitoring is typically recommended, especially if there are changes in diet, activity level, or medications. Weekly checks may not provide adequate insight into glucose control.
D. Partially correct but not a primary focus for immediate discharge teaching. While monitoring for microalbuminuria is important for long-term kidney health, it is not typically a direct action related to daily management. This would be part of routine assessments rather than immediate discharge instructions.
E. Rotating injection sites is crucial to prevent lipodystrophy and ensure consistent absorption of insulin. Educating the client on proper injection techniques, including site rotation, is essential for effective insulin management.

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Your patient is prescribed Solu-Medrol 2 mg/kg/day in four divided doses. The medication is supplied as 10 mg/5 mL. The patient weighs 110 lbs. How many mL's will the nurse administer per dose?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse recognizes that teaching a client to wash the hands after using the bathroom is an attempt to break the chain of infection between the:

Correct Answer is C

Explanation

The nurse is discharging a client who was just prescribed insulin glargine daily at 2100. Which of the following should be included in the teaching? (SELECT ALL THAT APPLY)

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

Explanation

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