question archive 1) The nurse is caring for a client who has a prescription for tobramycin 3 mg/kg/day, IM, every 8 hours
1) The nurse is caring for a client who has a prescription for tobramycin 3 mg/kg/day, IM, every 8 hours
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1) The nurse is caring for a client who has a prescription for tobramycin 3 mg/kg/day, IM, every 8 hours. The client weighs 176 lb (80 kg). The nurse has tobramycin 40 mg in 1 mL of solution available. How many mL should the nurse administer to the client with each dose? Record your answer using a whole number.
Answer: ----------------ML
1. skin condition is caused by hypoglycemia in the newborn
2. newborn should be placed in an incubator
3. newborn requires oxygen therapy
4. skin condition is expected in the newborn
2) The nurse has taught the family member of a client with Parkinson's disease. Which of the following statements by the family member would indicate a correct understanding of the teaching?
1 "I will give my family member thin liquids to drink because they are easier to swallow."
2. "I should tell my family member to think about stepping over an imaginary line while walking."
3 "I will include foods that are high in iron in my family member's diet."
4 "I should give my family member a dose of a prescribed sedative/hypnotic when the tremors worsen."
3) The nurse is planning a staff education conference about caring for clients who are scheduled for a thoracentesis. Which of the following information should the nurse include?
1 "Ensure completion of a chest x-ray before the procedure."
2. "Obtain an arterial blood gas (ABG) sample after the procedure."
3 "Place the client in the prone position before the procedure."
4 "Auscultate the client's abdominal sounds after the procedure."
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Answer:
1.
Given
Order:Tobramycin
Route:IM
Frequency :Three times a day
Weight :80kg
Dose:3mg/kg/day
When 1kg=3mg
Then 80kg=??mg
Cross multiply and divide
=80*3/1
=80*3
=240mg
So in a day 240mg has to be administered and to calculate for one dose divide by 3
=240/3
=80mg/dose
Available :40mg=1ml
Then 80mg=??ml
Cross multiply and divide
=80*1/40
=80/40
=2
Ans:The nurse should administer 2ml per each dose
2.
¤The skin of the baby looks cyanosed called as acrocyanosis ,it means the sole is cold so warmth has to be provided by rubbing it swaddling the baby
This type of skin condition is expected in newborn due to coldness
Oxygen therapy will be need only in case of central cyanosis
Ans:skin condition is expected in newborn
¤Usually semi solid foods are encouraged instead of liquid to prevent aspiration
The patient can walk in an imaginary straight line to maintain gait
Foods should include high protein and not iron
Sedatives should be avoided
3.
Ans:I should tell my family member to think about stepping over and imaginary line while walking
¤Chest x ray is indicated after the procedure
Oxygen saturation has to be assessed after two hours of procedure
Usually sitting and leaning position is recommended
Chest auscultation to be done and not abdomen
4.
Ans:Obtain an arterial blood sample (ABG) after the procedure
