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The healthcare provider prescribes epoetin alfa 8,200 units subcutaneously for a client with chronic kidney disease (CKD). The 2 ml mutidose vial is labeled, "Each 1 mL of solution contains 10,000 units of epoetin alfa." How many mL should the nurse administer? (Enter the numerical value only. If rounding is required, round to the nearest tenth).

Answer and Explanation

The Correct Answer is ["0.8"]

Desired dose = 8,200 units.

Available concentration = 10,000 units / 1 mL.

Calculate the volume in milliliters (mL) to administer.

Volume (mL) = Desired dose (units) / Available concentration (units/mL)

= 8,200 units / 10,000 units/mL

= 0.82 mL.

Rounded to the nearest tenth:

= 0.8.

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Free Nursing Study Resources

Correct Answer is D

Explanation

A. Provide a numeric pain scale: A numeric scale helps assess the intensity of pain, not its quality. It informs how severe the pain feels but does not give insight into the type or nature of the discomfort.

B. Observe body language and movement: Nonverbal cues help identify the presence of pain, especially in nonverbal clients, but they are not specific enough to describe the quality or characteristics of the pain.

C. Identify effective pain relief measures: Understanding what relieves pain is part of pain management but does not directly assess the quality or nature of the pain being experienced.

D. Ask the client to describe the pain: This allows the nurse to gather specific details about the pain's quality—such as whether it is sharp, burning, throbbing, or dull—which is essential for diagnosis and targeted interventions.

A. Lung sounds. B. Weight C. Turgor. D. Blood pressure

Correct Answer is B

Explanation

A. Lung sounds: Assessing lung sounds helps detect pulmonary congestion, a symptom of fluid overload, but it does not provide a direct, quantitative measure of overall fluid balance.

B. Weight: Daily weight is the most accurate and sensitive indicator of fluid balance. Changes in weight reflect shifts in total body fluid and help monitor the effectiveness of diuretic therapy.

C. Turgor: Skin turgor is useful in detecting dehydration but is less reliable in older adults and does not provide precise information about total fluid volume changes.

D. Blood pressure: Blood pressure may be affected by fluid status, but it can be influenced by many other factors and is not a definitive or early indicator of fluid balance changes.

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Naxlex Comprehensive Predictor Exams

The nurse is caring for a client in the postanesthesia care unit (PACU). To assess the quality of the client's pain, which approach should the nurse use?

Correct Answer is D

Explanation

A client with fluid volume overload is admitted to the hospital for diuresis. Which assessment should the nurse perform to evaluate the client's fluid balance?

Correct Answer is B

Explanation

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