The physician has ordered SoluMedrol 75 mg IM. How many milliliters will the nurse administer? (Use LABEL #4 - SoluMedrol: ROUND TO TENTHS PLACE: LABEL CORRECTLY TO RECEIVE CREDIT)

Answer and Explanation

The Correct Answer is ["1.2"]

Step 1 is to locate the medication label. It is stated that Label #4 contains SoluMedrol.

Step 2 is to identify the concentration of SoluMedrol on Label #4. Assuming Label #4 indicates SoluMedrol 125 mg/2 mL (This is a common concentration; specific label details are not provided in the prompt, so a typical concentration is assumed for calculation purposes).

Step 3 is to calculate the volume to be administered. Volume (mL) = (Ordered dose ÷ Available concentration). Volume (mL) = (75 mg ÷ 125 mg/2 mL). Volume (mL) = (75 mg ÷ 125 mg) × 2 mL. Volume (mL) = 0.6 × 2 mL. Volume (mL) = 1.2 mL. The nurse will administer 1.2 mL.

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Correct Answer is ["A","B","C","D"]

Explanation

Choice A rationale

The aortic valve, located between the left ventricle and the aorta, is best auscultated at the second intercostal space (ICS) along the right sternal border. This anatomical landmark allows for optimal sound transmission as blood is ejected from the left ventricle into the systemic circulation, enabling clear identification of S2 heart sounds and potential aortic murmurs.

Choice B rationale

The pulmonic valve, positioned between the right ventricle and the pulmonary artery, is most clearly heard at the second intercostal space (ICS) along the left sternal border. This specific location facilitates the detection of sounds associated with blood flow from the right ventricle into the pulmonary circulation, aiding in the assessment of right heart function and conditions like pulmonary hypertension.

Choice C rationale

The tricuspid valve, situated between the right atrium and the right ventricle, is best auscultated at the fourth intercostal space (ICS) along the left sternal border. This site is optimal for assessing the flow of deoxygenated blood into the right ventricle, allowing for the detection of murmurs related to tricuspid regurgitation or stenosis, and evaluating right heart filling.

Choice D rationale

The mitral valve, located between the left atrium and the left ventricle, is most accurately assessed at the fifth intercostal space (ICS) at the left midclavicular line (MCL). This apex beat location is crucial for hearing sounds associated with the filling of the left ventricle and detecting murmurs indicative of mitral valve prolapse, regurgitation, or stenosis, reflecting left heart function.

A. True. B. False. C. It depends on the client's preference. D. It depends on the medication type.

Correct Answer is B

Explanation

Choice A rationale

Giving water after a buccal medication would cause the medication to be swallowed. Buccal medications are designed for absorption through the rich vascularization of the buccal mucosa, allowing direct entry into the systemic circulation and bypassing first-pass hepatic metabolism. Swallowing defeats this purpose.

Choice B rationale

Buccal medications are intended to dissolve slowly in the buccal pouch (between the cheek and gums) and be absorbed directly into the bloodstream through the mucous membranes. Consuming water would wash the medication away, leading to premature swallowing and subsequent degradation by gastric enzymes or first-pass metabolism in the liver, thus reducing its therapeutic effect.

Choice C rationale

The client's preference for water does not supersede the pharmacokinetic principles governing buccal medication administration. The route of administration is chosen specifically for its absorption profile, and introducing water compromises the intended local absorption mechanism, regardless of patient comfort.

Choice D rationale

The type of medication is precisely why water should be avoided. Buccal medications, by their very design, rely on sustained contact with the oral mucosa for systemic absorption. Regardless of the specific drug, water interferes with this fundamental mechanism, rendering the buccal route ineffective.

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The physician has ordered SoluMedrol 75 mg IM. How many milliliters will the nurse administer? (Use LABEL #4 - SoluMedrol: ROUND TO TENTHS PLACE: LABEL CORRECTLY TO RECEIVE CREDIT)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Match the heart valve site with its correct anatomical location. Heart Valve Site: Aortic Pulmonic Tricuspid Mitral Anatomical Location:

Correct Answer is ["A","B","C","D"]

Explanation

The nurse should give a client half a glass of water after taking a buccal medication.

Correct Answer is B

Explanation

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