A nurse is preparing to administer haloperidol 5 mg IM to a client. The amount available is haloperidol 20 mg/mL. How many mL should the nurse administer?
(Round the answer to the nearest hundredth. Use a leading zero if it applies. Do not use a trailing zero.)
The Correct Answer is ["0.25"]
To calculate the volume of haloperidol solution needed, we can use the formula:
Volume (mL)=Dose (mg)/Concentration (mg/mL)
Given: Dose of haloperidol = 5 mg
Concentration of haloperidol solution = 20 mg/mL
Substituting the given values into the formula:
Volume (mL)=5 mg/20 mg/mL
Volume (mL)=5/20
Volume (mL)=0.25 mL
Rounded to the nearest hundredth, the nurse should administer 0.25 mL of haloperidol solution.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Prepare for gastric lavage due to an extremely elevated lithium level.
This option is incorrect. A lithium level of 1.0 mEq/L is within the therapeutic range for treating bipolar disorder or other mood disorders. Gastric lavage (stomach pumping) is not indicated for this level of lithium concentration.
B. Check the client's medication record to assess whether the client has been refusing her lithium.
This option is not directly relevant to the client's current lithium level of 1.0 mEq/L. While it's important to monitor medication adherence, the client's lithium level is within the therapeutic range, so there is no immediate concern about refusal or non-adherence.
C. Administer the morning dose of lithium.
This option is correct. With a lithium level of 1.0 mEq/L, which falls within the therapeutic range for treating bipolar disorder, the nurse should proceed with administering the morning dose of lithium as prescribed. It's important to maintain therapeutic lithium levels to effectively manage the client's condition.
D. Hold the medication and assess for early manifestations of toxicity.
This option is incorrect. With a lithium level of 1.0 mEq/L, there is no indication to hold the medication or suspect early manifestations of toxicity. Monitoring for lithium toxicity is important, but it's not warranted in this scenario where the lithium level is within the therapeutic range.
Correct Answer is B
Explanation
A. Clamping the catheter: Clamping the catheter may interrupt the flow of fluids or medications, which could worsen the client's condition. This action is not appropriate as the first intervention.
B. Initiate oxygen therapy: Acute shortness of breath is a critical symptom that requires immediate intervention to ensure adequate oxygenation. Initiating oxygen therapy is the priority action to improve the client's oxygenation status while further assessment and interventions are conducted.
C. Auscultate breath sounds: Assessing breath sounds is an essential component of the assessment for a client experiencing shortness of breath. However, in this scenario, the priority is to ensure the client's oxygenation needs are met by initiating oxygen therapy first.
D. Position the client in left lateral Trendelenburg: Positioning the client in left lateral Trendelenburg may help optimize oxygenation by improving blood flow and ventilation-perfusion matching. However, this action is not the priority compared to initiating oxygen therapy, which directly addresses the client's respiratory distress.
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