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","D","E"]

Explanation

A. Clients on warfarin should generally avoid nonsteroidal anti-inflammatory drugs (NSAIDs) like aspirin and ibuprofen, as these can increase the risk of bleeding. Instead, acetaminophen is often recommended for pain relief, but it should be used cautiously and under a healthcare provider’s guidance.
B. While vitamin K found in green, leafy vegetables can affect warfarin levels, clients do not need to eliminate these foods entirely. Instead, they should maintain a consistent intake of vitamin K-rich foods to help manage their INR levels. Sudden changes in diet can lead to fluctuations in anticoagulation control.
C. It is important for clients taking warfarin to wear a medical alert bracelet. This alerts healthcare providers in case of an emergency, as the client may require special care due to their anticoagulant therapy.

D. Using an electric razor is a safer option for clients on warfarin as it reduces the risk of cuts and bleeding compared to using a traditional razor. This is an important safety measure for those on anticoagulation therapy.
E. Monitoring prothrombin time (PT) and International Normalized Ratio (INR) is essential for clients on warfarin to ensure they are within the therapeutic range. Regular testing helps to manage the dosage effectively and minimize the risk of bleeding or thrombosis.

A. Notify the physician B. Cover the limb with a blanket C. Reposition the limb and reassess D. Elevate the extremity on a pillow

Correct Answer is A

Explanation

A. The loss of a pulse and the cool, dusky appearance of the foot indicate potential complications such as thrombus formation or arterial occlusion, which require prompt medical evaluation and intervention. Notifying the physician ensures that appropriate diagnostic and therapeutic measures can be taken quickly.
B. While keeping the client warm is important, simply covering the limb does not address the underlying issue of compromised circulation. This action could potentially delay necessary interventions that address the lack of blood flow.
C. Although repositioning the limb might help with circulation, it is not sufficient given the critical nature of the symptoms. It is essential to first inform the physician to get guidance on further evaluation or interventions. Repositioning could also delay timely intervention needed to prevent tissue damage.
D. Elevating the limb might worsen blood flow in a case of compromised circulation. In cases of suspected arterial occlusion, keeping the limb at heart level or below may be more appropriate to promote blood flow. Elevating it could delay necessary treatment.

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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 is providing teaching to a client who is being discharged with a prescription for warfarin. Which information should be included in the teaching for this medication? (SELECT ALL THAT APPLY)

Correct Answer is ["C","D","E"]

Explanation

A client has returned to the unit following a peripheral angiogram with a stent insertion. Four hours post procedure, the nurse can no longer palpate the dorsalis pedis pulse and the foot is cool and dusky. What should be the nurse's immediate action?

Correct Answer is A

Explanation

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