A healthcare professional is preparing to administer acetaminophen 650 mg PO every 6 hr PRN for pain. The amount available is acetaminophen liquid 500 mg/5 mL. How many mL should the healthcare professional administer per dose?

Correct Answer: A

Rationale: In this scenario, the correct answer is A) 6.5 mL. To calculate the correct dosage, we need to use the formula: Desired dose/Have dose x Quantity. Given: Desired dose = 650 mg Have dose = 500 mg/5 mL Quantity = unknown (let's call it X mL) First, we need to find out how many mL contain 650 mg of acetaminophen: (500 mg/5 mL) x X mL = 650 mg Solving for X, we get X = (650 mg x 5 mL) / 500 mg = 6.5 mL Educational context: Understanding medication dosage calculations is crucial for healthcare professionals to ensure safe and accurate administration of medications. This question tests the ability to calculate the correct dosage based on the provided information and conversion factors. It also reinforces the importance of double-checking calculations to prevent medication errors. Why the other options are wrong: - Option B) 7 mL is incorrect because the precise calculation results in 6.5 mL, not 7 mL. - Option C) 5 mL is incorrect as it does not provide the full 650 mg dosage required. - Option D) 8 mL is incorrect as it overestimates the required dosage based on the calculation.

Correct Answer: B

Rationale: In a situation where a client presents with Benzodiazepine toxicity, the priority action for the nurse is to assess the client. By identifying the client's level of orientation, the nurse can gather crucial information about the client's mental status, which is essential for determining the appropriate care and interventions needed. Administering flumazenil, infusing IV fluids, or preparing for gastric lavage may be necessary interventions but should follow a thorough assessment of the client's condition.

Correct Answer: A

Rationale: Rationale: The correct answer is A) You may have a decreased desire for intimacy while taking this medication. Fluoxetine is a selective serotonin reuptake inhibitor (SSRI) commonly used to treat post-traumatic stress disorder (PTSD). One of the common side effects of SSRIs like fluoxetine is a decrease in libido and sexual desire. Therefore, it is essential for the nurse to educate the client about this potential side effect to promote awareness and understanding. Option B) You should take this medication at bedtime to help promote sleep is incorrect because fluoxetine is typically taken in the morning due to its potential to cause insomnia as a side effect. Option C) You will have fewer urinary adverse effects if you urinate just before taking this medication is incorrect as fluoxetine is not known to cause urinary adverse effects that would be mitigated by emptying the bladder before taking it. Option D) You'll need to wear sunglasses when outdoors due to the light sensitivity caused by this medication is incorrect as light sensitivity is not a common side effect of fluoxetine. Educationally, understanding the side effects and administration instructions of medications is crucial for nurses to ensure safe and effective patient care. Providing accurate information to clients about their medications empowers them to manage their health effectively and enhances medication adherence.

Correct Answer: B

Rationale: In teaching a client with schizophrenia strategies to cope with anticholinergic effects of Fluphenazine, suggesting to chew sugarless gum to moisten the mouth is the most appropriate option. This is because anticholinergic medications like Fluphenazine can cause dry mouth, and chewing gum can help stimulate saliva production, alleviating dryness. Option A is incorrect because taking the medication in the morning will not specifically address anticholinergic effects but rather insomnia. Option C is incorrect as using cooling measures to decrease fever is not relevant to managing anticholinergic effects. Option D is also incorrect as taking an antacid to relieve nausea does not target the anticholinergic effects of Fluphenazine. Educationally, it is important for nurses and healthcare providers to teach clients about potential side effects of medications and provide practical strategies to manage these effects to enhance medication adherence and overall well-being. Understanding the specific side effects of anticholinergic medications and appropriate self-care measures can empower clients to better manage their health.

Correct Answer: A

Rationale: To minimize the anticholinergic effect of Clomipramine, the client should wear sunglasses when outdoors to reduce photophobia. This adverse effect is common with tricyclic antidepressant (TCA) use. Checking temperature daily, timing of medication intake, or adding extra calories to the diet are not directly related to minimizing adverse effects of Clomipramine.