A nurse is preparing to administer phenytoin 600 mg PO daily to a client. The amount
available is oral solution 125 mg/5 mL. How many mL should the nurse administer?
(Round the answer to the nearest whole number. Use a leading zero if it applies. Do not
use a trailing zero.)
24
A nurse is caring for a client who has an arterial line. Which of the following actions
should the nurse take?
place a pressure bag around the flush solution
Rationale: The nurse should place a pressure bag around the flush solution of 0.9%
sodium chloride because the pressure from an artery is greater than that of the line.
An arterial line is not appropriate access for administering antibiotics. The nurse should
use the arterial line to obtain arterial blood gas samples and monitor hemodynamic
pressures.
A nurse is updating the plan of care for a client who is receiving chemotherapy. Which of
the following findings should the nurse identify as the priority?
Report of sore throat
Rationale: When using the urgent vs. nonurgent approach to client care, the nurse
should determine that the priority finding is a report of a sore throat, which could be a
manifestation of an infection. The client is at risk for neutropenia due to
myelosuppression; therefore, an infection could lead to sepsis.
A nurse is reviewing the medical record of a client who has systemic lupus
erythematosus (SLE). Which of the following findings should the nurse expect?
Facial butterfly rash
Rationale: A butterfly rash is a manifestation of SLE. It appears as a dry, red rash on the
client's cheeks and nose and can disappear during times of remission.
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