A nurse is preparing to administer vancomycin 500 mg via intermittent IV infusion every 6 hr. Available is vancomycin 500 mg in 0.9% sodium chloride 100 mL to infuse over 2 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.).

Answer and Explanation

The Correct Answer is ["50"]

Step 1: The total volume of the solution is 100 mL and it needs to be infused over 2 hours.

Step 2: To find the rate in mL/hr, divide the total volume by the total time.

Step 3: Calculation is (100 mL ÷ 2 hr).

Step 4: The IV pump should be set to deliver 50 mL/hr. This is the final answer, rounded to the nearest whole number as required.

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Free Nursing Study Resources

Correct Answer is C

Explanation

The correct answer is choice c. List of community resources.

Choice A rationale:

Emergency contact information is typically found in the patient’s admission records or demographic section, not in the discharge summary.

Choice B rationale:

Intake and output summary is part of the daily nursing notes or fluid balance chart, not usually included in the discharge summary.

Choice C rationale:

The discharge summary often includes a list of community resources to support the patient after discharge, such as contact information for follow-up care, support groups, or home health services.

Choice D rationale:

Basic demographic data is recorded in the patient’s initial admission records and is not typically repeated in the discharge summary.

A. The nurse administered enoxaparin 40 mg subcutaneous to a client using the deltoid site for injection. B. The nurse advanced the urinary catheter 18 cm (7 in) when inserting an indwelling urinary catheter for a male client. C. The nurse cleanses a wound with 0.99% sodium chloride irrigation prior to collecting a specimen for culture. D. The nurse flushed the tubing of a continuous enteral feeding with 30 mL of water.

Correct Answer is ["A"]

Explanation

The correct answer is Choice A.

Choice A rationale: Administering enoxaparin 40 mg subcutaneously in the deltoid site is incorrect. Enoxaparin is typically administered in the abdomen or thigh to ensure proper absorption and minimize the risk of injury. Administering it in the deltoid requires an incident report for protocol deviation.

Choice B rationale: Advancing the urinary catheter 18 cm (7 in) is standard practice for male clients to ensure the catheter reaches the bladder. There is no indication of error or the need for an incident report as this action follows proper procedure.

Choice C rationale: Cleansing a wound with 0.99% sodium chloride irrigation prior to collecting a specimen for culture is standard practice. This action ensures the wound is free from surface contaminants and does not necessitate an incident report.

Choice D rationale: Flushing the tubing of a continuous enteral feeding with 30 mL of water is standard practice to maintain patency and ensure the effectiveness of the feeding. This procedure follows guidelines and does not require an incident report.

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Naxlex Comprehensive Predictor Exams

A nurse is reviewing data in a client's medical record. Which of the following information should the nurse expect to find in the discharge summary section?

Correct Answer is C

Explanation

A nurse is caring for a group of clients. Which of the following client-care situations requires the nurse to complete an incident report?

Correct Answer is ["A"]

Explanation

A nurse receives a telephone call from a client's family member, who asks the nurse for an update on the client's condition. Which of the following actions should the nurse take to maintain the client's confidentiality?

A nurse is preparing to assign tasks to an assistive personnel (AP). Which of the following tasks should the nurse assign to the AP?

A nurse is preparing to notify the provider about a change in a client's status. Which of the following information should the nurse plan to include in the "background" portion of the Situation, Background, Assessment, Recommendation (SBAR) Communication tool?

A nurse is using a Doppler ultrasound stethoscope to assess the pedal pulses of a client who has peripheral vascular disease. Which of the following actions should the nurse plan to take?

A nurse is planning care for a client who reports having difficulty sleeping. Which of the following interventions should the nurse include in the plan of care?

A nurse is teaching a client to manage stress by using progressive relaxation techniques. Which of the following statements by the client indicates an understanding of the teaching?

A nurse is planning care for a client who has an endotracheal tube and is receiving mechanical ventilation. Which of the following interventions should the nurse include to reduce the client's risk for ventilator-associated pneumonia?

A nurse is inserting an NG tube for a client who has a new prescription for enteral feedings. Which of the following actions should the nurse take to verify the placement of the client's tube? (Select all that apply.).