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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Free Nursing Study Resources

Correct Answer is C

Explanation

C. This technique, known as pursed lip breathing, can help improve gas exchange by slowing down the respiratory rate, promoting more efficient exhalation, and reducing air trapping in the lungs.

A. While raising the hands above the head can help expand the chest and improve lung expansion to some extent, it may not be as effective as pursed lip breathing in improving gas exchange or alleviating dyspnea.

B. Increasing the breathing rate for a full 30 seconds may not be beneficial and could potentially worsen dyspnea, especially in individuals with emphysema or other respiratory conditions.

D. While changing positions and focusing on diaphragmatic breathing can be helpful techniques in managing dyspnea, lying down on each side with knees bent may not be practical for a client who is ambulatory and experiencing mild dyspnea after ambulation.

To assess the quality of an adult client's pain, which approach should the nurse use?

A. Biliary duct obstruction. B. Hepatorenal failure. C. Surgical site infection. D. Acute pancreatitis.

Correct Answer is D

Explanation

D. The client's symptoms, including persistent upper abdominal pain radiating to the back, vomiting, elevated temperature, and elevated serum amylase and lipase levels, are indicative of acute pancreatitis. Post-cholecystectomy pancreatitis can occur as a complication of cholecystectomy, particularly if there is injury to the pancreas or if a gallstone becomes lodged in the common bile duct during surgery.

A. While biliary duct obstruction is a potential complication of cholecystectomy, the client's symptoms are more consistent with acute pancreatitis.

B. The client's symptoms and laboratory findings are more indicative of acute pancreatitis rather than hepatorenal failure.

C. The client's symptoms are not consistent with a typical surgical site infection.

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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

The nurse is caring for a client with emphysema who is mildly dyspneic after ambulation. Which instruction should the nurse provide to the client to improve gas exchange?

Correct Answer is C

Explanation

Correct Answer is D

Explanation

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