A nurse is preparing to administer ondansetron 4 mg IM stat.

The amount available is ondansetron for injection 2 mg/mL. How many mL 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)

Choice A rationale
Providing a low protein diet is incorrect. Clients with COPD often require a high-protein diet to maintain muscle mass and support respiratory function. Protein is essential for the repair and maintenance of body tissues, including respiratory muscles. A low-protein diet could lead to muscle wasting and decreased respiratory function.
Choice B rationale
Instructing the client to cough every 4 hours is incorrect. Clients with COPD should be encouraged to perform controlled coughing techniques more frequently to clear secretions and prevent respiratory infections. Coughing every 4 hours may not be sufficient to maintain airway patency and prevent complications.
Choice C rationale
Advising the client to lie down after eating is incorrect. Clients with COPD should avoid lying down immediately after eating to prevent gastroesophageal reflux, which can exacerbate respiratory symptoms. Instead, they should remain upright for at least 30 minutes after meals to aid digestion and reduce the risk of aspiration.
Choice D rationale
Encouraging the client to drink 8 glasses of water a day is correct. Adequate hydration helps to thin mucus secretions, making them easier to expectorate. This can improve airway clearance and reduce the risk of respiratory infections. Additionally, staying hydrated supports overall health and well-being.

Choice A rationale
High fever in the early morning is not a typical finding in pulmonary tuberculosis. TB patients may experience low-grade fevers, but high fevers are less common and usually occur in the evening or at night.
Choice B rationale
Fatigue is a common symptom of pulmonary tuberculosis. TB is a chronic infectious disease that can cause prolonged periods of fatigue and weakness due to the body’s ongoing immune response to the infection.
Choice C rationale

Increased appetite is not a typical finding in pulmonary tuberculosis. TB patients often experience a loss of appetite and unintentional weight loss due to the systemic effects of the infection.
Choice D rationale
Night sweats are a classic symptom of pulmonary tuberculosis. TB patients often experience drenching night sweats as a result of the body’s immune response to the infection. This symptom, along with chronic cough and weight loss, is a key indicator of TB.