A physician orders Lithium 5 grams/day is three divided doses PO for a client with bipolar disorder. The medication is supplied 400 mg/5 mL. How much will 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 ["6.2"]

Total daily dose in mg:
1.5 grams/day = 1500 mg/day Dose per administration in mg:
1500 mg/day ÷ 3 doses/day = 500 mg/dose Volume to be administered per dose in mL:
(500 mg/dose) / (400 mg/5 mL) = 6.25 mL/dose
Rounding to the nearest tenth, the nurse will administer 6.2 mL per dose.

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Correct Answer is B

Explanation

A. While monitoring is important, doing nothing to address the hypoglycemia is not safe. A blood glucose level of 50 mg/dL is low and requires immediate intervention to prevent more severe hypoglycemic symptoms or complications.
B. This is a suitable option for treating mild to moderate hypoglycemia. Orange juice is a quick source of carbohydrates and can effectively raise blood glucose levels. Four ounces typically provides enough sugar to help increase the client's blood glucose level before dinner is served.
C. While this option would also effectively raise blood glucose, it is more complicated than simply having the client drink orange juice. The sugar may take additional time to dissolve, and grape juice may not be readily available. In an acute situation, simplicity and speed are key.
D. While hard candy can raise blood glucose levels, it may take longer to dissolve and provide sufficient glucose quickly compared to liquid sources like orange juice or grape juice. Additionally, the amount of candy needed may not be clear, making this a less reliable option in an urgent situation.

A. Prepare to administer prescribed epinephrine B. Assess the client's apical pulse and blood pressure C. Stop infusing the client's intravenous antibiotic D. Administer 4 liters of oxygen via nasal cannula

Correct Answer is C

Explanation

A. While epinephrine is crucial in cases of anaphylaxis, it should not be the first action taken. The immediate priority is to stop the offending medication.
B. While assessing vital signs is important, it is not the first action. The primary concern is to halt the exposure to the potential allergen.
C. The first action in this situation should be to immediately stop the infusion of the antibiotic. This prevents further exposure to the allergen and is critical to managing the potential anaphylactic reaction.

D. While providing oxygen may be necessary later if the client is hypoxic, the immediate priority is to stop the infusion of the antibiotic first. Administering oxygen is important but comes after halting the offending agent.

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A physician orders Lithium 5 grams/day is three divided doses PO for a client with bipolar disorder. The medication is supplied 400 mg/5 mL. How much will 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.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

At 1630 a Type I diabetic client's blood glucose level is 50 mg/dl. The client is alert; however, dinner will not be served until 1715. The nurse's initial action should be to:

Correct Answer is B

Explanation

Ten minutes after initiating an intravenous antibiotic, the client complains of shortness of breath, itching, and difficulty swallowing. What is the nurse's initial action?

Correct Answer is C

Explanation

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