The patient has an order for Penicillin-G 1 gram intramuscularly. The instructions read: reconstitute the vial with 9.8 mL of normal saline to yield 2 grams in 10 mL. How many mL will the nurse administer per dose? Round the answer to the nearest whole number. Record numeric answer only.

Answer and Explanation

The Correct Answer is ["5"]

Step 1 is (2 grams ÷ 10 mL) Result = 0.2 grams per mL

Step 2 is (1 gram ÷ 0.2 grams per mL) Result = 5 mL

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Correct Answer is A

Explanation

Choice A reason: A Jackson-Pratt drain removes serous fluid and blood from the surgical site, preventing seromas, hematomas, or infections. By maintaining a closed suction system, it promotes wound healing and reduces complications, making this the primary purpose of the JP drain in postoperative care.

Choice B reason: While a JP drain may remove small amounts of blood, its primary purpose is preventing fluid accumulation, not limiting bleeding. Bleeding control is managed intraoperatively or with other measures, making this a secondary, less accurate purpose of the drain compared to fluid prevention.

Choice C reason: A JP drain is not used for medication administration. It is a closed suction system designed to remove fluid from the surgical site to prevent complications. Medications are given via other routes (e.g., IV), making this an incorrect description of the drain’s purpose.

Choice D reason: A JP drain does not eliminate the need for wound irrigations, which clean wounds directly. The drain prevents fluid buildup in closed surgical sites, reducing infection risk, but it does not replace irrigation, which addresses different wound care needs, making this choice incorrect.

A. Explain to the client that all people feel that way prior to surgery. B. Suggest the client talk to the provider. C. Try to distract the client by changing the subject. D. Encourage the client to express their feelings and concerns.

Correct Answer is D

Explanation

Choice A reason: Explaining that all people feel anxious minimizes the client’s concerns, potentially dismissing valid fears. This does not address specific anxieties, which may escalate, impacting recovery or consent. Encouraging expression fosters therapeutic communication, making this a less effective approach for addressing preoperative anxiety.

Choice B reason: Suggesting the client talk to the provider may clarify surgical concerns but delays immediate emotional support. Nurses can address anxiety through therapeutic communication, making it more appropriate to encourage expression of feelings rather than deferring to the provider initially for emotional support.

Choice C reason: Distracting the client by changing the subject avoids addressing anxiety, which may worsen emotional distress and affect surgical outcomes. Unresolved anxiety increases stress hormones, impacting recovery, making this ineffective compared to encouraging open expression of the client’s concerns.

Choice D reason: Encouraging the client to express feelings addresses preoperative anxiety, reducing stress hormones like cortisol that impair healing. Therapeutic communication validates fears, promotes coping, and enhances trust, making this the most effective nursing action to support emotional and physical preparation for surgery.

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The patient has an order for Penicillin-G 1 gram intramuscularly. The instructions read: reconstitute the vial with 9.8 mL of normal saline to yield 2 grams in 10 mL. How many mL will the nurse administer per dose? Round the answer to the nearest whole number. Record numeric answer only.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a Jackson-Pratt (JP) drain in place after surgery. The nurse understands that the JP drain was placed for which purpose?

Correct Answer is A

Explanation

A nurse is planning care for a client who states they are anxious concerning abdominal surgery. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

The nurse is providing tracheostomy care for a client with a chronic tracheostomy, and the tube falls out. What priority action should the nurse initiate?

A preceptor advises the novice nurse to prioritize which client intervention?

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The nurse is educating a client at risk for hypervolemia for self-management at home. Which statement by the client indicates a need for further teaching?

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The nurse is caring for a client with a chest tube. Which supplies should the nurse ensure are readily available at the client's bedside for emergencies?

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