Hydrocodone is a controlled substance used as an analgesic and antitussive in dogs. It is essential to follow the veterinarian's directions when administering hydrocodone to a dog. Hydrocodone comes in 1.5 mg tablets that should be given orally every 12 hours for ten days.
The veterinarian has prescribed hydrocodone at a dose of 0.22 mg/kg, and the dog weighs 15 pounds. We must first convert the dog's weight to kilograms to calculate the dose.
There are 2.2 pounds in a kilogram, so we must divide the dog's weight in pounds by 2.2.15 pounds/2.2 = 6.8 kg The dog's weight is 6.8 kg. Next, we must determine the dose by multiplying the dog's weight by the prescribed dose.6.8 kg x 0.22 mg/kg = 1.496 mg The dog needs 1.496 mg of hydrocodone per dose.
The concentration of hydrocodone is 1.5 mg per tablet. We must divide the dose by the concentration to determine how many tablets to give the dog.1.496 mg ÷ 1.5 mg per tablet = 1 tablet. The dog needs one 1.5 mg tablet every 12 hours for ten days. Therefore, we need a total of 20 tablets to complete the course of treatment.
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A community health nurse is assessing older adult clients who need daily physical care to determine additional risk factors for maltreatment. Which of the following clients should the nurse recognize as having an additional risk factor for maltreatment? A client who needs to be repositioned frequently and lives in a foster care facility A client who needs assistance with ambulation and is cared for by her adult child A client who is incontinent and lives in an assisted living facility A client who lives alone and receives a daily dressing change from a home health nurse
Living alone can be considered an additional risk factor for maltreatment in older adults. Hence option D is correct.
When an older adult lives alone, there may be an increased risk of neglect or abuse, as there may be limited oversight or social support.
Additionally, the fact that the client receives a daily dressing change from a home health nurse suggests that they require assistance with their daily care, which further increases their vulnerability.
While the other options mention specific care needs, such as frequent repositioning, assistance with ambulation, or incontinence, they do not indicate an additional risk factor for maltreatment beyond the immediate care needs.
Therefore, option D) A client who lives alone and receives a daily dressing change from a home health nurse is correct.
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A community health nurse should recognize a client who needs to be repositioned frequently and lives in a foster care facility as having an additional risk factor for maltreatment.
Explanation:A community health nurse should recognize a client who needs to be repositioned frequently and lives in a foster care facility as having an additional risk factor for maltreatment. This is because individuals in foster care facilities may be more vulnerable to mistreatment and abuse due to their dependency on caregivers.
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Medication order: Garamycin 80 mg IVPB over 30 minutes.
Available: Garamycin (gentamicin sulfate) 80 mg in 50 mL of D5W.
Calculate the flow rate in mL/hr.
Answer:
IVPB
Explanation:
to evaluate the effectiveness of a clien't prescription for rosuvastatin, which action should the nurse implement
To evaluate the effectiveness of a client's prescription for rosuvastatin, the nurse should implement regular monitoring of the client's lipid profile, including total cholesterol, low-density lipoprotein (LDL), and high-density lipoprotein (HDL) levels.
This will help determine if the medication is effectively reducing cholesterol levels and promoting heart health.
Here's why regular monitoring of the lipid profile is important:
Total Cholesterol: Total cholesterol represents the sum of different types of cholesterol in the blood. High levels of total cholesterol, particularly elevated LDL cholesterol, are associated with an increased risk of developing cardiovascular diseases.
By monitoring the total cholesterol level, healthcare professionals can assess whether the prescription for rosuvastatin is effectively lowering the client's overall cholesterol levels.
Low-Density Lipoprotein (LDL): LDL cholesterol is often referred to as "bad cholesterol" because high levels can lead to the buildup of plaque in the arteries, increasing the risk of heart disease.
Rosuvastatin works by inhibiting the production of cholesterol in the liver and promoting the clearance of LDL from the bloodstream. Regular monitoring of LDL levels helps determine if the medication is effectively reducing LDL cholesterol to target levels.
High-Density Lipoprotein (HDL): HDL cholesterol is often referred to as "good cholesterol" because it helps remove LDL cholesterol from the bloodstream, reducing the risk of plaque buildup in the arteries.
Higher levels of HDL cholesterol are associated with a lower risk of cardiovascular diseases.
Monitoring HDL levels alongside LDL levels provides a comprehensive picture of the client's lipid profile and can help assess the medication's impact on the balance of good and bad cholesterol.
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The nurse is caring for a client experiencing acute lower gastrointestinal bleeding. In developing the plan of care, which priority problem should the nurse assign to this client?1. Deficient fluid volume related to acute blood loss2. Risk for aspiration related to acute bleeding in the GI tract3. Risk for infection related to acute disease process and medications4. Imbalanced nutrition, less than body requirements, related to lack of nutrients and increased metabolism
Deficient fluid volume related to acute blood loss is the priority problem for a client experiencing acute lower gastrointestinal bleeding.
In a client experiencing acute lower gastrointestinal bleeding, the priority problem is deficient fluid volume related to acute blood loss.
This is because rapid blood loss can lead to hypovolemia, which may cause hypotension, tachycardia, and decreased perfusion to vital organs.
To address this issue, the nurse should closely monitor vital signs, assess for signs of shock, administer prescribed intravenous fluids or blood products, and collaborate with the healthcare team to determine the underlying cause and initiate appropriate treatment.
Other concerns, such as risk for aspiration, infection, and imbalanced nutrition, are important but secondary to the immediate life-threatening issue of fluid volume deficit.
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When caring for a client experiencing acute lower gastrointestinal bleeding, the priority problem that the nurse should assign to this client is deficient fluid volume related to acute blood loss.
This is because lower gastrointestinal bleeding can result in significant blood loss, which can lead to a decrease in circulating blood volume and ultimately, shock. As a result, it is critical to monitor the client's vital signs and fluid balance closely, and to administer intravenous fluids and blood transfusions as necessary to maintain adequate perfusion and oxygenation.
While the other problems listed are also important considerations in caring for this client, they are not the immediate priority. The risk for aspiration related to acute bleeding in the GI tract can be mitigated by placing the client in a side-lying position and suctioning as needed. Risk for infection related to acute disease process and medications can be minimized by ensuring that the client receives appropriate antibiotic therapy and monitoring for signs of infection. Imbalanced nutrition, less than body requirements, related to lack of nutrients and increased metabolism can be addressed once the client's fluid volume has been stabilized.
In conclusion, when caring for a client experiencing acute lower gastrointestinal bleeding, the nurse should prioritize the client's fluid volume status and take appropriate measures to prevent hypovolemic shock.
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Select the accessory organs that deposit secretions directly into the duodenum. (Select multiple)AppendixGallbladderJejunumStomachSalivary GlandsPancreas
The accessory organs that deposit secretions directly into the duodenum are:- Pancreas
- Liver (through the bile ducts)
The salivary glands, stomach, jejunum, appendix do not deposit secretions directly into the duodenum. The gallbladder does not deposit secretions directly into the duodenum, but it stores and releases bile produced by the liver, which does deposit secretions directly into the duodenum through the bile ducts.
The pancreas secretes digestive enzymes, such as amylase, lipase, and proteases, which are essential for the breakdown of carbohydrates, fats, and proteins in the small intestine. The liver produces bile, which aids in the digestion and absorption of fats in the small intestine.
Overall, these accessory organs play important roles in the digestive process, and their secretions are necessary for the proper breakdown and absorption of nutrients in the small intestine.
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