Question

You are instructed to administer tobramycin 35mg 1M every 8 hours. The available supply is 40mg in a 1 mL vial. How many mL's should the nurse administer? Round your answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.

Answer 1

Correct Answers:

0.9

Rationale :

🧮The formula to use is:

💁‍♂️(Desired Dose ÷ Available Dose) × Volume = (35 mg ÷ 40 mg) × 1 mL = 0.875 mL, rounded to 0.9 mL.

💊This ensures the patient receives the accurate prescribed dose of 35 mg using a 40 mg/mL concentration.

📏Rounding to the nearest tenth is essential to ensure safe and precise medication administration in small volumes.

🧷Using a leading zero prevents medication errors, and omitting a trailing zero avoids tenfold overdose risk.

📌Core Message

Use the dose over have times volume formula and apply rounding rules for safe medication administration.

Answer 2

Correct Answers:

Call the physician and prepare for intubation.

Rationale :

🚨A statement like “it’s getting harder to take a deep breath” suggests impending respiratory failure, which is life-threatening in Guillain-Barré syndrome.

📞The priority is to notify the provider immediately and prepare for emergency airway support such as intubation.

💁‍♂️BS often leads to ascending paralysis, affecting the diaphragm and respiratory muscles, making respiratory assessment critical.

🧯Delaying intervention increases the risk of hypoxia, respiratory arrest, and death.

📌Core Message

Respiratory compromise in Guillain-Barré syndrome requires immediate airway management.

Answer 3

Correct Answers:

Provide close supervision because of the client's impulsiveness and poor judgment.

Rationale :

🔍A stroke in the right hemisphere affects judgment, insight, and safety awareness, often leading to impulsiveness.

🧭Clients may attempt unsafe actions like standing or walking alone, increasing fall risk.

🚫Unlike left hemisphere strokes, aphasia is not expected with right-brain injury.

🛡️Close supervision is the most effective intervention to ensure client safety in this situation.

📌Core Message

Right hemisphere strokes impair judgment, so close supervision is critical for safety.

Answer 4

Correct Answers:

Speak slowly and clearly using yes/no Questions one at a time.

Rationale :

🗣️Clients with aphasia may have difficulty processing language but often retain the ability to understand simple cues.

🔄Using yes/no questions helps the client respond accurately without cognitive overload.

🧏Slow, clear communication promotes understanding and cooperation while reducing frustration.

📉Open-ended or complex instructions can overwhelm the client, making effective communication impossible.

📌Core Message

Use clear, simple communication strategies to support clients with aphasia.

Answer 5

Correct Answers:

Instruct the client on daily muscle stretching.

Rationale :

🧘Multiple sclerosis (MS) involves muscle stiffness, spasticity, and fatigue, which can be reduced with daily stretching.

🦵Stretching helps maintain mobility, flexibility, and function while preventing contractures.

🚫Total assistance is not indicated unless the disease is advanced; many clients remain partially independent.

🍽️A low-residual diet or hourly voiding is not necessary unless complications such as constipation or incontinence occur.

📌Core Message

Daily stretching helps manage spasticity and mobility in multiple sclerosis.

Answer 6

Correct Answers:

Antibiotic therapy.

Rationale :

🦠Bacterial meningitis is a medical emergency requiring immediate broad-spectrum antibiotic therapy.

📊Lab results including elevated WBCs and decreased glucose in CSF confirm the bacterial cause.

💊Antibiotics are prioritized over antivirals unless viral meningitis is suspected, which is less common and less severe.

⚠️Delaying treatment increases the risk of neurologic damage, sepsis, or death.

📌Core Message

Bacterial meningitis requires urgent antibiotic therapy to prevent life-threatening complications.

Answer 7

Correct Answers:

35

Rationale :

📏Step 1: 25 mg/kg/day × 70 kg = 1750 mg/day.

🔀Step 2: Divide by 2 for BID dosing: 1750 ÷ 2 = 875 mg per dose.

🧪Step 3: Convert using concentration: (875 mg ÷ 125 mg) × 5 mL = 35 mL

📏Final answer: 35 mL per dose, rounded to 35.

📌Core Message

Use weight-based dosing, divide for dosing frequency, and apply proportion calculations carefully.

Answer 8

Correct Answers:

Ascending muscle weakness

Rationale :

🦵Guillain-Barré syndrome typically presents with symmetric ascending weakness, beginning in the lower extremities.

📈This progresses over hours to days and may lead to respiratory failure if not identified early.

👁️Other symptoms like ptosis or ear pain are not characteristic of GBS, distinguishing it from myasthenia gravis or Bell’s palsy.

⚠️Early recognition of this pattern is vital for timely intervention and preventing life-threatening complications.

📌Core Message

Guillain-Barré syndrome presents with symmetrical ascending muscle weakness.

Answer 9

Correct Answers:

I should try to eat my food either very warm or very cold.

Rationale :

🥶Extreme temperatures can trigger pain episodes in clients with trigeminal neuralgia, due to nerve sensitivity.

