A nurse is caring for client who has sepsis and a prescription for vancomycin 1 g in 250 mL dextrose 5% (D,W) over 2 hr by IV intermittent bolus. 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.)
The Correct Answer is ["125"]
To calculate the IV pump rate:
- Total volume of dextrose solution: 250 mL
- Time for infusion: 2 hours
- The pump rate is calculated as total volume divided by time: 250/2
- This results in a pump rate of 125 mL/hr
Therefore, the nurse should set the IV pump to deliver 125 mL/hr.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"B"},"D":{"answers":"A"},"E":{"answers":"A"},"F":{"answers":"A"}}
Explanation
- Obtain intravenous access: Anticipated: Essential for administering medications, fluids, and potential emergency treatments.
- Thoracentesis: Non-essential: Typically used for pleural effusions, not primary treatment for pneumothorax; chest tube insertion is the main treatment.
- Pulmonary Function Tests (PFTs): Non-essential: Useful for diagnosing chronic respiratory conditions but not a primary intervention for pneumothorax.
- Prepare for insertion of a chest tube: Anticipated: A chest tube is often necessary to re-expand the lung and treat a significant pneumothorax.
- Obtain ABGs: Anticipated: Important for assessing the client’s oxygenation and acid-base balance due to respiratory distress.
- Computed tomography (CT) of the chest: Anticipated: CT can be used to diagnose the extent of the pneumothorax and guide treatment.
Correct Answer is C
Explanation
A. Tachypnea is not a primary sign of increased intracranial pressure but might be seen in other conditions.
B. Bilateral weakness of extremities can indicate severe brain injury but is not the most specific sign of increased intracranial pressure.
C. Decreased level of consciousness is a direct sign of increased intracranial pressure affecting brain function.
D. Hypotension is not a typical manifestation of increased intracranial pressure; increased ICP more commonly leads to hypertension.
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