A health care provider's prescription reads potassium chloride 20 mEq inÂ
1000 mL normal saline and infuse at 100 mL/hr. The nurse assisting inÂ
caring for the client determines that the client will receive how manyÂ
milliequivalents (mEq) of potassium every hour? Fill in the blank.
Rationale:
Use the ratio and proportion formula to solve this problem, and then solveÂ
for x.
20 mEq: 1000 mL :: x mg: 100 mL
Multiply means and extremes then divide to solve for x.
1000x = 2000x = 2 mEq
Penicillin V 250 mg orally every 8 hours, is prescribed for a child with aÂ
respiratory infection. The child's weight is 45 pounds. The safe pediatricÂ
dosage is 25 to 50 mg/kg/day. Which statement accurately describes theÂ
prescribed dosage for this child?
Rationale:
Convert pounds to kilograms by dividing by 2.2 and then determine the
dosage frequency.Pounds to kilograms:45 lb ÷ 2.2 lb/kg = 20.45 kgDosageÂ
parameters:25 mg/kg/day × 20.45 kg = 511.25 mg/day50 mg/kg/day ×Â
20.45 kg = 1022.5 mg/dayDosage frequency:250 mg × 3 doses (every 8Â
hours) = 750 mg/dayThe dosage is within the safe dosage range.
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The nurse is assigned to care for an Asian-American client. The nurseÂ
develops a plan of care based on which belief?
Rationale:
Asian Americans believe that illness is caused by an imbalance between yinÂ
and yang, by prolonged sitting or lying, or by overexertion. In the AfricanAmerican culture, illness is viewed as a disharmonious state that may beÂ
caused by demons and spirits. Native Americans believe that illness isÂ
caused by supernatural forces.
An anxious client is experiencing respiratory alkalosis from hyperventilationÂ
as a result of anxiety. The nurse should do which action to help the clientÂ
experiencing this acid-base disorder?
Rationale:
An anxious client benefits from emotional support and reassurance, which inÂ
turn reduces anxiety and may lower the respiratory rate. The client mayÂ
benefit from the administration of a sedative or antianxiety medication, if itÂ
is prescribed. The client should try to breathe more slowly and shallowly.Â
Lying supine provides no benefit to the client.
The nurse is assisting in the care of a client receiving codeine sulfate forÂ
pain. The nurse should make note of which finding to detect an adverseÂ
effect of this medication?
Rationale:
The client taking codeine sulfate is at risk for constipation. Thus, the nurseÂ
monitors the frequency of bowel movements. The nurse also would monitorÂ
the client for hypotension, decreased respirations, and urinary retention. TheÂ
nurse would plan measures to counteract these expected effects such asÂ
encouraging fluids, coughing and deep breathing, and increasing mobility toÂ
the extent tolerated by the client.