The physician orders vancomycin 500 mg in 250 mL of D5W IVPB daily to infuse over 2 hours. Tubing drop factor is 15 gtts/mL. Calculate the flow rate in drops per minute.
31 gtts/min
62 gtts/min
125 gtts/min
250 gtts/min
The Correct Answer is A
Step 1 is 2 hours × 60 minutes = 120 minutes.
Step 2 is (250 mL ÷ 120 minutes) × 15 gtts/mL.
Step 3 is 2.08333 mL/min × 15 gtts/mL = 31.24995 gtts/min.
Step 4 is 31.24995 rounded to the nearest whole number is 31.
The final calculated answer is 31 gtts/min.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: The barrel holds the medication; it’s the main body, not typically #7, and its static role doesn’t involve direct manipulation like other parts.
Choice B reason: The plunger, often numbered high in diagrams, moves to draw or inject; its dynamic function in volume control makes it a likely #7 candidate.
Choice C reason: The needle pierces tissue; usually a lower number, it’s distinct from the syringe’s operational core, less likely to be #7 in standard layouts.
Choice D reason: The tip connects the needle; a minor component, it’s rarely highlighted as #7, overshadowed by the plunger or barrel in functional importance.
Correct Answer is D
Explanation
Choice A reason: Bone marrow transplant patients are immunocompromised; animals pose infection risks (e.g., zoonotic bacteria), making therapy contraindicated in this sterile setting.
Choice B reason: C. difficile is contagious; animal-assisted therapy risks cross-contamination via fur or handlers, endangering the patient and facility, ruling out this option.
Choice C reason: Acute asthma with dyspnea may worsen with animal dander triggering allergies or bronchospasm; therapy could exacerbate respiratory distress, making it unsuitable.
Choice D reason: Alzheimer’s patients benefit from animal therapy; it reduces agitation and boosts mood via oxytocin release, with no acute infection or allergy barriers.
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