A nurse is preparing to administer chlordiazepoxide 10 mg PO tid. The amount available is chlordiazepoxide 5 mg/capsule. How many capsules should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Answer and Explanation

The Correct Answer is ["2"]

Chlordiazepoxide 10 mg PO tid means that the patient is supposed to receive 10 milligrams of chlordiazepoxide by mouth three times a day (tid = three times a day).

Since the available capsules only contain 5 mg of chlordiazepoxide each, the nurse needs to calculate how many capsules are needed to deliver the prescribed dose of 10 mg.

To find out how many capsules are needed, we can divide the prescribed dosage by the amount of chlordiazepoxide per capsule:

Number of capsules = Prescribed dosage / Amount of chlordiazepoxide per capsule

Number of capsules = 10 mg / 5 mg/capsule

Dividing 10 mg by 5 mg/capsule gives us 2.

A patient cannot take half a capsule, so we round up to the nearest whole number.

Therefore, the nurse should administer 2 capsules per dose.

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Correct Answer is C

Explanation

A. Cerebral edema:

Cerebral edema is not typically associated with hyperkalemia. It is more commonly seen in conditions such as hyponatremia or cerebral trauma.

B. Hypoactive bowel sounds:

Hypoactive bowel sounds are not typically associated with hyperkalemia. They may occur in conditions such as paralytic ileus or intestinal obstruction.

C. Decreased deep tendon reflexes:

Decreased deep tendon reflexes (hyporeflexia) are a common manifestation of hyperkalemia. High potassium levels can impair neuromuscular function, leading to decreased reflexes.

D. Wheezing:

Wheezing is not typically associated with hyperkalemia. It may occur in conditions such as asthma or chronic obstructive pulmonary disease (COPD).

A. Encourage the client to increase participation in community social activities B. Prepare the client to begin highly active antiretroviral therapy (HAART) C. Promote client weight gain of one to two pounds per week D. Provide routine analgesia to minimize episodes of breakthrough pain

Correct Answer is D

Explanation

(A) Encourage the client to increase participation in community social activities: While social activities can be beneficial for mental health, a client at the end of life may not have the physical strength or energy to participate in community social activities. Moreover, due to the compromised immune system in HIV, exposure to large groups could increase the risk of infections.

(B) Prepare the client to begin highly active antiretroviral therapy (HAART): HAART is typically initiated in the early stages of HIV infection to slow the progression of the disease. In a client who has had HIV for 10 years and is at the end of life, the focus would likely be on palliative care and symptom management rather than starting aggressive therapy.

(c) Promote client weight gain of one to two pounds per week: Weight gain might not be a realistic goal for a client at the end of life. Instead, maintaining a balanced diet to prevent malnutrition and managing symptoms like nausea and loss of appetite would be more appropriate.

(D) Provide routine analgesia to minimize episodes of breakthrough pain: This is the most appropriate intervention. Pain management is a critical aspect of end-of-life care. Providing routine analgesia can help ensure the client’s comfort and improve their quality of life. Breakthrough pain can be very distressing for the client, and managing it effectively can significantly enhance their well-being.

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A nurse is preparing to administer chlordiazepoxide 10 mg PO tid. The amount available is chlordiazepoxide 5 mg/capsule. How many capsules should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

A nurse is contributing to the plan of care for a client who has had HIV for 10 years and is at the end of life. Which of the following interventions should the nurse recommend?

Correct Answer is D

Explanation

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