A nurse is assessing a client who reports severe headache and a stiff neck. The nurse's assessment reveals positive Kernig's signs. Which of the following actions should the nurse perform first?

Administer Antibiotics

Decrease bright lights

Initiate IV access

Implement droplet precautions

Answer and Explanation

The Correct Answer is D

A. Administering antibiotics is crucial but not the immediate first action.
B. Decreasing bright lights can help with comfort but is not the first priority.
C. Initiating IV access is important for medication administration but not the first action.
D. Implementing droplet precautions is the first action to prevent the spread of potentially contagious bacterial meningitis until the causative organism is identified.

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Correct Answer is C

Explanation

A. Severe dehydration is not a typical concern when discontinuing prednisone.
B. Rebound pulmonary congestion is not a known risk of stopping prednisone suddenly.
C. Adrenocortical insufficiency can occur if prednisone is discontinued abruptly because the body needs time to resume normal cortisol production.
D. Hyperglycemia is a side effect of prednisone use but is not a concern when tapering off the medication.

Correct Answer is ["2.4"]

Explanation

Rationale:
To calculate the dosage of Nitroprusside in mcg/min, first convert the client's weight from pounds to kilograms, knowing that 1 kg equals 2.2 lbs. Therefore, 176 lbs is approximately 80 kg. Next, multiply the client's weight in kg by the dosage rate: 0.5 mcg/kg/min. So, 80 kg * 0.5 mcg/kg/min equals 40 mcg/min. To find mcg/hr, multiply the mcg/min dosage by 60, the number of minutes in an hour, which gives us 2400 mcg/hr. Finally, to calculate mL/hr, use the concentration of the drug: 500 mg in 500 mL. Since 1 mg equals 1000 mcg, 500 mg is 500,000 mcg. Divide the hourly dosage in mcg by the total number of mcg in the available fluid to find the mL/hr. Thus, 2400 mcg/hr divided by (500,000 mcg / 500 mL) results in 2.4 mL/hr. Rounded to the nearest tenth, the final dosages are 40 mcg/min, 2400 mcg/hr, and 2.4 mL/hr.

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A nurse is assessing a client who reports severe headache and a stiff neck. The nurse's assessment reveals positive Kernig's signs. Which of the following actions should the nurse perform first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who has been taking prednisone to treat asthma and has a new prescription to discontinue the medication. The nurse should explain to the client to reduce the dose gradually to prevent which of the following adverse effects?

Correct Answer is C

Explanation

Give Nitroprusside 0.5 mcg/kg/min. The client weighs 176 lbs. The drug is available as 500mg in 500 mL of fluid. Calculate mcg/min, mcg/hr, and mL/hr. (Round your answer to the nearest tenth and include the units of measure.)

Correct Answer is ["2.4"]

Explanation

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