The MD orders Flagyl 150mg in 100 mL of NS to infuse over 60 minutes.

Calculate the flow rate in mL/hr? (ROUND TO WHOLE NUMBER: LABEL CORRECTLY TO RECEIVE CREDIT)

Choice A rationale

The charge nurse, by virtue of their leadership role and oversight of unit operations, is typically authorized to ensure patient safety and continuity of care. This includes re-verifying and administering medications in urgent situations when the preparing nurse is unavailable, adhering to established protocols and double-checking the medication before administration to prevent errors.

Choice B rationale

Limiting medication administration solely to the preparing nurse could delay critical treatment, especially during emergencies. While optimal, this practice is superseded by the need for timely patient care and adherence to a "second nurse check" policy, which enhances safety by having an additional qualified professional verify the medication.

Choice C rationale

Any licensed Registered Nurse (RN) or Licensed Practical Nurse (LPN) on the unit, if familiar with the patient and their condition, possesses the scope of practice and clinical competency to administer medications. This ensures patient safety through appropriate verification, patient identification, and adherence to the "rights" of medication administration, maintaining continuity of care.

Choice D rationale

Pharmacy technicians are not licensed healthcare professionals authorized to administer medications directly to patients. Their scope of practice is limited to preparing, packaging, and distributing medications under the supervision of a licensed pharmacist, lacking the clinical assessment and administration privileges of nursing staff.

INTAKE:.

Step 1: Jevity (Tube feeding) 50 mL/hr × 12 hours = 600 mL.

Step 2: oz free water tube feeding flush. Convert ounces to milliliters: 6 oz × 30 mL/oz = 180 mL.

Step 3: units of PRBCs (250 mL/each) = 2 × 250 mL = 500 mL.

Step 4: Zosyn IV 50 mL.

Step 5: oz ice chips. Convert ounces to milliliters (ice chips are typically calculated as half their volume in liquid): 4 oz × 30 mL/oz = 120 mL; 120 mL ÷ 2 = 60 mL.

Step 6:.9% NS 100 mL/hr × 12 hours = 1200 mL.

Step 7: Total Intake = 600 mL + 180 mL + 500 mL + 50 mL + 60 mL + 1200 mL = 2590 mL. OUTPUT:.

Step 1: NG Suction: 50 mL.

Step 2: Urine: 1850 mL.

Step 3: Wound vac: 100 mL.

Step 4: Total Output = 50 mL + 1850 mL + 100 mL = 2000 mL. Answer: INTAKE: 2590 mL / OUTPUT: 2000 mL.