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 D

Explanation

A. Pain severity is important to assess but is secondary to ensuring the client's airway is clear and unobstructed.
B. Wound drainage is relevant for detecting potential complications but is not as critical as ensuring airway patency.
C. Tissue integrity is important for wound healing but does not take precedence over checking the airway immediately after surgery.
D. Airway patency is the priority assessment because a partial laryngectomy involves the airway, and ensuring it is open and functioning is crucial for adequate breathing.

A. Position the client in a high-Fowler's position if clear drainage is noted on the dressing. B. Assist the client into a knee-chest position to manage postoperative discomfort. C. Monitor sensory perception of the lower extremities. D. Maintain strict bed rest for the first 48 hr postoperative.

Correct Answer is C

Explanation

A. Positioning the client in a high-Fowler's position might not be appropriate immediately after a spinal fusion due to potential strain on the surgical site; the position should be adjusted based on specific postoperative orders.
B. The knee-chest position is not typically used postoperatively for a laminectomy with spinal fusion and could cause discomfort or complications.
C. Monitoring sensory perception of the lower extremities is crucial after spinal surgery to assess for potential complications such as nerve damage or compromised circulation.
D. Strict bed rest is not generally required for the entire first 48 hours; mobility and positioning should be based on the surgeon's recommendations and the client's tolerance.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is in the immediate postoperative period following a partial laryngectomy. Which of the following parameters should the nurse assess first?

Correct Answer is D

Explanation

A nurse is caring for a client who is postoperative following a laminectomy with spinal fusion. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

A nurse is caring for a client who has returned from the surgical suite following surgery for a fractured mandible. The client had intermaxillary fixation to repair and stabilize the fracture. Which of the following actions is the priority for the nurse to take?

A nurse at a rehabilitation center is planning care for a client who had a left hemispheric cerebrovascular accident (CVA) 3 weeks ago. Which of the following goals should the nurse include in the client's rehabilitation program?

A nurse is reviewing laboratory values for a client who has systemic lupus erythematosus (SLE). Which of the following values should give the nurse the best indication of the client's renal function?

A nurse is monitoring a client who was admitted with a severe burn injury and is receiving IV fluid resuscitation therapy. The nurse should identify a decrease in which of the following findings as an indication of adequate fluid replacement?

A nurse in a cardiac care unit is caring for a client with acute right-sided heart failure. Which of the following findings should the nurse expect?

A nurse in a clinic is reviewing the laboratory values of a client who has primary hypothyroidism. The nurse should anticipate an elevation of which of the following laboratory values?

A nurse is reviewing the CBC findings for a female client who is receiving combination chemotherapy for breast cancer. Which of the following findings should the nurse report to the provider?