Question

A nurse is preparing to administer benztropine 2 mg 1M every 12 hr to a client who is experiencing an extrapyramidal reaction. Available is benztropine 1 mg/mL for injection. How many mL should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Answer 1

Correct Answers:

2

Rationale :

💉 Formula:

Volume to administer (mL) = Dose ordered (mg) ÷ Dose on hand (mg/mL)

🔹 Step 1: Substitute the values:

2 mg ÷ 1 mg/mL = 2 mL

🔹 Step 2: Round to the nearest whole number:

2 mL

✅ Final Answer: 2 mL

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Answer 2

Correct Answers:

25

Rationale :

💧 Formula:

Flow rate (gtt/min) = Volume (mL/hr) ÷ 60 min × Drop factor (gtt/mL)

🔹 Step 1: Substitute the values:

100 mL/hr ÷ 60 min × 15 gtt/mL

🔹 Step 2: Perform the calculation:

100 ÷ 60 = 1.67

1.67 × 15 = 25.05

🔹 Step 3: Round to the nearest whole number:

25 gtt/min

✅ Final Answer: 25 gtt/min

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Answer 3

Correct Answers:

20

Rationale :

mL to administer = Dose ordered ÷ Dose available × mL of solution

🔹 Step 1: Substitute the values:

= 800 mg ÷ 200 mg × 5 mL

🔹 Step 2: Perform the calculation:

= 4 × 5 mL

= 20 mL

✅ Final Answer: 20 mL

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Answer 4

Correct Answers:

0.75

Rationale :

📏 Formula:

mL to administer = Dose ordered ÷ Dose available

🔹 Step 1: Substitute the values:

= 75 mg ÷ 100 mg/mL

🔹 Step 2: Perform the calculation:

= 0.75 mL

✅ Final Answer: 0.75 mL

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Answer 5

Correct Answers:

Judgment and insight
Thought process and content
General appearance

Rationale :

🧠 Judgment and Insight

💥Judgment refers to the client’s ability to make sound, safe, and reasonable decisions in daily life, such as understanding the consequences of their actions.

💥Insight involves the client’s awareness and understanding of their own mental health condition, including recognition of symptoms and the need for treatment.

💥Assessing these helps determine how well the client can participate in their care plan, manage risks, and engage in problem-solving.

💥Poor judgment or lack of insight may indicate worsening mental illness or the need for more intensive intervention.

💬 Thought Process and Content

💥Thought process is the flow and organization of ideas — whether logical, coherent, or disorganized.

💥Thought content refers to what the client is thinking — including presence of delusions, obsessions, suicidal or homicidal ideation.

💥This assessment provides key insight into psychiatric symptoms such as psychosis, anxiety disorders, or depression.

💥Evaluating thought process and content helps guide immediate safety interventions and long-term treatment planning.

👔 General Appearance

💥Includes grooming, hygiene, clothing choice, and posture, which can reflect self-care ability, mood, and overall functioning.

💥Poor hygiene may be a sign of severe depression, psychosis, or cognitive decline, while unusual dress may suggest mania or disorganized thought.

💥Observing appearance also offers clues about cultural background, socioeconomic status, and level of independence.

💥This is a non-invasive way to gather important mental status information.

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Answer 6

Correct Answers:

15

Rationale :

📏 Formula:

mL to administer = (Desired dose ÷ Available dose) × Volume

📍 Step 1:

150 ÷ 50 = 3

📍 Step 2:

3 × 5 = 15 mL

✅ Answer: 15 mL

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Answer 7

Correct Answers:

Illness anxiety disorder

Rationale :

💡 Illness anxiety disorder is characterized by a preoccupation with having or acquiring a serious illness despite minimal or no physical symptoms.

💡 Clients often engage in excessive health-related behaviors, such as repeated body checking or seeking frequent medical reassurance.

💡 The anxiety persists for 6 months or more and significantly impacts daily functioning.

💡 Unlike somatic symptom disorder, physical symptoms are minimal or absent; the distress comes from fear and preoccupation, not the symptoms themselves.

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Answer 8

Correct Answers:

Dental decay

Rationale :

🦷 Dental decay is common in clients with bulimia nervosa due to repeated exposure of teeth to gastric acid from vomiting, which erodes tooth enamel.

💡 Other oral complications may include enamel erosion, tooth sensitivity, and gum irritation.

💡 While weight changes can occur, most clients with bulimia nervosa maintain a weight within or slightly above normal range, differentiating it from anorexia nervosa.

💡 Electrolyte disturbances are common, but hypokalemia, not hyperkalemia, is typically seen due to vomiting-induced potassium loss.

