The healthcare provider prescribes diazepam 8 mg IM every 4 hours PRN muscle spasms for a client with a fractured femur. The available vial is labeled, "Diazepam Injection, USP 10 mg/2 mL" How many mL should the nurse administer to the client? (Enter numerical value only. If rounding is required round to the nearest tenth)

Answer and Explanation

The Correct Answer is ["1.6"]

To determine how many milliliters (mL) of diazepam the nurse should administer to the client, first, we need to calculate the amount of medication needed for each dose.

The prescribed dose is 8 mg of diazepam.

Volume= Desired dose/available concentration per ml

Available concentration per ml= 10mg/2ml Available concentration per ml= 5mg/ml Volume= 8mg/5mg per ml

Volume= 1.6ml

So, the nurse should administer 1.6 mL of diazepam to the client.

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Correct Answer is ["10"]

Explanation

To determine the mL/hr rate for the regular insulin infusion, we can set up a proportion: 10 units/hr (prescribed rate) = x mL/hr (unknown rate)

Since the IV solution contains 100 units of regular insulin in 100 mL of 0.9% normal saline, we know that each mL of the solution contains 1 unit of regular insulin.

So, if 1 mL contains 1 unit, then x mL contains 10 units. x = 10 mL/hr

A. Determine exposure to asthmatic triggers B. Teach proper use of a rescue inhaler C. Elevate the head of bed to 90 degrees. D. Monitor pulse oximetry every 2 hours.

Correct Answer is C

Explanation

C. Elevating the head of the bed to 90 degrees (semi-Fowler's position) can help improve respiratory mechanics and lung expansion, making breathing easier for the client. This position can also help reduce the risk of aspiration and improve oxygenation in clients with respiratory distress.
A. Identifying and addressing triggers that exacerbate asthma symptoms is crucial for managing asthma effectively. By determining the client's exposure to triggers such as allergens, pollutants, or irritants, the nurse can help prevent future asthma exacerbations and tailor the client's management plan accordingly. However, this is done after the client is stabilized.
B. While teaching proper inhaler technique is an essential aspect of asthma management, the priority in this scenario is addressing the client's immediate respiratory distress. The client is already receiving a steroid nebulizer treatment, which is aimed at providing rapid relief and improving lung function. Teaching proper inhaler technique can be addressed later once the client's respiratory distress is stabilized.
D. While monitoring pulse oximetry is essential for assessing oxygenation and respiratory status, the frequency of monitoring may need to be increased in a client with asthma in respiratory distress. Clients experiencing respiratory distress may have rapid changes in oxygen saturation levels, necessitating more frequent monitoring to ensure timely intervention if oxygenation deteriorates.

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Naxlex Comprehensive Predictor Exams

The healthcare provider prescribes regular insulin 10 units/hr IV. The IV solution contains 100 units of regular insulin in 100 mL of 0.9% normal saline. How many mL/hr should the nurse program the infusion pump? (Enter numerical value only.)

Correct Answer is ["10"]

Explanation

After initiating a steroid nebulizer treatment for a client with asthma in respiratory distress, which intervention is most important for the nurse to implement?

Correct Answer is C

Explanation

A client experiences residual effects following an acute attack of Ménière's disease and receives a new prescription for an antihistamine. Which assessment finding indicates that the medication is effective?

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