A client receives a prescription for vancomycin 500 mg IV every 8 hours. The medication is provided in "500 mg per 100 mL of dextrose 5% in water." To administer the medication over an hour, the nurse should set the infusion pump to deliver how many mL/hr? (Enter numerical value only.)

Answer and Explanation

The Correct Answer is ["100"]

Vancomycin dosage: 500 mg

Concentration of vancomycin solution: 500 mg per 100 mL

Total volume of solution for each dose: 100 mL (since the concentration is 500 mg per 100 mL) To administer 500 mg of vancomycin, we need 100 mL of the solution.

To administer the medication over 1 hour, we need to deliver the entire 100 mL over 1 hour. Therefore, the infusion rate (in mL/hr) would be 100 mL/hr.

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Correct Answer is B

Explanation

B. Postural drainage involves placing the client in various positions to help drain secretions from different lobes of the lungs. There are typically five standard positions: head-down, head-up, on the side with the affected lung uppermost, on the side with the affected lung lowermost, and lying prone.

A. Performing postural drainage immediately after meals is not recommended because it can increase the risk of vomiting or aspiration, especially in individuals with chronic obstructive pulmonary disease (COPD) who may already have compromised lung function.

C. In postural drainage, the client is typically instructed to breathe deeply and slowly to maximize the effectiveness of the technique.

D. While ABGs may be necessary for monitoring respiratory status in clients with COPD, they are not specifically required prior to performing postural drainage.

A. Refer the client to the healthcare provider at the clinic to obtain a medication prescription. B. Advise the client that once symptoms occur it is too late to receive an influenza vaccination. C. Instruct the client that over-the-counter medications are sufficient to manage influenza symptoms. D. Explain to the client that antibiotics are not useful in treating viral infections such as Influenza.

Correct Answer is A

Explanation

A. Refer the client to the healthcare provider at the clinic to obtain a medication prescription is appropriate because it acknowledges the client's interest in taking oseltamivir to treat their influenza symptoms.
B. Advising the client that once symptoms occur it is too late to receive an influenza vaccination is not relevant to the client's question about taking oseltamivir to treat their existing influenza symptoms. It addresses the timing of influenza vaccination, which is typically recommended before the onset of flu season or at the beginning of flu season, rather than during an active infection.
C. Instructing the client that over-the-counter medications are sufficient to manage influenza symptoms is not accurate because while over-the-counter medications can help relieve some influenza symptoms such as fever, cough, and congestion, they do not directly treat the underlying viral infection.
D. Explaining to the client that antibiotics are not useful in treating viral infections such as influenza is true but does not address the client's specific question about taking oseltamivir to treat their influenza symptoms.

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A client receives a prescription for vancomycin 500 mg IV every 8 hours. The medication is provided in "500 mg per 100 mL of dextrose 5% in water." To administer the medication over an hour, the nurse should set the infusion pump to deliver how many mL/hr? (Enter numerical value only.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When performing postural drainage on a client with chronic obstructive pulmonary disease (COPD), which approach should the nurse use?

Correct Answer is B

Explanation

A client with symptoms of influenza that started the previous day asks the clinic nurse about taking oseltamivir to treat the infection. Which response should the nurse provide?

Correct Answer is A

Explanation

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