A nurse is assisting in the care of a client who is receiving gentamicin 60 mg via intermittent IV bolus. Available is gentamicin 60 mg/100 mL to infuse over 75 min. The nurse should ensure the IV pump is set to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
The Correct Answer is ["80"]
To calculate the infusion rate for gentamicin, the nurse should use the following formula:
Infusion rate (mL/hr) = Volume (mL) / Time (hr)
Plugging in the given values, we get:
Infusion rate (mL/hr) = 100 mL / (75 min / 60 min/hr)
Simplifying, we get:
Infusion rate (mL/hr) = 100 mL / 1.25 hr
Dividing, we get:
Infusion rate (mL/hr) = 80 mL/hr
Therefore, the nurse should ensure the IV pump is set to deliver 80 mL/hr of gentamicin.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["2.1"]
Explanation
To calculate the dosage of tobramycin for a client who weighs 85 kg, first we need to find the total daily dose by multiplying the weight by the dose per kg: 85 kg x 3 mg/kg/day = 255 mg/day.
Then, we need to divide the total daily dose by the number of doses per day to get the dose per administration: 255 mg/day / 3 doses/day = 85 mg/dose.
Finally, we need to use the concentration of the available solution to find the volume per dose by dividing the dose by the concentration: 85 mg/dose / 40 mg/mL = 2.125 mL/dose.
The nurse should administer 2.1 mL of tobramycin per dose to the client.
Correct Answer is D
Explanation
A. "I might have trouble staying on a low-fat diet after my surgery."
- This statement reflects a concern about post-operative care and lifestyle adjustments. It's a valid concern but not a reason to delay the consent process or notify the provider. The client's ability to adhere to a low-fat diet can be addressed during pre-operative counseling or post-operative instructions.
B. "I can resume my normal activities in 1 to 2 weeks."
- This statement indicates an understanding of the post-operative recovery time frame, which is generally accurate for many laparoscopic cholecystectomy patients. This statement does not warrant delaying the consent process or notifying the provider.
C. "I will plan to be in the hospital for 24 hours following my surgery."
- This statement shows an understanding of the anticipated hospital stay after the surgery. It aligns with the typical length of hospitalization for a laparoscopic cholecystectomy. There is no need to delay the consent process or notify the provider based on this statement.
D. "I hope that removing my appendix will make me feel better."
- This statement raises a red flag as it indicates a misunderstanding or confusion about the procedure. A laparoscopic cholecystectomy involves removing the gallbladder, not the appendix. This misunderstanding could lead to the wrong procedure being performed. Therefore, it's crucial to delay obtaining the signature and notify the provider to clarify the intended surgery with the client.
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