🍽️Using lukewarm foods and avoiding triggers like wind or vibration helps minimize attacks.

🦷Suggestions like rinsing the mouth and chewing on the unaffected side are appropriate adaptations.

🧻Soft tools like cotton pads reduce stimulation during facial hygiene.

📌Core Message

Avoid extreme food temperatures to prevent pain episodes in trigeminal neuralgia.

Answer 10

Correct Answers:

Brain CT or MRI

Rationale :

🧠A CT scan or MRI is the first diagnostic tool to determine whether a stroke is ischemic or hemorrhagic.

⚠️This distinction is critical before administering tPA or anticoagulants, which are contraindicated in bleeding.

🧪Other tests like PT or lumbar puncture may follow but do not guide initial treatment decisions.

📈Rapid imaging improves the chance of reperfusion therapy and better outcomes.

📌Core Message

A CT or MRI is essential for stroke diagnosis and guides early treatment decisions.

1 :
You are instructed to administer tobramycin 35mg 1M every 8 hours. The available supply is 40mg in a 1 mL vial. How many mL's should the nurse administer? Round your answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.

2 :
A nurse is caring for a client recently diagnosed with Guillain-Barre syndrome. The client states, "It is getting harder to take a deep breath." Which action by the nurse is most appropriate?

3 :
The nurse is caring for a client who experienced a stroke in the right hemisphere of the brain. What should the nurse do to ensure the safety of the patient?

4 :
The nurse is caring for a client that has been diagnosed with aphasia. How can the nurse communicate effectively with the client?

5 :
The nurse is creating a plan of care for a client who has a recent diagnosis of multiple sclerosis. Which of the following should the nurse include in the client's care plan?

6 :
The nurse is caring for a client who is suspected of meningitis. After reviewing lab results, the nurse will anticipate that the provider will prescribe which medications to treat the meningitis?

8 :
In the context of an initial assessment for a client admitted to rule out Guillain-Barre syndrome, which of the following symptoms would the nurse expect to observe?

9 :
A client with trigeminal neuralgia has been given suggestions to minimize episodes of pain. Which statement, if made by the client, would indicate the need for further teaching?

10 :
A patient arrives in the emergency department exhibiting symptoms of a cerebrovascular accident (CVA). Which diagnostic evaluations would the nurse anticipate before treatment is initiated?

1 : You are instructed to administer tobramycin 35mg 1M every 8 hours. The available supply is 40mg in a 1 mL vial. How many mL's should the nurse administer? Round your answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.

2 : A nurse is caring for a client recently diagnosed with Guillain-Barre syndrome. The client states, "It is getting harder to take a deep breath." Which action by the nurse is most appropriate?

3 : The nurse is caring for a client who experienced a stroke in the right hemisphere of the brain. What should the nurse do to ensure the safety of the patient?

4 : The nurse is caring for a client that has been diagnosed with aphasia. How can the nurse communicate effectively with the client?

5 : The nurse is creating a plan of care for a client who has a recent diagnosis of multiple sclerosis. Which of the following should the nurse include in the client's care plan?

6 : The nurse is caring for a client who is suspected of meningitis. After reviewing lab results, the nurse will anticipate that the provider will prescribe which medications to treat the meningitis?

8 : In the context of an initial assessment for a client admitted to rule out Guillain-Barre syndrome, which of the following symptoms would the nurse expect to observe?

9 : A client with trigeminal neuralgia has been given suggestions to minimize episodes of pain. Which statement, if made by the client, would indicate the need for further teaching?

10 : A patient arrives in the emergency department exhibiting symptoms of a cerebrovascular accident (CVA). Which diagnostic evaluations would the nurse anticipate before treatment is initiated?

1 :
You are instructed to administer tobramycin 35mg 1M every 8 hours. The available supply is 40mg in a 1 mL vial. How many mL's should the nurse administer? Round your answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.

2 :
A nurse is caring for a client recently diagnosed with Guillain-Barre syndrome. The client states, "It is getting harder to take a deep breath." Which action by the nurse is most appropriate?

3 :
The nurse is caring for a client who experienced a stroke in the right hemisphere of the brain. What should the nurse do to ensure the safety of the patient?

4 :
The nurse is caring for a client that has been diagnosed with aphasia. How can the nurse communicate effectively with the client?

5 :
The nurse is creating a plan of care for a client who has a recent diagnosis of multiple sclerosis. Which of the following should the nurse include in the client's care plan?

6 :
The nurse is caring for a client who is suspected of meningitis. After reviewing lab results, the nurse will anticipate that the provider will prescribe which medications to treat the meningitis?

8 :
In the context of an initial assessment for a client admitted to rule out Guillain-Barre syndrome, which of the following symptoms would the nurse expect to observe?

9 :
A client with trigeminal neuralgia has been given suggestions to minimize episodes of pain. Which statement, if made by the client, would indicate the need for further teaching?

10 :
A patient arrives in the emergency department exhibiting symptoms of a cerebrovascular accident (CVA). Which diagnostic evaluations would the nurse anticipate before treatment is initiated?