A client age 56 years is experiencing withdrawal from alcohol and is placing themselves at risk for falls by repeatedly attempting to scale the bedrails. Benzodiazepines have failed to alleviate the client's agitation, and the nurse is considering obtaining an order for physical restraints to ensure client safety. The nurse should recognize that this measure may constitute:

Harm.

Paternalism.

Deception.

Advocacy.

Answer and Explanation

The Correct Answer is B

A. While physical restraints may potentially cause harm, the intention in this case is to ensure safety, so it isn't directly categorized as harm.
B. Paternalism involves making decisions for the patient without their consent, believing it's for their own good, which is what the nurse is considering by using restraints for safety.
C. Deception is not involved in this situation, as the nurse is not misrepresenting the circumstances.
D. Advocacy would involve advocating for the patient's autonomy, which may not align with using restraints without the patient's consent.

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Free Nursing Study Resources

Correct Answer is ["7"]

Explanation

Available furosemide is at a concentration of 10 mg/mL.
The ordered dose is 70 mg.
To find the volume, divide the ordered dose by the concentration:

70 mg / 10 mg/mL = 7 mL

A. 2g B. 500 mg C. 4g D. 1g

Correct Answer is A

Explanation

A. 2g is correct because for patients with liver dysfunction, the maximum recommended dose of acetaminophen is reduced to 2 grams per day to prevent hepatotoxicity.
B. 500 mg is incorrect because while lower doses may be given at a time, the total daily limit for liver-compromised patients is higher than 500 mg.
C. 4g is incorrect as this is the maximum dose for healthy adults with normal liver function, but it is too high for those with liver disease.
D. 1g is incorrect because while it is a single-dose limit, the daily maximum for patients with liver dysfunction is 2g, not 1g.

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Naxlex Comprehensive Predictor Exams

Furosemide (Lasix) 70 mg IV daily. You retrieved Furosemide 10 mg/ml from the pyxis. How much ml will you administer to the client? NOTE DO NOT write the unit/s of measurement YOUR ANSWER SHOULD BE IN WHOLE NUMBER

Correct Answer is ["7"]

Explanation

The nurse is caring for a patient with liver dysfunction. What is the maximum dose of acetaminophen the patient should receive in 24 hours?

Correct Answer is A

Explanation

A nurse demonstrates the professional value known as altruism when caring for clients in a long-term care facility. What nursing action demonstrates this behavior?

Why is restraining a competent patient against his or her wishes considered an intentional tort?

Which combinations of drugs have been found to be effective in managing the pain associated with musculoskeletal and soft tissue inflammation?

Why use a specific pain intensity scale in the critical care unit?

The Provider orders an IV weight-based medication to be infused at 4 mcg/kg/min. The patient weighs 198 lbs. You are supplied with a bag of the IV medication that reads 250mg/250 ml. How many mL/hr will you administer? NOTE DO NOT write the unit/s of measurement DO NOT round your answer

The nurse in the ED is reviewing the EKG strip of a client who has prolonged vomiting. Which of the following abnormalities on the client's EKG should the nurse interpret as a sign of hypokalemia?

Which action would the nurse take if the patient brought to the emergency after hiking in the desert for 2 hours is confused, reports hallucinations, and has a temperature of 104.2°F (40.1°C), dark amber urine, and a serum sodium of 128 mEq/L? (Select all that apply.)