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A prescription reads phenytoin 0.2 g orally twice daily. The medication label
states that each capsule is 100 mg. The nurse prepares how many
capsule(s) to administer 1 dose? Fill in the blank. - 🧠 ANSWER ✔✔Answer:
2 capsule(s)
Rationale: You must convert 0.2 mg. After conversion from grams to
milligrams, use the formula to calculate the correct dose. Desired/Available
× Capsule(s) = capsule(s)/dose
200mg/100mg × 1 capsule = 2 capsules
Test-Taking Strategy(ies): Focus on the subject, a dosage calculation. In
this medication calculation problem, first you must convert grams to
milligrams. Once you have done the conversion and reread the medication
,calculation problem, you will know that 2 capsules is the correct answer.
Recheck your work using a calculator and make sure that the answer
makes sense.
The nurse is caring for a client who begins to experience seizure activity
while in bed. Which actions should the nurse take? Select all that apply.
1. Loosening restrictive clothing.
2. Restraining the client's limbs.
3. Removing the pillow and raising padded side rails.
4. Positioning the client to the side, if possible, with the head flexed
forward.
5. Keeping the curtain around the client and the room door open so when
help arrives they can quickly enter to assist. - 🧠 ANSWER ✔✔Answer: 1.
Loosening restrictive clothing.
3. Removing the pillow and raising padded side rails.
4. Positioning the client to the side, if possible, with the head flexed
forward.
Rationale: Nursing actions during a seizure include providing for privacy,
loosening restrictive clothing, removing the pillow and raising padded side
,rails in the bed, and placing the client on 1 side with the head flexed
forward, if possible, to allow the tongue to fall forward and facilitate
drainage. The limbs are never restrained because the strong muscle
contractions could cause the client harm. If the client is not in bed when
seizure activity begins, the nurse lowers the client to the floor, if possible;
protects the head from injury; and moves furniture that may injure the
client.
Test-Taking Strategy(ies): Focus on the subject, interventions during a
seizure. Think about ethical and legal issues to eliminate option 5. Next,
evaluate this question from the perspective of causing possible harm. No
harm can come to the client from any of the options except for restraining
the limbs. Remember to avoid restraints.
The nurse is instructing a client with Parkinson's disease about preventing
falls. Which client statement reflects a need for further teaching?
1. "I can sit down to put on my pants and shoes."
2. "I try to exercise every day and rest when I'm tired."
3. "My son removed all loose rugs from my bedroom."
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, 4. "I don't need to use my walker to get to the bathroom." - 🧠 ANSWER
✔✔Answer: 4. "I don't need to use my walker to get to the bathroom."
Rationale: The client with Parkinson's disease should be instructed
regarding safety measures in the home. The client should use her or his
walker as support to get to the bathroom because of bradykinesia. The
client should sit down to put on pants and shoes to prevent falling. The
client should exercise every day in the morning when energy levels are
highest. The client should have all loose rugs in the home removed to
prevent falling.
Test-Taking Strategy(ies): Note the strategic words, need for further
teaching. These words indicate a negative event query and the need to
select the incorrect client statement as the answer. Recall that clients with
Parkinson's disease are at risk for falls.
The nurse is instituting seizure precautions for a client who is being
admitted from the emergency department. Which measures should the
nurse include in planning for the client's safety? Select all that apply.
1. Padding the side rails of the bed.
2. Placing an airway at the bedside.