Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A child is to receive dexamethasone (Decadron) intravenously at the ordered dosage of 7.6 mg. The drug concentration in the vial is 4 mg/mL. The nurse should administer how many ml?
This question is an excerpt from Nurse Dive's nursing test bank - ATI Med Surg Proctored Exam 6. Take the full exam now
Full Explanation
Calculation:
Dosage ordered = 7.6 mg
Drug concentration = 4 mg/mL
7.6 mg / 4 mg/mL = 1.9 mL
Similar Questions
A patient with a diagnosis of peptic ulcer disease has just been prescribed omeprazole (Prilosec). How should the nurse best describe this medication's therapeutic action?
A. "This medication will make the lining of your stomach more resistant to damage."
Omeprazole is a proton pump inhibitor that reduces acid secretion in the stomach, but it doesn't directly make the stomach lining more resistant to damage.
B. "This medication will specifically address the pain that accompanies peptic ulcer disease."
While omeprazole can alleviate pain associated with peptic ulcer disease, its primary action is related to acid reduction.
C. "This medication will help your stomach lining to repair itself."
Omeprazole primarily reduces acid secretion and doesn't directly facilitate the repair of the stomach lining.
D. "This medication will reduce the amount of acid secreted in your stomach."
This statement is correct. Omeprazole belongs to a class of medications known as proton pump inhibitors, which work by reducing the amount of acid produced in the stomach. This helps to alleviate symptoms and promote healing in conditions like peptic ulcer disease.
Full Explanation
Choice A reason:
Omeprazole is a proton pump inhibitor that reduces acid secretion in the stomach, but it doesn't directly make the stomach lining more resistant to damage.
Choice B reason:
While omeprazole can alleviate pain associated with peptic ulcer disease, its primary action is related to acid reduction.
Choice C reason:
Omeprazole primarily reduces acid secretion and doesn't directly facilitate the repair of the stomach lining.
Choice D reason:
This statement is correct. Omeprazole belongs to a class of medications known as proton pump inhibitors, which work by reducing the amount of acid produced in the stomach. This helps to alleviate symptoms and promote healing in conditions like peptic ulcer disease.
A patient seeking care because of recurrent heartburn and regurgitation is subsequently diagnosed with a hiatal hernia. Which of the following should the nurse include in health education?
A. "Drinking beverages after your meal, rather than with your meal, may bring some relief."
Drinking beverages after a meal, rather than with it, can help minimize reflux symptoms in individuals with hiatal hernias.
B. "It's best to avoid dry foods, such as rice and chicken, because they're harder to swallow."
Dry foods are not specifically contraindicated for individuals with hiatal hernias, and this statement does not directly address reflux symptoms.
C. "Instead of eating three meals a day, try eating smaller amounts more often."
Eating smaller, more frequent meals is a helpful dietary modification for individuals with hiatal hernias to reduce the likelihood of reflux.
D. "Many patients obtain relief by taking over-the-counter antacids 30 minutes before eating."
While antacids can provide relief for acid reflux symptoms, this statement doesn't address the timing of meals and beverages, which is more relevant to hiatal hernia management.
Full Explanation
Choice A reason:
Drinking beverages after a meal, rather than with it, can help minimize reflux symptoms in individuals with hiatal hernias.
Choice B reason:
Dry foods are not specifically contraindicated for individuals with hiatal hernias, and this statement does not directly address reflux symptoms.
Choice C reason:
Eating smaller, more frequent meals is a helpful dietary modification for individuals with hiatal hernias to reduce the likelihood of reflux.
Choice D reason:
While antacids can provide relief for acid reflux symptoms, this statement doesn't address the timing of meals and beverages, which is more relevant to hiatal hernia management.
A nurse is interviewing a client who has acute pancreatitis. Which of the following factors should the nurse anticipate finding in the client's history?
A. Gallstones
Gallstones are a common cause of acute pancreatitis, as they can obstruct the pancreatic duct and lead to inflammation.
B. Diabetes mellitus
While diabetes mellitus can be a risk factor for pancreatitis, it is not specific to acute pancreatitis.
C. COPD
Chronic obstructive pulmonary disease (COPD) is not directly related to acute pancreatitis.
D. Hypolipidemia
Hypolipidemia (low blood lipid levels) is not a common risk factor for acute pancreatitis.
Full Explanation
Choice A reason:
Gallstones are a common cause of acute pancreatitis, as they can obstruct the pancreatic duct and lead to inflammation.
Choice B reason:
While diabetes mellitus can be a risk factor for pancreatitis, it is not specific to acute pancreatitis.
Choice C reason:
Chronic obstructive pulmonary disease (COPD) is not directly related to acute pancreatitis.
Choice D reason:
Hypolipidemia (low blood lipid levels) is not a common risk factor for acute pancreatitis.