The nurse is preparing to administer vancomycin 15 mg/kg/day divided equally every 12 hours to a patient with neutropenic fever.

The patient weighs 198 lb. How many mg will the nurse administer with each dose? Round the answer to the nearest whole number.

Write numerical answer only - no units.

Answer and Explanation

The Correct Answer is ["675"]

Step 1 is (198 ÷ 2.2) × 15 = 1350 mg/day.

Step 2 is 1350 ÷ 2 = 675 mg/dose.

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Correct Answer is B

Explanation

Choice A rationale

Chemotherapy and radiation can significantly affect fertility. It would be incorrect to reassure the patient that these treatments will not impact her ability to become pregnant, as these treatments often reduce fertility or cause temporary or permanent infertility.

Choice B rationale

Discussing fertility counseling and contraception options allows the patient to make informed decisions about her reproductive health. Fertility preservation methods, such as egg or embryo freezing, can be considered before starting treatment. This approach respects the patient's desire to become pregnant while acknowledging the impact of cancer treatment.

Choice C rationale

Referring the patient to a social worker for pregnancy surrogacy is premature and not directly addressing the patient's immediate concerns about fertility and treatment. Fertility counseling is a more appropriate initial step.

Choice D rationale

Delaying treatment for cancer to allow for pregnancy can have severe negative impacts on the patient's prognosis and is not advised. Immediate treatment is crucial to control the disease and improve survival chances.

A. Administer isotonic intravenous fluid bolus and loop diuretic. B. Administer STAT anticoagulants and supplemental oxygen via nasal cannula. C. Perform frequent neurologic assessments and administer intravenous corticosteroids. D. Administer interferon beta-1a injections and assist the patient with stretching.

Correct Answer is C

Explanation

Choice A rationale

Administering isotonic intravenous fluids and a loop diuretic is a treatment for conditions like hypercalcemia or fluid overload but is not appropriate for a patient with metastatic prostate cancer presenting with neurologic symptoms.

Choice B rationale

Administering anticoagulants and supplemental oxygen is a treatment for pulmonary embolism but does not address the neurologic symptoms and back pain related to metastatic prostate cancer.

Choice C rationale

Frequent neurologic assessments and administering intravenous corticosteroids are essential for managing spinal cord compression, a common complication in metastatic prostate cancer that can cause back pain, weakness, and paresthesia.

Choice D rationale

Interferon beta-1a is used in multiple sclerosis to reduce inflammation and immune response. Stretching exercises may help but are not the primary intervention for acute neurologic symptoms in metastatic prostate cancer. .

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The nurse is preparing to administer vancomycin 15 mg/kg/day divided equally every 12 hours to a patient with neutropenic fever. The patient weighs 198 lb. How many mg will the nurse administer with each dose? Round the answer to the nearest whole number. Write numerical answer only - no units.

Nursing Test Bank

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Correct Answer is B

Explanation

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The nurse is preparing to administer vancomycin 15 mg/kg/day divided equally every 12 hours to a patient with neutropenic fever.

The patient weighs 198 lb. How many mg will the nurse administer with each dose? Round the answer to the nearest whole number.

Write numerical answer only - no units.