Which assessment should the home health nurse include during a routine home visit for a client who was discharged home with a suprapubic catheter?

The correct answer is : 31.6 mL

Let’s calculate this step by step:

Step 1: Convert 10 mg of teriparatide to mcg. We know that 1 mg = 1000 mcg. So, 10 mg = 10 × 1000 mcg = 10000 mcg.

Step 2: The medication is labeled as 760 mcg/2.4 ml. This means that 760 mcg of the medication is present in 2.4 mL.

Step 3: Now, we need to find out how many ml will contain 10000 mcg of the medication. We can set up a proportion to solve this:

(760 mcg / 2.4 ml) = (10000 mcg / x mL)

Step 4: Solving for x, we cross-multiply and divide:

x ml = (10000 mcg × 2.4 ml) ÷ 760 mcg

Step 5: Calculate the result:

x ml = 24000 mcg·ml ÷ 760 mcg = 31.57894736842105 mL

Step 6: If rounding is required, round to the nearest tenth:

x ml = 31.6 mL

So, the nurse should administer 31.6 mLof the medication.

Choice B This situation could lead to conflict, but the client is not actively posing an immediate danger. The nurse should still intervene, but it is not the highest priority.

Choice A is incorrect because the client with anorexia nervosa who is refusing to eat the evening snack is not in immediate danger. The nurse should monitor the client's nutritional status and weight, but this can be done later.

Choice C iThe client with bipolar disorder who is pacing may be exhibiting signs of agitation, restlessness, or escalating mania, which can quickly lead to aggression, impulsivity, or loss of control. This behavior requires immediate attention to ensure safety for both the client and others on the unit. Manic or agitated patients may become unpredictable, making early intervention crucial.

Choice D is incorrect because the client with major depression who refuses to participate in group is not in immediate danger. The nurse should encourage the client to join the group, but this can be done later.