A nurse is preparing to administer diphenhydramine 30 mg IM stat to a client who is having an allergic reaction. Available is diphenhydramine 50 mg/mL. How many mL 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 ["0.6"]

To calculate the dosage of diphenhydramine, the nurse needs to use the formula D/H x Q

= X, where D is the desired dose, H is the on-hand dose, Q is the quantity of the on-hand dose, and X is the amount to administer. In this case, D is 30 mg, H is 50 mg/mL, and Q is 1 mL. Plugging these values into the formula, we get:

30/50 x 1 = 0.6

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Correct Answer is ["100"]

Explanation

To answer this question, we need to use the formula:

IV flow rate (gtt/min) = (Volume to be infused in mL x Drop factor in gtt/mL) / Time of infusion in minutes

Plugging in the given values, we get:

IV flow rate (gtt/min) = (100 mL x 60 gtt/mL) / 60 min Simplifying, we get:

IV flow rate (gtt/min) = 100 gtt/min

Therefore, the nurse should set the IV flow rate to deliver 100 gtt/min.

A. Use a new sponge each time the surgical site is scrubbed. B. Cleanse the surgical site with a povidone-iodine solution. C. Shave the client’s hair near the surgical site. D. Scrub the surgical site starting at the outer edge and moving inwards

Correct Answer is A

Explanation

A. This is because using the same sponge repeatedly can introduce bacteria and other contaminants to the surgical site, increasing the risk of infection.
B. Cleansing the surgical site with a povidone-iodine solution is not recommended because it can cause skin irritation and allergic reactions. The nurse should use a chlorhexidine-based antiseptic solution instead, which is more effective and less toxic.
C. Shaving the client's hair near the surgical site is generally avoided, as it can increase the risk of infection. Hair removal, if needed, is often done with clippers.
D. The surgical site should be scrubbed starting at the center and moving outwards in a circular motion.

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Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer dextrose 5% in water IV to infuse at 100 mL/60 min.The drop factor on the manual IV tubing is 60 gtt/mL. The nurse should set the IV flow rate to deliver how many gtt/min? (Round to the nearest whole number.)

Correct Answer is ["100"]

Explanation

A nurse is assisting with performing a skin preparation for a client who is scheduled for surgery. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

A nurse is contributing to the plan of care for an adolescent client. Exhibits Which of the following actions should the nurse identify as part of the plan of care? Select all that apply.

A nurse is preparing to administer hydroxyzine HCL 50 mg PO. Available is hydroxyzine oral suspension 25 mg/5 mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse is reviewing laboratory values for a client. Which of the following findings indicates the presence of an infection?

A nurse is measuring the vital signs of a client he suspects has hypovolemic shock. Which of the following findings should the nurse expect?

A nurse is collecting data from a client who fell at home and reported a brief loss of consciousness. Which of the following findings should the nurse immediately report to the charge nurse?

A nurse is caring for a client who is at the end of life. The client’s partner is concerned about using opioid narcotics to manage the client’s pain Which of the following statements should the nurse make?

A nurse is caring for a client who has a prescription for scheduled opioid analgesia and notes a change in the client’s mental status. Which of the following actions should the nurse take? (Select all that apply.)

A nurse is collecting data from a client who has seasonal allergies and is taking an antihistamine. Which of the following findings is an adverse effect of this type of medication?