A client is prescribed Methylprednisolone 25mg IV every 6 hours.

The vial (after reconstitution) reads Methylprednisolone 80mg/mL. How many milliliters will be drawn up in the syringe? (Use a leading zero if it applies, Round to the nearest tenth, Do not use a trailing zero).

Choice A rationale

Administrative law judges typically preside over hearings and issue decisions in cases involving administrative agencies, but they are not the primary entities responsible for enforcing the Nurse Practice Act itself. Their role is more adjudicatory within specific administrative disputes, not the initial enforcement body for professional licensure laws.

Choice B rationale

Government agencies for health, such as departments of health, may oversee various aspects of public health and healthcare facilities. However, the specific legal enforcement of nursing practice acts and professional licensure falls under the purview of a specialized regulatory body dedicated to nursing.

Choice C rationale

The State Board of Nursing is the governmental agency legally mandated to regulate the practice of nursing within its jurisdiction. This includes establishing educational requirements, issuing licenses, setting standards of practice, and enforcing the Nurse Practice Act through disciplinary actions.

Choice D rationale

The local judicial system, including courts, primarily interprets laws and resolves legal disputes. While they may be involved in appeals of Board of Nursing decisions or criminal cases related to nursing misconduct, they are not the direct enforcement body for the Nurse Practice Act.

Choice A rationale

Applying wrist and leg restraints significantly restricts a client's movement and can exacerbate confusion and agitation, potentially leading to increased injury risk and psychological distress. This intervention can also impair circulation and skin integrity if not meticulously monitored, and should only be used as a last resort when less restrictive measures have failed. Normal physiological response to restraint includes increased anxiety.

Choice B rationale

Administering medication to sedate a client might reduce restlessness temporarily but could also deepen confusion, increase the risk of falls, and mask underlying medical issues causing the change in mental status. Pharmacological interventions should be carefully considered, with the lowest effective dose, and after a thorough assessment of the cause of the altered mental state. Normal sedation levels aim for calm without excessive drowsiness.

Choice C rationale

While involving family can be supportive, expecting them to stay with the client constantly in a hospital setting may not always be feasible or sustainable. Although family presence can provide comfort and reorientation, it does not directly address the immediate environmental safety needs of a confused and restless client in a hospital. Normal family roles are supportive.

Choice D rationale

Moving the client to a room closer to the nurses' station allows for more frequent and direct observation by nursing staff. This increased proximity enables prompt intervention if the client attempts to get out of bed, falls, or exhibits further changes in mental status, enhancing safety without resorting to restrictive measures. Normal nursing practice prioritizes close monitoring for at-risk clients.