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Answer 9

Correct Answers:

Psychotherapy

Rationale :

🧠 Psychotherapy is generally not effective during the acute manic phase because the client’s heightened energy, distractibility, and impaired judgment make it difficult to engage in structured talk therapy.

💊 The priority in mania is stabilizing mood with medications such as mood stabilizers (e.g., lithium, carbamazepine, oxcarbazepine) or atypical antipsychotics.

🔄 Once the acute manic symptoms are controlled, psychotherapy can be introduced to help with coping skills, relapse prevention, and lifestyle management.

⏳ Deferring psychotherapy until the client is more stable ensures better participation and treatment outcomes.

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Answer 10

Correct Answers:

0.8

Rationale :

💉 Formula:

mL to administer = Dose ordered ÷ Dose on hand

mL to administer = 75 mg ÷ 100 mg/mL

mL to administer = 0.75 mL

✅ Final Answer: 0.8 mL (rounded to the nearest tenth)

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QLexNursing

3 :
A nurse is preparing to administer erythromycin ethylsuccinate 800 mg PO every 4 hr. Available is erythromycin ethylsuccinate 200 mg/5mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

4 :
A nurse is preparing to administer haloperidol 7S mg 1M per week. Available is haloperidol decanoate 100mg/mL for injection. How many mL should the nurse administer per dose? (Round the answer to the nearest hundredth. Use a leading zero if it applies. Do not use a trailing zero.)

5 :
When assessing clients with mental health disorders which of the following should be included in the nurse's assessment of the client? (Select all that apply)

6 :
A nurse is preparing to administer amantadine 150 mg PO every 12 hr. Available is amantadine 50 mg/5 mL syrup. How many mL should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

7 :
A nurse is caring for a client who describes extreme fear of having or acquiring a disease. The client is also exhibiting behaviors like repeated body checking. The nurse should identify that the client is exhibiting manifestations of which of the following disorders?

8 :
A nurse is caring for a female client who has bulimia nervosa and reports frequent self-induced vomiting. Which of the following findings should the nurse expect?

9 :
Which of the following treatment would not be useful for a client with bipolar during the manic phase of the disorder?

10 :
A nurse is preparing to administer meperidine 75 mg 1M to a client who reports postoperative pain. Available is meperidine 100 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

QLexNursing

3 : A nurse is preparing to administer erythromycin ethylsuccinate 800 mg PO every 4 hr. Available is erythromycin ethylsuccinate 200 mg/5mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

4 : A nurse is preparing to administer haloperidol 7S mg 1M per week. Available is haloperidol decanoate 100mg/mL for injection. How many mL should the nurse administer per dose? (Round the answer to the nearest hundredth. Use a leading zero if it applies. Do not use a trailing zero.)

5 : When assessing clients with mental health disorders which of the following should be included in the nurse's assessment of the client? (Select all that apply)

6 : A nurse is preparing to administer amantadine 150 mg PO every 12 hr. Available is amantadine 50 mg/5 mL syrup. How many mL should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

7 : A nurse is caring for a client who describes extreme fear of having or acquiring a disease. The client is also exhibiting behaviors like repeated body checking. The nurse should identify that the client is exhibiting manifestations of which of the following disorders?

8 : A nurse is caring for a female client who has bulimia nervosa and reports frequent self-induced vomiting. Which of the following findings should the nurse expect?

9 : Which of the following treatment would not be useful for a client with bipolar during the manic phase of the disorder?

10 : A nurse is preparing to administer meperidine 75 mg 1M to a client who reports postoperative pain. Available is meperidine 100 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

3 :
A nurse is preparing to administer erythromycin ethylsuccinate 800 mg PO every 4 hr. Available is erythromycin ethylsuccinate 200 mg/5mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

4 :
A nurse is preparing to administer haloperidol 7S mg 1M per week. Available is haloperidol decanoate 100mg/mL for injection. How many mL should the nurse administer per dose? (Round the answer to the nearest hundredth. Use a leading zero if it applies. Do not use a trailing zero.)

5 :
When assessing clients with mental health disorders which of the following should be included in the nurse's assessment of the client? (Select all that apply)

6 :
A nurse is preparing to administer amantadine 150 mg PO every 12 hr. Available is amantadine 50 mg/5 mL syrup. How many mL should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

7 :
A nurse is caring for a client who describes extreme fear of having or acquiring a disease. The client is also exhibiting behaviors like repeated body checking. The nurse should identify that the client is exhibiting manifestations of which of the following disorders?

8 :
A nurse is caring for a female client who has bulimia nervosa and reports frequent self-induced vomiting. Which of the following findings should the nurse expect?

9 :
Which of the following treatment would not be useful for a client with bipolar during the manic phase of the disorder?

10 :
A nurse is preparing to administer meperidine 75 mg 1M to a client who reports postoperative pain. Available is meperidine 100 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)