A nurse is caring for an adult client who has been placed in physical restraints due to aggressive behavior. Which of the following actions should the nurse take?
Ask the provider to renew the prescription every 8 hr.
Have a staff member check on the client every 30 min.
Assess the client's need for toileting every 15 min.
Offer hydration and nutrition to the client every 2 hr.
The Correct Answer is D
A. The provider must renew the prescription for restraints every 4 hours for adults, not every 8 hours.
B. A staff member should check on the client every 15 minutes, not every 30 minutes, to ensure safety.
C. The client should be assessed for toileting needs every 2 hours, not every 15 minutes.
D. Offering hydration and nutrition every 2 hours is appropriate to maintain the client’s basic needs while in restraints.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Hepatitis B infection is not a contraindication for prescribing bupropion for smoking cessation.
B. Hypothyroidism is not a contraindication for prescribing bupropion for smoking cessation.
C. Knee arthroplasty 1 month ago does not contraindicate the use of bupropion for smoking cessation.
D. Bupropion is contraindicated in individuals with a recent head injury due to the increased risk of seizures associated with this medication. Therefore, the nurse should report this finding to the provider.
Correct Answer is ["10"]
Explanation
First, we need to determine how many milligrams (mg) are in each milliliter (mL) of the solution.
The available methylphenidate oral solution has a concentration of 10 mg per 5 mL.
To find out how many milligrams are in 1 mL of the solution, we divide 10 mg by 5 mL: 10 mg / 5 mL = 2 mg/mL
The child's prescription is for 40 mg per day, divided into two doses. So, each dose should contain:
40 mg / 2 doses = 20 mg per dose 2mg=1ml
20mg= 20*1/2= 10ml
Therefore, the nurse should administer 10 mL of methylphenidate oral solution per dose
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