A nurse is preparing to administer an antibiotic via intermittent IV bolus for a client who has a continuous IV infusion.
Which of the following steps should the nurse take first?

Hang the antibiotic medication bag above the level of the primary infusion.

Wipe the connection port of the primary IV tubing with an antiseptic swab.

Check the IV site for signs of infiltration.

Connect the tubing of the medication bag to the primary tubing.

Answer and Explanation

The Correct Answer is C

Choice A rationale:

Hanging the antibiotic medication bag above the level of the primary infusion is an important step in administering an antibiotic via intermittent IV bolus. However, it is not the first step. The medication bag is usually hung higher to allow the antibiotic to infuse by gravity once it’s connected.

Choice B rationale:

Wiping the connection port of the primary IV tubing with an antiseptic swab is a crucial step in preventing infection. However, this is typically done just before connecting the secondary line, not as the first step.

Choice C rationale:

Checking the IV site for signs of infiltration is indeed the first step. It’s important to ensure that the IV catheter is still properly placed in the vein and that there are no signs of infection or infiltration, which could cause complications.

Choice D rationale:

Connecting the tubing of the medication bag to the primary tubing is done after cleaning the port and before hanging the bag. It’s not the first step.

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Correct Answer is ["1"]

Explanation

To solve this problem, we first need to convert the client’s weight from pounds to kilograms. Then, we can calculate the total amount of amikacin needed. Finally, we can find out how many milliliters of amikacin injection the nurse should administer.

Convert the client’s weight to kilograms: Given that 1 kg = 2.2 lbs, we can calculate the client’s weight in kilograms as follows:

Weightinkg=WeightinlbsConversionfactor=110lbs2.2lbs/kg≈50kgWeightinkg=ConversionfactorWeightinlbs=2.2lbs/kg110lbs≈50kg

Calculate the total amount of amikacin needed: The doctor ordered 5 mg of amikacin per kg of body weight, so the total amount of amikacin needed is:

Totalamikacin=Doseperkg×Weightinkg=5mg/kg×50kg=250mgTotalamikacin=Doseperkg×Weightinkg=5mg/kg×50kg=250mg

Find out how many milliliters of amikacin injection the nurse should administer: Given that the available amikacin injection is 250 mg/mL, we can calculate the volume of injection needed as follows:

Volumeofinjection=TotalamikacinConcentrationofinjection=250mg250mg/mL=1mLVolumeofinjection=ConcentrationofinjectionTotalamikacin=250mg/mL250mg=1mL

So, the nurse should administer 1 mL of amikacin injection.

A. "I will take this medication on an empty stomach.” B. "I will report a sore throat to my provider.” C. "I should increase the sodium in my diet.” D. "I should watch for weight loss.” .

Correct Answer is B

Explanation

Choice A rationale:

Prednisone does not need to be taken on an empty stomach. In fact, taking it with food can help reduce stomach upset.

Choice B rationale:

Prednisone suppresses the immune system, which can make users more susceptible to infections. Therefore, reporting symptoms like a sore throat to the provider is important.

Choice C rationale:

Prednisone can cause fluid retention and high blood pressure, so increasing sodium intake would not be advisable.

Choice D rationale:

Weight gain is a common side effect of prednisone due to increased appetite and fluid retention. Weight loss is not typically expected.

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A nurse is preparing to administer an antibiotic via intermittent IV bolus for a client who has a continuous IV infusion.Which of the following steps should the nurse take first?

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Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer amikacin 5 mg/kg IM to a client who weighs 110 lb. Available is amikacin injection 250 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if applicable. Do not use a trailing zero.).

Correct Answer is ["1"]

Explanation

A nurse is reinforcing teaching with a client who has a new prescription for prednisone to treat rheumatoid arthritis.Which of the following statements should indicate to the nurse that the client understands the teaching?

Correct Answer is B

Explanation

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A nurse is preparing to administer an antibiotic via intermittent IV bolus for a client who has a continuous IV infusion.
Which of the following steps should the nurse take first?