A client receives a prescription for ciprofloxacin 400 mg intravenously (IV) every 12 hours to be infused over an hour. The IV bag contains ciprofloxacin 400 mg in dextrose 5% in water (DW) 200 mL. The nurse should program the infusion pump to deliver how many mL/hr? (Enter numerical value only.)
The Correct Answer is ["200"]
To calculate the mL/hr for the ciprofloxacin infusion, you can use the following formula:
ML/hr = Volume (mL)/Time (hr)
In this case:
Volume (mL) = 200 mL (the volume of the IV bag)
Time (hr) = 1 hour (the duration of the infusion)
So, the mL/hr would be:
ML/hr = 200 mL/ 1 hr = 200 mL/hr
Therefore, the nurse should program the infusion pump to deliver 200 mL/hr for the ciprofloxacin infusion.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Take medication on an empty stomach.
Explanation: Levothyroxine should be taken on an empty stomach, preferably in the morning at least 30 minutes to an hour before breakfast. This maximizes its absorption and effectiveness. Taking it with food, especially foods high in fiber, calcium, or iron, can interfere with absorption.
Why the other choices are incorrect:
B. Consume foods that are high in iodine:
While iodine is important for thyroid function, it is not necessary to consume foods high in iodine solely because of a levothyroxine prescription. The focus should be on consistent dosing and following instructions for administration.
C. Avoid the use of iron supplements:
This is generally good advice because iron supplements can interfere with levothyroxine absorption. However, it is not the primary instruction related to taking levothyroxine.
D. Administer levothyroxine at bedtime:
Levothyroxine is typically taken in the morning on an empty stomach to maximize absorption. Taking it at bedtime is not the recommended timing for this medication.
Correct Answer is A
Explanation
Before administering the first dose of a broad-spectrum antibiotic to a client with a gram-negative infection, it is most important for the nurse to implement:
A. Wound and blood specimens for culture and sensitivity.
Explanation: Collecting wound and blood specimens for culture and sensitivity is crucial before starting antibiotic therapy. This step allows healthcare providers to identify the specific pathogen causing the infection and determine its sensitivity to various antibiotics. It helps in selecting the most appropriate antibiotic and ensuring effective treatment. This is especially important in cases of gram-negative infections, as antibiotic resistance patterns can vary among different strains.
Why the other choices are not the most important at this stage:
B. Irrigation and topical antibiotic application to wound area:
While wound care is important, especially for localized infections, collecting specimens for culture and sensitivity takes precedence to determine the appropriate antibiotic treatment.
C. Complete blood count and serum electrolytes:
While monitoring blood counts and electrolytes is essential in overall client care, it may not be the most critical step before administering the first dose of an antibiotic to address a suspected infection.
D. Monitor for signs of sodium and fluid retention:
Monitoring for signs of sodium and fluid retention is important, but it is not the primary action needed before initiating antibiotic therapy for a gram-negative infection. Identifying the causative organism and selecting the appropriate antibiotic should come first to target the infection directly.
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