A nurse is preparing to administer midazolam 0.2 mg/kg via IV bolus now. The client weighs 220 lb. How many mg 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.)

Answer and Explanation

The Correct Answer is ["20"]

To calculate the dose of midazolam to administer, we need to convert the client's weight from pounds to kilograms, and then multiply by the dose per kilogram.

Given: Client weight = 220 lb

Dose of midazolam = 0.2 mg/kg

First, let's convert the client's weight from pounds to kilograms:

1 lb ≈ 0.453592 kg (approximately 0.45 kg, for simplicity)

Client weight in kilograms ≈ 220 lb × 0.45 kg/lb ≈ 99 kg

Now, let's calculate the dose of midazolam:

Dose = Weight (in kg) × Dose per kg Dose ≈ 99 kg × 0.2 mg/kg = 19.8 mg

Rounded to the nearest whole number, the nurse should administer approximately 20 mg of midazolam.

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Correct Answer is D

Explanation

A. Disulfiram: Disulfiram is not used to manage alcohol withdrawal. It is a medication used in the treatment of alcohol dependence to deter alcohol consumption by producing unpleasant side effects if alcohol is ingested.

B. Methadone: Methadone is primarily used in the treatment of opioid dependence as a long-acting opioid agonist. It is not indicated for alcohol withdrawal.

C. Buprenorphine: Buprenorphine is also used in the treatment of opioid dependence. Like methadone, it is not used in the management of alcohol withdrawal.

D. Diazepam: Diazepam is a benzodiazepine medication commonly used to manage alcohol withdrawal symptoms. It helps alleviate symptoms such as anxiety, agitation, tremors, and seizures associated with alcohol withdrawal. Benzodiazepines are the mainstay of treatment for alcohol withdrawal syndrome due to their ability to suppress central nervous system hyperexcitability and prevent progression to severe withdrawal symptoms and seizures.

A. Avoid flossing the teeth to prevent gum irritation. B. Alcohol increases the chance of phenytoin toxicity. C. Take an antacid with the medication if indigestion occurs. D. Phenytoin turns urine blue.

Correct Answer is B

Explanation

A. Avoid flossing the teeth to prevent gum irritation: There is no evidence to suggest that flossing the teeth increases the risk of gum irritation with phenytoin use. In fact, proper dental hygiene, including flossing, is essential to prevent gum disease, which can be exacerbated by the medication.

B. Alcohol increases the chance of phenytoin toxicity: Consumption of alcohol can increase the risk of phenytoin toxicity by enhancing its effects. Therefore, clients taking phenytoin should avoid alcohol consumption to prevent adverse effects and ensure the medication's efficacy.

C. Take an antacid with the medication if indigestion occurs: Phenytoin can interact with antacids, reducing its absorption and effectiveness. Therefore, clients should not take antacids concurrently with phenytoin unless directed by their healthcare provider.

D. Phenytoin turns urine blue: Phenytoin does not typically cause changes in urine color. This statement is incorrect and not relevant to the client's medication regimen.

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A nurse is preparing to administer midazolam 0.2 mg/kg via IV bolus now. The client weighs 220 lb. How many mg 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.)

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is exhibiting signs of alcohol withdrawal. Which of the following medications should the nurse plan to administer?

Correct Answer is D

Explanation

A nurse is providing teaching to a client who has seizures and a new prescription for phenytoin. Which of the following information should the nurse provide?

Correct Answer is B

Explanation

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A nurse is preparing to administer midazolam 0.2 mg/kg via IV bolus now. The client weighs 220 lb. How many mg 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.)