A client is prescribed intravenous naloxone STAT. The client weighs 144 lbs, and the recommended drug dosage is 0.01 mg/kg. Naloxone is available as indicated in this drug label. How much naloxone should the nurse plan to administer? Round to the nearest tenths place. Numeric answer only.
The Correct Answer is ["0.7"]
Step 1 is (144 lbs ÷ 2.2) Result = 65.45 kg (rounded to 65.5 kg for dosing precision)
Step 2 is (0.01 mg × 65.5 kg) Result = 0.655 mg
Step 3 is rounding 0.655 to the nearest tenths place Result = 0.7 mg
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Explaining that all people feel anxious minimizes the client’s concerns, potentially dismissing valid fears. This does not address specific anxieties, which may escalate, impacting recovery or consent. Encouraging expression fosters therapeutic communication, making this a less effective approach for addressing preoperative anxiety.
Choice B reason: Suggesting the client talk to the provider may clarify surgical concerns but delays immediate emotional support. Nurses can address anxiety through therapeutic communication, making it more appropriate to encourage expression of feelings rather than deferring to the provider initially for emotional support.
Choice C reason: Distracting the client by changing the subject avoids addressing anxiety, which may worsen emotional distress and affect surgical outcomes. Unresolved anxiety increases stress hormones, impacting recovery, making this ineffective compared to encouraging open expression of the client’s concerns.
Choice D reason: Encouraging the client to express feelings addresses preoperative anxiety, reducing stress hormones like cortisol that impair healing. Therapeutic communication validates fears, promotes coping, and enhances trust, making this the most effective nursing action to support emotional and physical preparation for surgery.
Correct Answer is B
Explanation
Choice A reason: Wheezes are high-pitched, musical sounds caused by narrowed airways, common in asthma or COPD exacerbations. They do not clear with coughing and are not moist or rumbling, making this an incorrect description for the lung sounds heard, which improve after coughing in this COPD client.
Choice B reason: Rhonchi are low-pitched, moist, rumbling sounds caused by secretions in larger airways, often in COPD. They improve with coughing as secretions are mobilized, matching the description provided. This makes rhonchi the accurate term for documenting these lung sounds, reflecting secretion accumulation in COPD.
Choice C reason: Crackles are fine or coarse popping sounds caused by fluid in smaller airways or alveoli, often in pneumonia or heart failure. They do not clear with coughing and are not rumbling, making crackles an incorrect choice for the moist, rumbling sounds that improve after coughing.
Choice D reason: Pleural friction rub is a grating sound caused by inflamed pleural surfaces, often in pleurisy. It is not moist or rumbling and does not improve with coughing, making it an inappropriate description for the lung sounds heard in this client with COPD, which are secretion-related.
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