Order: Diazepam 4 mg via nasogastric tube three times daily. Available: Diazepam oral solution 5 mg per 5 mL. How many milliliters should the client receive per dosage?
2 mL
4 mL
5 mL
6 mL
The Correct Answer is B
Choice A reason: 2 mL provides 2 mg (5 mg/5 mL = 1 mg/mL, so 2 mL = 2 mg), which is half the ordered 4 mg. This underdoses the patient, making it incorrect for the prescribed dosage.
Choice B reason: Diazepam 5 mg/5 mL means 1 mg/mL. For 4 mg, 4 mL is needed (4 mg ÷ 1 mg/mL = 4 mL). This delivers the correct dose, making 4 mL the correct answer.
Choice C reason: 5 mL delivers 5 mg (5 mg/5 mL), exceeding the ordered 4 mg. This overdoses the patient, risking sedation, making 5 mL incorrect for the prescribed dosage.
Choice D reason: 6 mL delivers 6 mg, significantly exceeding the 4 mg order. This overdose increases side effects like respiratory depression, making 6 mL incorrect for the correct dosage.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Serosanguineous drainage, a mix of serous fluid and blood, is expected 1 week post-abdominal surgery during the inflammatory and proliferative healing phases. It indicates normal wound healing, making this the correct interpretation.
Choice B reason: Infection typically causes purulent drainage (thick, yellow-green) with odor or fever, not serosanguineous drainage. The described drainage aligns with normal healing, making infection an incorrect assumption at this stage.
Choice C reason: Hemorrhage involves sanguineous drainage (bright red, heavy blood), not serosanguineous, which is lighter and mixed. The drainage described does not suggest active bleeding, making hemorrhage an incorrect interpretation.
Choice D reason: Serosanguineous drainage is normal and does not warrant immediate surgical intervention unless accompanied by signs like excessive bleeding or dehiscence. This drainage is expected, making surgical intervention unnecessary and incorrect.
Correct Answer is D
Explanation
Choice A reason: Stopping smoking is beneficial for lung health but does not directly address immediate fatigue from ineffective breathing during sleep. Elevating the head improves airway patency overnight, providing faster relief for sleep-related breathing issues, making this less effective.
Choice B reason: Running 30 minutes daily is inappropriate for an obese patient with fatigue and ineffective breathing, as it may exacerbate respiratory strain. Elevating the head during sleep directly improves oxygenation, making exercise a long-term rather than immediate solution for sleep promotion.
Choice C reason: Limiting diet to 1500 calories addresses obesity but not acute fatigue from ineffective breathing during sleep. Sleeping with pillows elevates the head, reducing airway obstruction and improving rest, making dietary changes a secondary intervention for this specific issue.
Choice D reason: Sleeping on two to three pillows is the most appropriate intervention, as it elevates the head, reducing airway collapse in obese patients with ineffective breathing. This promotes better oxygenation during sleep, alleviating fatigue, making it the most effective immediate strategy.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.