A nurse is preparing to administer desipramine 150 mg PO daily to a client to treat diabetic neuropathy. The amount available is desipramine 100 mg/tablet. How many tablets should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Answer and Explanation

The Correct Answer is ["1.5"]

- Identify the prescribed dose: The prescribed dose is 150 mg.
- Identify the strength available: The strength available is 100 mg per tablet.
- Calculate the number of tablets: Divide the prescribed dose by the strength available per tablet.
= 150/100= 1.5 tablets

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Correct Answer is C

Explanation

A. While assessing perianal skin integrity is important for managing ulcerative colitis, it is not the immediate priority. Addressing electrolyte imbalances is crucial for stabilizing the client's condition first.

B. Emotional concerns are important but are secondary to addressing immediate physical health needs, such as electrolyte imbalances, which can be life-threatening if not managed promptly.

C. Reviewing electrolyte values is critical in an acute exacerbation of ulcerative colitis because diarrhea and fluid loss can lead to significant electrolyte imbalances, which need to be corrected to prevent complications.

D. Obtaining a dietary history is relevant for overall management but is not the immediate priority. Addressing electrolyte imbalances and hydration status is more urgent in acute exacerbations.

A. Suggest that the client rests before eating the meal. B. Request a dietitian consult. C. Check the client's vital signs. D. Request an order for an antiemetic.

Correct Answer is C

Explanation

A. While rest might help, it does not address the underlying issues of nausea and weakness that could be related to digoxin toxicity or another urgent condition.
B. A dietitian consult is not immediate or necessary at this moment; the priority is to assess the client's current symptoms.
C. Checking the client’s vital signs is the first action to identify if there are any abnormal findings such as bradycardia or other signs of digoxin toxicity, which could be causing the symptoms.
D. Requesting an antiemetic might be appropriate if nausea is confirmed, but the priority is to first assess the client’s vital signs to rule out serious issues.

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is being admitted for an acute exacerbation of ulcerative colitis. Which of the following actions should the nurse take first?

Correct Answer is C

Explanation

A nurse is caring for a client who has congestive heart failure and is taking digoxin daily. The client refused breakfast and is complaining of nausea and weakness. Which of the following actions should the nurse take first?

Correct Answer is C

Explanation

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