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A nurse is preparing to administer meperidine 35 mg IM to a client every 6 hr PRN for pain.

Available is meperidine injection 75 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 ["0.5"]

Given:

Dose required = 35 mg

Concentration of medication = 75 mg/mL Formula:

Volume (mL) = Dose required (mg) / Concentration of medication (mg/mL) Calculation:

Volume (mL) = 35 mg / 75 mg/mL Result:

Volume (mL) = 0.4666667 mL Rounded to the nearest tenth:

Volume (mL) ≈ 0.5 mL

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Correct Answer is ["50"]

Explanation

Gtt/min= Volume per hour× Drop factor/ Time in minutes per hour Given:

Volume per hour = 150 mL Drop factor = 20 gtt/mL

Time in minutes per hour = 60 minutes Gtt/min= 150mL/hr×20gtt/mL/60min/hr Gtt/min=50
Therefore, the nurse should set the manual IV infusion to deliver 50 gtt/min

A. Take the medication in the morning to prevent insomnia. B. Use cooling measures to decrease fever. C. Chew sugarless gum to moisten the mouth. D. Take an antacid to relieve nausea.

Correct Answer is C

Explanation

A. Take the medication in the morning to prevent insomnia: This instruction is not directly

related to minimizing anticholinergic effects; it's more about managing the timing of medication administration.
B. Use cooling measures to decrease fever: Anticholinergic effects do not typically cause fever, so this instruction is not relevant.
C. Chew sugarless gum to moisten the mouth: Anticholinergic medications can cause dry mouth (xerostomia), and chewing gum can stimulate saliva production, alleviating this side effect.
D. Take an antacid to relieve nausea: Anticholinergic effects can include nausea, but taking an antacid is not a specific strategy for managing this side effect.

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A nurse is preparing to administer meperidine 35 mg IM to a client every 6 hr PRN for pain. Available is meperidine injection 75 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.)

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Naxlex Comprehensive Predictor Exams

Correct Answer is ["50"]

Explanation

A nurse is teaching a patient who has schizophrenia strategies to cope with anticholinergic effects of fluphenazine. Which of the following should the nurse suggest to the patient to minimize anticholinergic effects?

Correct Answer is C

Explanation

A nurse is performing discharge teaching for a client who has seizures and a new prescription for phenytoin. Which of the following statements by the client indicates a need for further teaching?

The nurse is reviewing the food choices of a patient who is taking a monoamine oxidase inhibitor (MAOI). Which food choice would indicate the need for additional teaching?

A patient has had an overdose of an intravenous cholinergic drug. The nurse expects to administer which drug as an antidote?

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When a patient is taking an anticholinergic such as benztropine as part of the treatment for Parkinson's disease, the nurse should include which information in the teaching plan?

The U.S. Food and Drug Administration has issued a warning for users of antiepileptic drugs. Based on this report, the nurse will monitor for which potential problems with this class of drugs?

The drug nalbuphine is an agonist-antagonist (partial agonist). The nurse understands that which is a characteristic of partial agonists?

The nurse is assessing a patient for contraindications to drug therapy with acetaminophen. Which patient should not receive acetaminophen?

A nurse is preparing to administer meperidine 35 mg IM to a client every 6 hr PRN for pain.

Available is meperidine injection 75 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.)