A nurse is preparing to administer nortriptyline 150 mg PO for a client who has depression. Available is chlorpromazine hydrochloride 75 mg tablets. How many tablets should the nurse administer with each dose? (Round to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
The Correct Answer is ["2"]
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. This instruction is more appropriate for female clients performing perineal hygiene before providing a clean-catch urine specimen. For straight catheterization, the nurse typically performs sterile technique, including cleansing the urethral meatus with an antiseptic solution as part of the procedure. The client's perineal area may be cleansed if necessary, but the primary focus is on maintaining sterile technique during catheter insertion.
B. When performing straight catheterization, the nurse inserts a sterile catheter into the client's bladder via the urethra to obtain urine directly. The urine is collected from the catheter itself as it drains into a sterile specimen container. It's essential to avoid touching the catheter's port or allowing it to come into contact with non-sterile surfaces to prevent contamination.
C. When inserting a Foley catheter (indwelling catheter), sterile water is used to inflate the balloon at the tip of the catheter after insertion into the bladder. For straight catheterization, a balloon is not typically inflated because the catheter is removed immediately after urine is obtained. Therefore, this step is not applicable in this context.
D. It is crucial to use a sterile specimen container to collect urine obtained via straight catheterization. This ensures that the specimen remains uncontaminated and suitable for culture and sensitivity testing, which requires accurate identification of any bacteria present in the urine.
Correct Answer is B
Explanation
A. Excessive pulmonary secretions can be a sign of airway irritation or infection rather than a direct adverse effect of oxygen therapy. It may warrant further assessment and intervention, but it is not typically attributed to oxygen therapy itself.
B. Dryness and cracking of oral mucous membranes can occur as a result of oxygen therapy. Oxygen delivered at higher concentrations or for prolonged periods can dry out mucous membranes, leading to discomfort and potential cracking.
C. Tachycardia (an elevated heart rate) can occur as a compensatory response to hypoxia or increased metabolic demands rather than as a direct adverse effect of oxygen therapy. However, if oxygen therapy leads to an overcorrection of hypoxemia, it could potentially contribute to changes in heart rate.
D. Poor skin turgor is typically a sign of dehydration or fluid imbalance, not directly related to oxygen therapy. It may be important to assess fluid status in clients receiving oxygen therapy, but poor skin turgor itself is not an adverse effect of oxygen administration.
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