While completing a comprehensive assessment of a client who is admitted with chronic obstructive pulmonary disorder, the objective data revealed the client's nails appear convexed and wide with an angle greater than 160 degrees. How would the nurse document this finding?

Beau's line

Koiloncychia

Clubbing

Onycholysis

Answer and Explanation

The Correct Answer is C

A. Beau's lines are horizontal depressions across the nail, unrelated to clubbing.

B. Koilonychia refers to spoon-shaped nails, not convexed nails.

C. Clubbing is a condition where the nails become convex and the angle between the nail bed and finger increases, often associated with chronic hypoxia or lung diseases like COPD.

D. Onycholysis is the separation of the nail from the nail bed, unrelated to convexed nails.

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Correct Answer is A

Explanation

A. According to the recommended dosage range of 20 to 25 mg/kg/day for a toddler weighing 20 kg, the daily dosage should be between 400 mg (20 kg x 20 mg) and 500 mg (20 kg x 25 mg). Therefore, the prescribed dosage of 300 mg/day is below the recommended range.

B. The nurse determines the prescription is above the recommended dosage range. This is incorrect because the prescribed dosage is actually below the recommended range.

C. The nurse contacts the pharmacist to adjust the prescribed dosage. This would be an appropriate action since the prescribed dosage does not meet the recommended range, and collaboration with the pharmacist could ensure the correct dosage is administered.

D. The nurse administers the prescribed dosage. This would not be appropriate without first addressing the discrepancy between the prescribed dosage and the recommended range.

Correct Answer is ["0.8"]

Explanation

To administer the correct dose of morphine sulfate, which is prescribed at 8 mg stat, and given that the medication ampule concentration is 10 mg/mL, the nurse would need to calculate the volume of medication to administer. The calculation is based on the formula: Volume (mL) = Dose (mg) / Concentration (mg/mL). Therefore, for an 8 mg dose, the nurse would prepare 0.8 mL of morphine sulfate to administer, rounding to the nearest tenth.

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While completing a comprehensive assessment of a client who is admitted with chronic obstructive pulmonary disorder, the objective data revealed the client's nails appear convexed and wide with an angle greater than 160 degrees. How would the nurse document this finding?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer amoxicillin 100 mg PO every 8 hr to a toddler who weighs 20 kg. The recommended dosage range is 20 to 25 mg/kg/day. Which action by the nurse is appropriate?

Correct Answer is A

Explanation

A prescription reads morphine sulfate, 8 mg stat. The medication ampule reads morphine sulfate, 10mg/ml. The nurse prepares how many milliliters (mL) to administer the correct dose. Round to the nearest tenth.

Correct Answer is ["0.8"]

Explanation

A client is to receive enoxaparin 30 mg subcutaneously. Available is enoxaparin 40 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

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