The prescription states, "Give drug D 0.5 mg/kg of body weight po three times a day" The client's weight is 90 kg. Drug D is available from the pharmacy as 25 mg per 5 mL. How many mL will the client receive per 1 dose? (Use a preceding zero if necessary. Do not use trailing zeros. Round to the nearest tenth if necessary)

A. Blood pressure is 92/50: Nitroglycerin is a vasodilator, and one of its common side effects is a reduction in blood pressure. A blood pressure of 92/50 indicates hypotension, which could be dangerous, especially in a patient with a myocardial infarction. The nurse should report this immediately as further reduction in blood pressure could lead to inadequate perfusion of vital organs, including the heart, and worsen the patient’s condition.

B. Serum potassium is 5.1 mEq/L: A serum potassium level of 5.1 mEq/L is within the normal range (3.5–5.0 mEq/L). While potassium imbalances can affect cardiac function, this level is not dangerously high and would not warrant immediate intervention.

C. Heart rate is 90 beats/minute: A heart rate of 90 beats per minute is within normal limits for an adult. It does not require immediate intervention in the context of a myocardial infarction unless there are signs of arrhythmias or other concerning changes.

D. T wave depression on the electrocardiogram: T wave depression can be a normal finding in patients with myocardial infarction, especially in the early stages. While it can indicate ischemia, it does not require immediate reporting unless there are more severe changes on the ECG or the patient’s condition deteriorates.

A. Urinary retention can occur in Guillain-Barre Syndrome due to autonomic dysfunction, but it is not the most life-threatening complication.
B. Hypertension may be seen as part of autonomic instability in GBS, but it is usually not the primary concern.
C. Hyperglycemia is not a typical complication of GBS itself, unless related to treatments like IV corticosteroids (which are not first-line therapy for GBS) or comorbid conditions.
D. Guillain-Barre Syndrome causes progressive ascending paralysis, which can eventually involve the respiratory muscles. Monitoring for respiratory failure is critical, as it can develop rapidly and requires immediate intervention, such as mechanical ventilation.