Russell enters the clinic for his medication injection. The order states Fluphenazine decanoate 87.5 mg IM every 3 weeks. The vial is labeled Fluphenazine decanoate 25 mg/ml. How many mL(s) will you administer for this dose?

Answer and Explanation

The Correct Answer is ["3.5"]

He has been prescribed Fluphenazine decanoate 87.5 mg intramuscularly every 3 weeks to treat his schizophrenia. The nurse checks the medication order and the vial label. The vial contains Fluphenazine decanoate 25 mg per milliliter. To calculate the amount of medication to administer, the nurse uses the formula:

dose ordered / dose available = mL to administer

Substituting the values, the nurse gets:

87.5 mg / 25 mg/ml = 3.5 ml

Therefore, the nurse will administer 3.5 milliliters of Fluphenazine decanoate for this dose.

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Correct Answer is C

Explanation

Choice A Reason:

A patient who states "I have no one who cares about me. "This statement relates more to the need for belonging and love, which is a lower level on Maslow's hierarchy.

Choice B Reason:

A patient who states "I have never met my career goals." This statement relates to self-esteem and self-actualization needs, which are higher-level needs in Maslow's hierarchy.

Choice C Reason:

A patient who exhibits hostile and angry behaviors is correct. Maslow's hierarchy of needs places safety and security needs above other needs. The patient exhibiting hostile and angry behaviors may pose a threat to their own safety, the safety of others, or the overall therapeutic environment. Addressing safety concerns and de-escalating aggressive behaviors takes precedence in this situation.

Choice D Reason:

A patient upset that his family can only visit during visiting hours. This situation is related to social needs and may not be as immediate a concern as the hostile and angry behaviors described in option C.

A. "Why do you think you might have cancer when your diagnosis is a benign condition?” B. "rm hearing that you are concerned that might turn out that you have cancer” C. "I'm looking at your chart here and I don't see any reason for you to worry about that” D. "I think that's something you need to discuss with your provider”

Correct Answer is B

Explanation

Choice A Reason:

"Why do you think you might have cancer when your diagnosis is a benign condition?” This response may come across as dismissive and could make the client feel unheard. It does not acknowledge the client's concerns and may discourage open communication.

Choice B Reason:

"I'm hearing that you are concerned that might turn out that you have cancer.” This response demonstrates active listening and acknowledges the client's expressed concern. It encourages the client to share their feelings and provides an opportunity for further discussion. Option B shows empathy and supports the client's emotional needs during a stressful time.

Choice C Reason:

"I'm looking at your chart here and I don't see any reason for you to worry about that.” This response focuses on the medical chart and might minimize the client's emotional concerns. It does not address the client's feelings and may create a sense of invalidation.

Choice D Reason:

"I think that's something you need to discuss with your provider.” While it directs the client to the provider, it doesn't acknowledge the client's emotions or provide immediate support. It may seem like a deflection rather than an empathetic response.

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Russell enters the clinic for his medication injection. The order states Fluphenazine decanoate 87.5 mg IM every 3 weeks. The vial is labeled Fluphenazine decanoate 25 mg/ml. How many mL(s) will you administer for this dose?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

According to Maslow's hierarchy of needs, which situation on an inpatient mental health unit would require priority intervention?

Correct Answer is C

Explanation

A nurse is admitting a client who is about to undergo surgery for benign prostatic hypertrophy. The client states. "I don't know what I will do if they find I have cancer." Which of the following responses should the nurse make?

Correct Answer is B

Explanation

Which activity would a nurse perform in an inpatient psychiatric unit? Select all that apply. (Select All that Apply.)

Which statement describes the focus of psychiatric emergency care?

A nurse is performing a mental status examination (MSE) on a client who has a new diagnosis of dementia. Which of the following components should the nurse include? (Select all that apply.)

Which intervention would the nurse suggest to a patient seeking advice regarding stress management? Select all that apply.

Which factor promoting patient growth describes the ability to view another person as worthy of caring about and as someone who has strengths and achievement potential?

A nurse is caring for a client who has dementia. When performing a Mental Status Examination (MSE) the nurse should include which of the following data? (Select all that apply)

Peplau's Interpersonal Theory of Nursing: Select one:

A nurse is caring for an older adult client who had a cerebrovascular accident and has right-sided paralysis and aphasia. The client's son tells the nurse it is his fault because he did not insist that his mother live with him. Which of the following responses should the nurse make?