When should the nurse reassess a client after administering 0.4 mg nitroglycerin sublingual to a client with chest pain?

30 minutes

5 minutes

1 hour

15 minutes

Answer and Explanation

The Correct Answer is B

Choice A reason: This is incorrect because 30 minutes is too long to wait for reassessing a client with chest pain. Nitroglycerin has a rapid onset of action and should relieve chest pain within 5 minutes. If not, the client may need another dose or emergency care.

Choice B reason: This is correct because 5 minutes is the appropriate time to reassess a client after administering nitroglycerin sublingual. The nurse should check the client's blood pressure, heart rate, and pain level. If the pain persists, the nurse should follow the protocol for giving another dose or calling for help.

Choice C reason: This is incorrect because 1 hour is too long to wait for reassessing a client with chest pain. Nitroglycerin has a short duration of action and may need to be repeated every 5 minutes for up to 3 doses. Waiting for an hour may put the client at risk of worsening cardiac ischemia or infarction.

Choice D reason: This is incorrect because 15 minutes is too long to wait for reassessing a client with chest pain. Nitroglycerin should have an effect within 5 minutes. If the pain is not relieved by then, the client may need another dose or emergency care.

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Correct Answer is A

Explanation

Choice A reason: This is correct. Somatropin is a synthetic form of human growth hormone (HGH), which stimulates the growth of bones and tissues. It is used to treat growth deficiency in children who have low or no natural HGH. The treatment is usually stopped when the growth plates (the areas of cartilage at the ends of the long bones) fuse, which marks the end of the growth period. This usually occurs around the age of 14-18 years for boys and 12-16 years for girls.

Choice B reason: This is incorrect. Somatropin is not intended for life-long treatment. It is only used to correct growth deficiency in children who have low or no natural HGH. Once the growth plates fuse, the treatment is discontinued.

Choice C reason: This is incorrect. Somatropin is not used for weight management. It is used to treat growth deficiency in children who have low or no natural HGH. The duration of the treatment depends on the individual growth potential and response to the medication, not on the weight goal.

Choice D reason: This is incorrect. Somatropin is not a short-term medication. It is used to treat growth deficiency in children who have low or no natural HGH. The treatment usually lasts for several years, until the growth plates fuse.

Correct Answer is ["150"]

Explanation

To calculate the IV pump rate for the 0.9% sodium chloride 1,200 mL IV to infuse over 8 hours, we can use the following formula:

IV pump rate (mL/hr) = Total volume (mL) / Time (hr)

Using the given values:

Total volume = 1,200 mL

Time = 8 hours

Plugging these values into the formula:

IV pump rate = 1,200 mL / 8 hr

IV pump rate = 150 mL/hr

So, the nurse should set the IV pump to deliver 150 mL/hr to infuse the 1,200 mL of 0.9% sodium chloride over 8 hours.

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When should the nurse reassess a client after administering 0.4 mg nitroglycerin sublingual to a client with chest pain?

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Naxlex Comprehensive Predictor Exams

A child has been prescribed to begin treatment with somatropin for growth deficiency. His mom asks how long he will need to take this medication. What is the nurse’s best response?

Correct Answer is A

Explanation

A nurse is preparing to administer 0.9% sodium chloride 1,200 mL IV to infuse over 8 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["150"]

Explanation

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