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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.)

Answer and Explanation

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.

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Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"C"},"D":{"answers":"c"},"E":{"answers":"c"}}

Explanation

Here are the potential effects of each drug on captopril's blood pressure effects:

Losartan: Decrease - Losartan is an angiotensin receptor blocker (ARB) that can lower blood pressure. When used in combination with captopril (an ACE inhibitor), it may enhance the antihypertensive effects, potentially leading to an additive blood pressure-lowering effect.

Ibuprofen: Increase - Ibuprofen, a nonsteroidal anti-inflammatory drug (NSAID), can lead to sodium and water retention and potentially raise blood pressure. When combined with captopril, it may diminish captopril's blood pressure-lowering effects.

Amlodipine: No Effect - Amlodipine is a calcium channel blocker used to treat high blood pressure. It has a different mechanism of action than captopril and combining them typically does not interfere significantly with each other's effects.

Sulfa: No Effect - Sulfonamides (sulfa drugs) are antibiotics that generally do not directly impact blood pressure or interact with antihypertensive medications like captopril in terms of blood pressure effects.

Insulin lispro: No Effect - Insulin lispro is used to manage blood glucose levels in diabetes. While uncontrolled blood glucose can indirectly affect blood pressure, insulin lispro itself does not directly interact with captopril's blood pressure effects.

Please note that drug interactions can be complex, and individual responses may vary. It's crucial for the healthcare provider to monitor the patient's blood pressure and adjust medications as needed to achieve optimal control.

A. Limit intake of high-potassium foods. B. Cover your skin before going outside. C. Monitor skin for excessive bruising D. Replace salt with a salt substitute

Correct Answer is A

Explanation

When a client with heart failure (HF) develops hyperaldosteronism and is prescribed spironolactone, the nurse should include the following instruction in the client's plan of care:

A. Limit intake of high-potassium foods.

Explanation: Spironolactone is a potassium-sparing diuretic, and one of its actions is to promote the retention of potassium by the body. Therefore, it's important to instruct the client to limit the intake of high-potassium foods to avoid hyperkalemia (high potassium levels), which can be a potential side effect of this medication. High-potassium foods include bananas, oranges, potatoes, tomatoes, and many others.

Why the other choices are not appropriate:

B. Cover your skin before going outside:

This instruction is not directly related to spironolactone or hyperaldosteronism. It may be relevant for clients taking photosensitizing medications but is not specific to this situation.

C. Monitor skin for excessive bruising:

This instruction is also not directly related to spironolactone or hyperaldosteronism. It may be relevant in other clinical contexts, but it does not address the potential side effects or management of spironolactone.

D. Replace salt with a salt substitute:

While reducing sodium intake is often recommended for clients with heart failure, replacing salt with a salt substitute containing potassium is not advisable for clients taking spironolactone. This would increase the risk of hyperkalemia.

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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.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"C"},"D":{"answers":"c"},"E":{"answers":"c"}}

Explanation

A client with heart failure (HF) develops hyperaldosteronism and spironolactone is prescribed. Which instruction should the nurse include in this client's plan of care?

Correct Answer is A

Explanation

The nurse is caring for a client who has been taking ibuprofen. Which finding is most important for the nurse report to the healthcare provider?

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.)

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The nurse prepares to administer a scheduled dose of labetalol by mouth to a client with hypertension. The client's vital signs are temperature 99° F (37.2° C), heart rate 48 beats/minute, respirations 16 breaths/minute, and blood pressure (B/P) 150/90 mm Hg. Which action should the nurse take?

While assessing a client who takes acetaminophen for chronic pain, the nurse observes that the client's skin looks yellow in color. Which action should the nurse take in response to this finding?

The nurse is administering the muscle relaxant baclofen by mouth (PO) to a client diagnosed with multiple sclerosis. Which intervention should the nurse implement?