Question

The health care provider orders potassium chloride 40 mEq to be added to the client's IV solution. The vial reads 10 mEq/5 mL. How manymilimeters will be added to the IV solution? a. 0.25 mL b. 20 ml C. 200 mL d. 40 mL 48. A dlient states, I take acetaminophen four to five times daily when I'm at home"Which laboratory testis relevant response to best evaluate the effect of this practice? a. Cardiac enzymes b. Peakand trough c. Liver enzymes d. White blood cell count 49. When teaching intervention is most important to share with the client prescribed misoprostol? a. Supplement therapy with magnesium antacids b. Report postmenopausal bleeding. C. Use effective cotraceptive measures. d. Administer the drug one time per day. 50. Which hormone will be released in response to the increase in the size and number of muscle cells? a. Growth hormone b. Adrenocortrophic hormone c. Thyroid-stimulating hormone 51. When assessing for potential adverse effects of prescribed growth hormone, what assessment should the nurse prioritize? a Deep tendon reflexes b. Level of anxiety c. Respiratory rate d. Blood glucose octreotide for possible drug-to-drug interactions. The nurse performs hisimportant safety action in order toprventdrug interactions that could result in which adverse effect? 52. A nurse reviews the current medication administration record ofba a client who has recently been prescribed a Increased growth b. Anaphylaxis c, cardiac complications d respiratory arrest

Answer 1

47. Desired dosage= 40 meq/ml

Available dosage= 10 meq/5ml

Amount= desired dosage /available dosage× volume= 40/10× 5= 20 ml

Answer : b

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48. Answer:c

Cardiac enzyme :This test is done to rule out myocardial infarction.Acetaminophen overdosage cannot be ruled out by this test. So this option is wrong.

Peak and trough: This test is done to determine highest and lowest concentration of any drug in plasma.So this option is wrong.

Liver enzyme test: We already know over consumption of tylenol( acetaminophen) may lead to liver damage ,as Acetaminophen is primarily metabolized by the liver. More intake of acetaminophen can overwhelm the way the liver normally functions.So a liver enzyme test is used to predict damages in liver due to over intake of acetaminophen .(Answer)

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49.Answer: c

Supplement therapy with magnesium antacids: This is a therapeutic intervention for treating acid reflux.

Report post menopausal bleeding: This is to rule out any excess bleeding and diagnose the condition.

Use effective contraceptive measures: Teaching intervention is most important to share with the client prescribed misoprostol, because this may cause abortion.(Answer)

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50.Answer: a

Growth hormone: Growth hormone stimulates the growth of body tissues, including growth of muscle cells.(Answer)

Adrenocorticotropic hormone:It causes secretion of cortisol.ACTH is secreted by stimulation of corticotrophin- releasing hormone.

Corticotropin-releasing hormone: It causes the release of corticotropin (adrenocorticotropic hormone) in response to stress.

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51.Answer: d

Level of anxiety:Growth hormone may cause anxiety but it is not a potential adverse effect which should be kept at first.

Respiratory rate:There may be effects on respiratory rate but it occurs due to upper airway narrowing in excess growth hormone . It is a complication.

Blood glucose: Excess growth hormone may lead to increased blood glucose levels by causing insulin resistance.It is the potential adverse effect .(Answer)

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52.