Comprehensive 1

18440 words 74 pages
Comprehensive 1
1. 1.ID: 310949498
A male client who lives in an area endemic with Lyme disease asks the nurse what to do if he thinks he may have been exposed. Which response should the nurse provide?
A. Cover the ticks with oil to suffocate and kill them to prevent transmission.
B. Look for early signs of a lesion that increases in size with a red border, clear center. Correct
C. See a healthcare provider if nausea, vomiting, and joint pain occur after a tick bite.
D. Obtain early treatment with antiviral agents to prevent cardiac manifestations.
The client should look for the early signs of localized Lyme disease known as erythema migrans, a skin lesion that slowly expands to form a large round lesion with a bright red border and
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A. Administer after an eight-hour fast.
B. Give one hour before or two hours after a meal. Correct
C. Provide the dose after the client has missed a meal.
D. Take with liquids, but no solid foods.
When administering a drug on an empty stomach, the drug should be given either one hour before a meal or two hours after a meal (B), which is the average transit time from the stomach to the duodenum after eating. An eight-hour fast is more time than is needed for the stomach to empty (C) and is not necessary. The last time any food or drink has been ingested is a better indicator of an empty stomach, rather than after the client has missed a meal (C). Some liquids, such as grapefruit juice, can alter the drug's dilution and absorption (D). Category: Fundamentals
Awarded 1.0 points out of 1.0 possible points.
9. 9.ID: 310955012
The nurse is preparing to administer a prescribed dose of acetylcysteine (Mucomyst) 600 mg PO. The 10 ml vial is labeled "Mucomyst 20% solution (20 grams/100 ml)." What volume of medication in milliliters should the nurse administer? (Enter numeric answer only.)
Correct Responses: "3"
20 grams is equivalent to 20,000 mg. 20,000 mg/100 ml = 200 mg/1 ml. Using Desired/Have X Volume: 600 mg/200 mg × 1 ml = 3 ml.  <font face="Verdana" color="#333333">Category:  Fundamentals</font>
Awarded 1.0 out of 1.0 possible points.


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