A client with multiple sclerosis (MS) fell while walking to the bathroom. Upon transfer to the intensive care unit, the client is confused and has had projectile vomiting twice. Which intervention should the nurse implement first?

Determine the client's last dose of corticosteroids.

Determine neurological baseline prior to the fall.

Administer a PRN IV antiemetic as prescribed.

Complete head-to-toe neurological assessment.

Answer and Explanation

The Correct Answer is C

A. While knowing the last dose of corticosteroids may be relevant, it does not address the immediate symptoms of confusion and vomiting.
B. Establishing a neurological baseline is important, but the priority is to manage the client's acute symptoms first.
C. Administering a PRN IV antiemetic is essential to manage the projectile vomiting, which can lead to further complications like aspiration or dehydration. This intervention directly addresses the client's current distress.
D. A complete head-to-toe neurological assessment is important for ongoing monitoring, but it should be conducted after stabilizing the client's immediate symptoms.

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Correct Answer is B

Explanation

A. It is accurate that vaccination is most effective before symptoms appear, but this statement does not address the client's immediate need for treatment.
B. Oseltamivir (Tamiflu) is an antiviral medication that can be prescribed for influenza symptoms if taken within the first 48 hours of symptom onset, making it appropriate to refer the client for a prescription.
C. While over-the-counter medications may help alleviate some symptoms, they do not treat the underlying viral infection, and antiviral medications can be more effective.
D. This statement is true but does not directly answer the client's question about the treatment of influenza with oseltamivir.

Correct Answer is ["100"]

Explanation

Infusion rate (mL/hr) = Volume (mL) / Time (hr)

Volume = Desired dose (mg) / Concentration (mg/mL)

Volume = 500 mg / 500 mg/mL = 100 mL

Infusion rate = 100 mL / 1 hr = 100 mL/hr

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A client with multiple sclerosis (MS) fell while walking to the bathroom. Upon transfer to the intensive care unit, the client is confused and has had projectile vomiting twice. Which intervention should the nurse implement first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with symptoms of influenza that started the previous day asks the clinic nurse about taking oseltamivir to treat the infection. Which response should the nurse provide?

Correct Answer is B

Explanation

A client receives a prescription for vancomycin 500 mg IV every 8 hours. The medication is provided in, "500 mg per 100 mL of dextrose 5% in water." To administer the medication over an hour, the nurse should set the infusion pump to deliver how many mL/hr? (Enter numerical value only.)

Correct Answer is ["100"]

Explanation

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