Your patient has an order to receive Levothyroxine Sodium 75 mcg daily IV. You have a vial containing 100 mcg available from the pharmacy. According to the package insert, 5 mL of 0.9% sodium chloride is needed to reconstitute. You add the appropriate amount of sodium chloride to the vial. How many mcg of medication are in 1 mL of the vial?

Correct Answer: A

Rationale: The correct answer is A: 20 mcg. To determine the amount of medication in 1 mL of the vial, you first need to reconstitute the vial with 5 mL of sodium chloride. This will result in a total of 100 mcg of Levothyroxine Sodium in the vial. To find out how much medication is in 1 mL, you divide the total amount by the volume of the vial (100 mcg / 5 mL = 20 mcg/mL). Therefore, there are 20 mcg of medication in 1 mL of the vial. Choice B, C, and D are incorrect because they do not accurately calculate the amount of medication in 1 mL of the vial based on the given information and the reconstitution process.

Correct Answer: C

Rationale: The correct answer is C: Applying emollients to the skin. Pruritus is common in cirrhosis due to bile salt accumulation. Emollients help hydrate and protect the skin, reducing itching. Antihistamines (A) may not be effective for pruritus in cirrhosis. High-protein diet (B) is unrelated to pruritus. Hot water baths (D) can worsen itching by drying out the skin.

Correct Answer: A

Rationale: The correct answer is A because insulin shots are not only taken when blood sugar is high in type 2 diabetes. Insulin therapy may be prescribed by the doctor to be taken at specific times regardless of blood sugar levels to manage the condition effectively. Choice B is correct as it emphasizes the importance of lifestyle modifications in managing diabetes. Choice C is correct as monitoring blood sugar levels is crucial for managing diabetes. Choice D is correct as adherence to prescribed medication is essential in controlling blood sugar levels.

Correct Answer: C

Rationale: The priority nursing intervention for a client with acute pancreatitis is maintaining NPO status and administering IV fluids (Choice C). This is because pancreatitis causes inflammation of the pancreas, leading to digestive enzyme release and auto-digestion of pancreatic tissue. By keeping the client NPO, it helps rest the pancreas and decrease enzyme secretion, which can reduce further damage. Administering IV fluids is crucial to maintain hydration and replace lost fluids due to vomiting or decreased oral intake. Choices A, B, and D are incorrect as they focus on dietary interventions such as oral pancreatic enzymes, high-protein, or low-fat diet, which are not appropriate as initial priorities in the acute phase of pancreatitis.

Correct Answer: A

Rationale: The correct answer is A: Monitoring for signs of hyperkalemia. Spironolactone is a potassium-sparing diuretic commonly used in clients with liver cirrhosis and ascites. The key nursing consideration is monitoring potassium levels due to the risk of hyperkalemia, as spironolactone reduces potassium excretion. Hyperkalemia can lead to serious cardiac arrhythmias. Checking for hypoglycemia (B) is not directly related to spironolactone use. Assessing for dehydration (C) is important but not the key consideration for this medication. Observing for hyponatremia (D) is not a common side effect of spironolactone.