The provider prescribes the following: Ceftriaxone 1.5g IVPB every 12 hours.

The pharmacy sends up a vial (4g) that needs to be reconstituted with 12mL of sterile water for a final concentration of 2g per 2.5mL.

How many milliliters will be drawn up to add to a 100mL bag of D5W to administer to the client? (Do not use a leading zero, Round to the nearest tenth, Do not use a trailing zero). mL

Answer and Explanation

The Correct Answer is ["1.9"]

Step 1 is to determine the concentration of the reconstituted medication. The vial contains 4g and is reconstituted with 12mL for a final concentration of 2g per 2.5mL.

Step 2 is to calculate how many mL are needed for the 1.5g dose. The desired dose is 1.5g. The concentration is 2g in 2.5mL.

Step 3 is to set up a proportion: (2g ÷ 2.5mL) = (1.5g ÷ X mL).

Step 4 is to solve for X: X mL = (1.5g × 2.5mL) ÷ 2g.

Step 5 is to calculate the value: X = 3.75 ÷ 2.

Step 6 is to calculate the final answer: X = 1.875 mL.

Step 7 is to round to the nearest tenth: 1.9 mL. The final calculated answer is 1.9 mL.

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Correct Answer is ["9.5"]

Explanation

Step 1 is: Calculate the total units in 1 mL. 25,000 units ÷ 250 mL = 100 units/mL.

Step 2 is: Calculate the mL/hour. 950 units/hr ÷ 100 units/mL = 9.5 mL/hr. The infusion pump would be set at 9.5 mL/hr.

A. Administrative law judges for the government. B. Government agencies for health. C. The State Board of Nursing. D. The local judicial system.

Correct Answer is C

Explanation

Choice A rationale

Administrative law judges typically preside over hearings and issue decisions in cases involving administrative agencies, but they are not the primary entities responsible for enforcing the Nurse Practice Act itself. Their role is more adjudicatory within specific administrative disputes, not the initial enforcement body for professional licensure laws.

Choice B rationale

Government agencies for health, such as departments of health, may oversee various aspects of public health and healthcare facilities. However, the specific legal enforcement of nursing practice acts and professional licensure falls under the purview of a specialized regulatory body dedicated to nursing.

Choice C rationale

The State Board of Nursing is the governmental agency legally mandated to regulate the practice of nursing within its jurisdiction. This includes establishing educational requirements, issuing licenses, setting standards of practice, and enforcing the Nurse Practice Act through disciplinary actions.

Choice D rationale

The local judicial system, including courts, primarily interprets laws and resolves legal disputes. While they may be involved in appeals of Board of Nursing decisions or criminal cases related to nursing misconduct, they are not the direct enforcement body for the Nurse Practice Act.

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Naxlex Comprehensive Predictor Exams

The provider orders a Heparin infusion to run 950 units/hr. The medication is supplied as 25,000 units/250 mL NSS. At what rate would the infusion pump be set at?

Correct Answer is ["9.5"]

Explanation

A nurse has been found guilty of medication mismanagement at the community clinic. The nurse was fired and the nurse manager was obligated to report the event. Which organization has the legal obligation to enforce the laws and rules found in a Nurse Practice Act?

Correct Answer is C

Explanation

Which of the following is a characteristic manifestation of Addison's disease?

A nurse is caring for a client who has named someone to serve as their health care proxy. The client states they need clarification about this part of the advance directive. Which of the following statements by the client indicates that need for clarification?

Which of the following sexually transmitted diseases is caused by a protozoal infection?

A nurse is concerned for a client's safety and is following suicide precautions on the unit. Which of the following are suicide precaution interventions?

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A nurse is teaching a newly licensed nurse about the benefits of atraumatic care. Which of the following statements by the newly licensed nurse indicates that the teaching was effective?

A new nurse manager has observed several instances of horizontal violence between staff members on her unit, primarily verbal abuse and malicious gossip. What should she do?