The nurse must give 25 micrograms of fentanyl IVP X 1 dose. Fentanyl is available in an ampule 100 micrograms per 2mL. How many mL will the nurse give for the correct dose? round to the nearest tenth. Use a preceding zero if necessary. Do not use trailing zeros.

Answer and Explanation

The Correct Answer is ["0.5"]

Volume to administer (mL)=( Desired dose (mcg)/Available concentration (mcg/mL) 100 mcg is in 2 mL, so the concentration is:
100 mcg/2 Ml =50 mcg/mL
Volume to administer =25 mcg/ 50 mcg/mL=0.5mL
So, the nurse will administer 0.5 mL of fentanyl for the correct dose.

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Correct Answer is ["A","C","E"]

Explanation

A. Lethargy can occur in DKA due to the effects of hyperglycemia, acidosis, and dehydration. Even if the client is oriented, confusion about the reason for care suggests an altered mental state, which can be common in DKA.
B. This ABG indicates alkalosis (pH > 7.45), which is not typical for DKA. In DKA, we would expect a lower pH (acidosis). This set of values does not align with the expected clinical picture of DKA.
C. This ABG shows a pH of 7.31, indicating acidosis. The low HCO3 (17) supports metabolic acidosis, which is characteristic of DKA. This finding is consistent with the expected laboratory results in a patient experiencing DKA.
D. A heart rate of 52 (bradycardia) is not a common finding in DKA. In fact, tachycardia (elevated heart rate) is typically observed due to dehydration and compensatory mechanisms. Bradycardia would not be expected in this context.
E. A respiratory rate of 31, particularly if deep (known as Kussmaul respirations), is a classic sign of metabolic acidosis, including DKA. Kussmaul respirations are the body’s attempt to compensate for acidosis by increasing carbon dioxide elimination.

Correct Answer is ["12.5"]

Explanation

1 kilogram equals 2.2 pounds.

110 lbs, which is equivalent to 50 kg (110 lbs / 2.2).

The prescribed dose is 2 mg/kg/day, so the total daily dose is 100 mg (2 mg/kg * 50 kg). This total daily dose is divided into four doses, which means each dose is 25 mg (100 mg / 4).

The medication is supplied as 10 mg/5 mL, so for a 25 mg dose, the nurse will administer 12.5 mL (25 mg * (5 mL / 10 mg)). Therefore, the nurse will administer 12.5 mL per dose.

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The nurse must give 25 micrograms of fentanyl IVP X 1 dose. Fentanyl is available in an ampule 100 micrograms per 2mL. How many mL will the nurse give for the correct dose? round to the nearest tenth. Use a preceding zero if necessary. Do not use trailing zeros.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What clinical manifestation(s) should the nurse expect in a client with uncontrolled diabetes mellitus and ketoacidosis? (SELECT ALL THAT APPLY)

Correct Answer is ["A","C","E"]

Explanation

Your patient is prescribed Solu-Medrol 2 mg/kg/day in four divided doses. The medication is supplied as 10 mg/5 mL. The patient weighs 110 lbs. How many mL's will the nurse administer per dose?

Correct Answer is ["12.5"]

Explanation

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