A patient taking somatropin growth hormone needs to be educated on signs and symptoms of hyperglycemia. What will the nurse include in this teaching? SELECT ALL THAT APPLY

To calculate the amount of voriconazole to be administered, we can follow these steps:

Convert the client's weight from pounds to kilograms.

Calculate the total amount of voriconazole needed based on the client's weight.

Determine the volume of the medication to be administered based on the concentration of the available solution.

Let's proceed with the calculations:

Converting the client's weight from pounds to kilograms:

Client's weight = 127 lb

1 lb ≈ 0.453592 kg

Client's weight ≈ 127 lb 0.453592 kg/lb ≈ 57.61 kg

Calculating the total amount of voriconazole needed:

Voriconazole dose = 6 mg/kg 57.61 kg ≈ 345.66 mg

Determining the volume of the medication to be administered:

Available voriconazole concentration = 5 mg/mL

Volume to be administered = 345.66 mg / 5 mg/mL ≈ 69.132 mL

Rounding to the nearest whole number, the nurse should administer 69 mL of voriconazole.

Choice A reason: This is incorrect. INR level is a measure of blood clotting time and is not directly affected by digoxin. It is more relevant for patients who are taking anticoagulants, such as warfarin.

Choice B reason: This is incorrect. Temperature is not a priority assessment for a patient receiving digoxin. It may indicate an infection or inflammation, but it is not related to the action or toxicity of digoxin.

Choice C reason: This is correct. Apical heart rate is the priority assessment for a patient receiving digoxin. Digoxin is a cardiac glycoside that increases the force and efficiency of the heart contractions, but also slows down the heart rate. The nurse should monitor the apical pulse for one full minute before administering digoxin and withhold the dose if the pulse is below 60 beats per minute for adults or below the age-specific normal range for children. A low or irregular pulse may indicate digoxin toxicity, which can be life-threatening.

Choice D reason: This is incorrect. Blood pressure is not a priority assessment for a patient receiving digoxin. Digoxin does not have a direct effect on blood pressure, although it may improve the cardiac output and reduce the fluid retention in patients with heart failure. Blood pressure should be monitored regularly, but it is not as critical as the apical heart rate.