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Questions 164

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Question 1 of 5

The doctor has ordered 1 mg of Stadol (butorphanol) to be given IM. The medication is available in 4 mg per mL. The nurse should administer:

Correct Answer: B

Rationale: Calculate: 1 mg ÷ 4 mg/mL = 0.25 mL. This ensures the correct dose of Stadol is administered.

Question 2 of 5

The nurse is caring for a client with major depressive disorder. Which of the following findings would be consistent with the condition?

Correct Answer: C

Rationale: Major depressive disorder is characterized by symptoms such as changes in appetite, sleep disturbances, and neglect of personal hygiene due to low energy and motivation.

Question 3 of 5

A client with a history of renal calculi passes a stone made up of calcium oxalate. Which of the following diet instructions should be given to the client?

Correct Answer: C

Rationale: Dark green, leafy vegetables are high in oxalates, which contribute to calcium oxalate stones. Meats and dairy increase other stone types, and citrus juices are beneficial.

Question 4 of 5

A 2 month-old child has had a cleft lip repair. The selection of which restraint would require no further action by the charge nurse?

Correct Answer: A

Rationale: Elbow. The elbow restraint will prevent the child from touching the surgical site without hindering movement of other parts of the body.

Question 5 of 5

Triazolam (Halcion) 0.25 mg is ordered for a client at bedtime. When the nurse goes to give the medication, the client asks the nurse to leave it at the bedside because she wants to finish reading a book. What is the best action for the nurse to take?

Correct Answer: B

Rationale: Returning in an hour ensures medication administration while respecting the client's request, adhering to safety protocols. Leaving medication or delaying indefinitely risks errors.

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