The physician orders vancomycin hydrochloride 2 g/day by mouth in 4 divided doses.

The pharmacy fills the client's prescription with 500 mg vancomycin hydrochloride capsules.

The nurse should instruct the client to take______capsule(s) per dose.

Answer and Explanation

The Correct Answer is ["1"]

The physician has ordered a total of 2 g/day of vancomycin hydrochloride to be taken in 4 divided doses.

This means that each dose should be 2 g/day ÷ 4 = 0.5 g/dose.

Since the pharmacy has filled the prescription with 500 mg capsules, and 500 mg is equivalent to 0.5 g, the client should take 1 capsule per dose.

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Correct Answer is A

Explanation

The nurse should inform the charge nurse about her suspicion.
The charge nurse is responsible for managing the unit and can take appropriate action to investigate the matter and ensure that proper procedures are followed.
Choice B is incorrect because reporting the incident to the hospital security department is not the first step that should be taken.
The charge nurse should be informed first and can then decide if further action, such as involving the security department, is necessary.
Choice C is incorrect because it is not appropriate for the nurse to ask assistant personnel (AP) to observe the other nurse’s actions.
This could create a hostile work environment and may not be an effective way to address the issue.
Choice D is incorrect because approaching the other nurse directly to discuss the suspicion may not be the best course of action.
It could create tension and conflict between the two nurses and may not lead to a resolution of the issue.
Instead, informing the charge nurse allows for proper procedures to be followed in addressing the matter.

A. Regular insulin. B. NPH insulin. C. Lispro insulin. D. Glargine insulin.

Correct Answer is A

Explanation

The client’s symptoms of confusion, flushed appearance, and acetone odor on their breath suggest that they may be experiencing diabetic ketoacidosis (DKA), a serious complication of diabetes that occurs when the body produces high levels of ketones.
Treatment for DKA typically involves administering intravenous fluids and insulin to lower blood sugar levels and suppress ketone production 1.
Regular insulin is a fast-acting insulin that can be given intravenously to quickly lower blood sugar levels 1.
Choice B is incorrect because NPH insulin is an intermediate-acting insulin that takes longer to start working and would not be appropriate for treating DKA.
Choice C is incorrect because lispro insulin is a rapid-acting insulin but it is not typically given intravenously.
Choice D is incorrect because glargine insulin is a long-acting insulin that takes several hours to start working and would not be appropriate for treating DKA.

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The physician orders vancomycin hydrochloride 2 g/day by mouth in 4 divided doses. The pharmacy fills the client's prescription with 500 mg vancomycin hydrochloride capsules. The nurse should instruct the client to take______capsule(s) per dose.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse suspects that another nurse on the unit is removing a small amount of morphine from the syringe before administering the medication to the client. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

A nurse is collecting data from a client who has diabetes mellitus. The client is confused, flushed, and has an acetone odor on their breath. The nurse should anticipate a prescription for which of the following types of insulin to treat the client.

Correct Answer is A

Explanation

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The physician orders vancomycin hydrochloride 2 g/day by mouth in 4 divided doses.

The pharmacy fills the client's prescription with 500 mg vancomycin hydrochloride capsules.

The nurse should instruct the client to take______capsule(s) per dose.