The nurse is preparing to administer prescribed sumatriptan (Imitrex) 6 mg per injection for a client reporting a severe migraine. The nurse has available sumatriptan (Imitrex) 24 mg in 2 ml. How many mL should the nurse administer with each dose? Do not round your answer. Enter numeric value only.
The Correct Answer is ["0.5"]
First, determine how many milligrams are in 1 mL. We can do this by dividing the total milligrams by the total milliliters: 24 mg ÷ 2 mL = 12 mg/mL
Now we know that each milliliter of the solution contains 12 mg of sumatriptan.
To find the volume needed for a 6 mg dose, we need to figure out how many times 12 mg goes into 6 mg: 6 mg ÷ 12 mg/mL = 0.5 mL
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Regular insulin IV at 0.1 unit/kg/hr is a standard prescription for managing diabetic ketoacidosis (DKA). Regular insulin is administered intravenously to reduce blood glucose and correct the acidosis in DKA.
B. The nurse should clarify this prescription. In the initial management of DKA, the focus is on correcting fluid deficits, and a typical intravenous fluid for this purpose is 0.9% normal saline (not dextrose). Once blood glucose levels start to decrease and are near 200 mg/dL, dextrose may be introduced to prevent hypoglycemia, but it should not be started too early in the treatment of DKA.
C. Monitoring arterial blood gases (ABGs) is crucial in DKA to assess the severity of acidosis and monitor the effectiveness of treatment, typically done every 1 to 2 hours.
D. Regular insulin is typically mixed with 0.9% normal saline for intravenous administration in DKA. This solution helps deliver the insulin slowly and safely while rehydrating the client.
Correct Answer is D
Explanation
A. While morphine may be indicated for pain management, particularly if the pain is severe, the priority is first to assess the cause of the chest pain. Chest pain in a patient with myxedema could be related to a number of serious conditions, such as a myocardial infarction or worsening cardiovascular issues, so it is important to assess the pain thoroughly before administering any medications.
B. Stopping thyroid hormone administration is not the correct action. Myxedema is a severe form of hypothyroidism, and thyroid hormone therapy is essential in treating this condition. However, if there is a concern about the cause of the chest pain (such as a heart attack), stopping the thyroid hormone might not be appropriate unless directly indicated by a physician.
C. While obtaining cardiac enzymes can be an important diagnostic step if the chest pain is suspected to be related to a cardiac event, the priority at this moment is to assess the pain and clinical presentation more thoroughly. Cardiac enzymes can be checked after a full assessment of the symptoms.
D. The first priority is to complete a comprehensive pain assessment. The nurse should assess the quality, intensity, and duration of the chest pain and ask relevant questions to determine if the pain is cardiac in nature (e.g., tightness, radiating to left arm, sweating) or possibly related to the thyroid condition (e.g., could be related to complications of myxedema, such as hypothyroid-induced cardiac dysfunction). This step is critical to understanding the cause and ensuring appropriate next steps for care.
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