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 B
Explanation
A. Obtain a cardiology consult is not an immediate action for an irregular heart rate during suctioning; it is a more long-term consideration.
B. Perform pre-oxygenation prior to suctioning is the correct action to prevent hypoxia, which can cause increased heart rate and irregular rhythms during suctioning.
C. Administer an antidysrhythmic medication is not appropriate for the immediate concern of heart rate changes during suctioning.
D. Suction the client less frequently does not address the acute problem of the irregular heart rate; pre-oxygenation before suctioning is more relevant.
Correct Answer is D
Explanation
A. Granulocytes are typically not decreased in ITP; they are more relevant for infections or bone marrow conditions.
B. RBC levels are not typically affected in ITP; the primary issue is with platelet counts.
C. WBC levels are generally normal in ITP, though they can vary in other conditions.
D. Platelets are expected to be decreased in ITP, which is characterized by an immune-mediated destruction of platelets.
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