A client with multiple sclerosis (MS) is receiving interferon beta-Ib 0.1875 mg subcutaneously every other day. The nurse reconstitutes the vial by slowly injecting 2 mL of diluent into the interferon vial for a reconstituted solution of 0.25 mg/1 mL. How many mL should the nurse administer? (Enter numeric value only. If rounding is required, round to the nearest hundredth.)

Answer and Explanation

The Correct Answer is ["0.75"]

To determine the correct dosage, the nurse should use the concentration of the reconstituted solution which is 0.25 mg per 1 mL. Since the prescribed dose is 0.1875 mg, the nurse needs to calculate the volume of the reconstituted solution that contains this dose. By dividing the prescribed dose (0.1875 mg) by the concentration of the solution (0.25 mg/mL), the result is the volume to administer. Therefore, the nurse should administer 0.75 mL of the reconstituted solution.

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Correct Answer is A

Explanation

A. Depletion of clotting factors occurs in DIC as the coagulation cascade is activated, leading to the formation of clots and subsequent consumption of clotting factors, which can result in bleeding.

B. Activation of complement pathways is part of the immune response but does not directly explain the coagulopathy seen in DIC.

C. Production of extra platelets may occur, but in DIC, platelets are consumed more rapidly than they can be produced, contributing to bleeding risks.

D. Inhibition of red blood production is not directly related to the coagulation issues seen in DIC; rather, it relates more to the overall effects of shock and organ dysfunction.

A. Take out dentures and place in a labeled cup. B. Gently close the eyes. C. Remove resuscitation equipment from the room. D. Apply a body shroud.

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

Explanation

A. Taking out dentures is generally not done, as it can be considered disrespectful and is not a standard procedure before family viewing.

B. Gently closing the eyes is a common practice to present the body respectfully to the family.

C. Removing resuscitation equipment from the room is essential to create a peaceful environment for the family.

D. Applying a body shroud is appropriate to cover the body respectfully before family viewing.

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Naxlex Comprehensive Predictor Exams

A client with septic shock develops disseminated intravascular coagulation (DIC). Which pathophysiologic process should the nurse recognize as the cause of the coagulation problem?

Correct Answer is A

Explanation

After an unsuccessful resuscitation attempt, the nurse calls the family of the deceased. The family wish to see the body before it is taken to the funeral home. Which intervention(s) should the nurse take to prepare the body before the family enters the room? Select all that apply.

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

Explanation

After inflating a blood pressure cuff and releasing the valve, the nurse hears silence followed by a Korotkoff sound. Which action should the nurse take next?

Which assessment technique provides the most useful data when the nurse is concerned about possible urinary retention?

The nurse is performing a functional assessment on an older client who lost five pounds (2.27 Kg) of weight since the last visit 12 weeks ago, and who reports a decrease in energy and appetite. Which action should the nurse include during the assessment?

Which breakfast selection should the nurse recommend for a 16-year-old with diarrhea?

The nurse is assessing a 3-month-old client who had a pyloromyotomy yesterday. This child should be medicated for pain based on which finding(s)? Select all that apply.

Exhibits Which other treatment(s) might be helpful for this client? Select all that apply.

A young adult is brought to the emergency department after taking a handful of drugs. The client is unresponsive, so an endotracheal tube (ETT) is inserted. How should the nurse determine if the ETT is correctly placed? Select all that apply.