The nurse receives the primary provider's order of 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. (Round to the nearest whole number)
20
0.2
2
200
The Correct Answer is C
A. 20: Incorrect, as it would imply a much higher dose.
B. 0.2: Incorrect, as this would be far too low.
C. 2: Phenytoin 0.2 g is equivalent to 200 mg (0.2 g x 1000 mg/g). Since each capsule is 100 mg, the nurse would need to administer 2 capsules (200 mg / 100 mg per capsule = 2).
D. 200: Incorrect, as 200 capsules would be an overdose.
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Correct Answer is C
Explanation
A. "Most people in your situation are able to get through this.": This statement is dismissive and may minimize the client’s feelings, as it generalizes the experience.
B. "Why do you think you're feeling so alone?": Asking "why" may make the client feel defensive and pressured to justify their feelings, which is not therapeutic.
C. "Do you have anyone you can talk to about your diagnosis?" This response encourages the client to reflect on their support system, which may help reduce feelings of isolation. It also shows empathy and invites further conversation without making assumptions.
D. "I am so sorry about your diagnosis. You must be devastated.": While it shows sympathy, it assumes the client’s feelings and may inadvertently heighten the client’s sense of distress without providing support.
Correct Answer is C
Explanation
A. The client is terminally ill: DPOA is not automatically activated by terminal illness but by the client’s inability to communicate.
B. The client is incapable of providing self-care: This alone does not activate the DPOA unless they are also unable to make healthcare decisions.
C. The client is unable to express their wishes: Durable power of attorney for healthcare decisions is activated when the client becomes unable to make or communicate their healthcare choices.
D. The client has refused treatment: Refusal of treatment is a decision that an alert and capable client can make independently.