A nurse is preparing to administer diphenhydramine 50 mg PO every 6 hours to a client who has acute dystonia.

Available are diphenhydramine 25 mg tablets. How many tablets 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"]

Step 1: The total amount of diphenhydramine required per dose is 50 mg.

Step 2: Each tablet contains 25 mg of diphenhydramine.
Step 3: To find out how many tablets are needed, we divide the total amount required by the amount in each tablet. So, 50 mg ÷ 25 mg/tablet.
Step 4: The result is 2 tablets.
So, the nurse should administer 2 tablets per dose. This is already a whole number, so no rounding is necessary.

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Correct Answer is C

Explanation

Choice A reason: During the oliguric phase of acute kidney injury, BUN and creatinine levels typically increase, not decrease, due to reduced kidney function.

Choice B reason: Renal function is not reestablished during the oliguric phase; this phase is characterized by decreased function.

Choice C reason: The oliguric phase is defined by significantly reduced urine output, often less than 400 mL per 24 hours.

Choice D reason: The GFR does not recover during the oliguric phase; it is usually decreased.

A. Urine albumin increasing B. Glomerular filtration rate (GFR) increasing C. Creatinine decreasing D. Proteinuria decreasing, or decreased protein in the urine

Correct Answer is A

Explanation

Choice A reason: As CKD progresses, the kidneys' ability to filter blood decreases, leading to an increase in urine albumin, a sign of kidney damage.

Choice B reason: GFR would decrease, not increase, as CKD progresses because the kidneys' filtering capacity diminishes.

Choice C reason: Creatinine levels would increase, not decrease, as kidney function worsens in CKD.

Choice D reason: Proteinuria would increase, not decrease, as CKD progresses due to the kidneys' impaired filtering

ability

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Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who has acute kidney injury about the oliguric phase. Which of the following information should the nurse include in the teaching?

Correct Answer is C

Explanation

A nurse is caring for a client who has progressing chronic kidney disease (CKD). Which of the following laboratory results would the nurse expect to find in the client's electronic health record?

Correct Answer is A

Explanation

A nurse is caring for a client who has nephrotic syndrome and is receiving high-dose corticosteroid therapy. For which of the following electrolyte imbalances should the nurse monitor?

A nurse is caring for a group of clients on a medical-surgical unit. Which of the following clients is at greatest risk for urinary retention?

A nurse is providing teaching to a client who has nephrotic syndrome. The nurse should recognize that which of the following client statements indicates a need for further teaching?

A nurse is caring for a 68-kg (150-lb) client who has dehydration. Which of the following manifestations is an indication of effective treatment?

A nurse is caring for a client in the clinic who has a distended bladder with discomfort over the area and a sense of fullness. Which of the following tests should the nurse expect the health care provider to order to determine if the client has urinary retention? (Select all that apply.)

A client who has polycystic kidney disease (PKD) presents to the emergency department with reports of a severe headache. Which of the following complications should the nurse expect?

A nurse is caring for a client who has kidney cancer and has been informed that it has metastasized. Which of the following statements should the nurse make when the client asks what metastasis means?

A nurse is teaching a client about self-administered peritoneal dialysis. Which of the following statements by the client indicates a need for further teaching?