A nurse is preparing to administer ticarcillin/clavulanate 3.1 g by intermittent IV bolus over 30 min. Available is ticarcillin/clavulanate 3.1 g in 50 ml 0.9% sodium chloride (NSS). The nurse should set the IV pump 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.) _mL/hr
The Correct Answer is ["100"]
We are given the following information:
Medication: Ticarcillin/clavulanate 3.1 g
Administration route: Intermittent IV bolus over 30 minutes
Available solution: Ticarcillin/clavulanate 3.1 g in 50 mL 0.9% sodium chloride (NSS)
However, the IV pump controls the rate of delivery over time (usually in hours). An intermittent bolus means the medication is infused all at once over a shorter period (30 minutes in this case).
The pump rate calculation here focuses on the total volume of the available solution containing the medication to be delivered, not necessarily on the medication amount itself.
Therefore, we need to find the rate at which the total volume of 50 mL solution should be delivered over 30 minutes.
Conversion is necessary because pump rates are typically set in hours (hr).
Time (hours) = 30 minutes / 60 minutes/hour = 0.5 hours
Now, calculate the flow rate:
Flow rate (mL/hr) = Total volume (mL) / Infusion time (hours)
Flow rate (mL/hr) = 50 mL / 0.5 hours = 100 mL/hr
Round to the nearest whole number as requested.
Therefore, the nurse should set the pump to deliver approximately 100 mL/hr. This ensures the total 50 mL solution containing the 3.1 g of ticarcillin/clavulanate is delivered over the intended 30-minute period.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A) Postoperative patients:
Antitussives may be used postoperatively to alleviate coughing, but they are not necessarily best used in this population. Postoperative patients may have different needs based on their surgical procedure and overall health status.
B) Asthma patients:
Antitussives are generally not recommended for asthma patients because they can suppress the cough reflex, which may be important for clearing mucus and irritants from the airways. Asthma patients often have productive coughs associated with bronchial inflammation and excess mucus production.
C) Patients with a dry, irritating cough:
Antitussives are most effective for patients with a dry, irritating cough, as they help suppress the cough reflex and provide relief from coughing without producing sputum.
D) COPD patients who tire easily:
While antitussives may provide symptomatic relief for some COPD patients with a dry, nonproductive cough, they are not necessarily best used in this population. COPD patients may have varied responses to antitussive therapy, and treatment decisions should be individualized based on their overall condition and symptoms."
Correct Answer is A
Explanation
A) Hypoxemia:
This is the correct answer. Atelectasis, which is the collapse or incomplete inflation of the lung, can lead to impaired gas exchange and subsequent hypoxemia. As lung volume decreases due to collapse, ventilation-perfusion (V/Q) mismatch occurs, resulting in decreased oxygenation of arterial blood. Hypoxemia is a common finding in individuals with atelectasis and may manifest as decreased oxygen saturation levels on pulse oximetry or arterial blood gas analysis.
B) Apnea:
Apnea, defined as the cessation of breathing, is not typically associated with atelectasis. While atelectasis can contribute to respiratory compromise and may result in respiratory distress, including tachypnea or increased work of breathing, it does not usually lead to complete cessation of breathing.
C) Pleural effusion:
A pleural effusion is the accumulation of fluid in the pleural space surrounding the lungs. While pleural effusion may occur concurrently with atelectasis, it is not an expected finding specifically associated with atelectasis itself. Pleural effusion may cause respiratory symptoms such as dyspnea or chest pain but is not a primary manifestation of atelectasis.
D) Dysphagia:
Dysphagia, or difficulty swallowing, is unrelated to atelectasis. While dysphagia can occur as a result of various conditions affecting the esophagus or neurological control of swallowing, it is not a typical manifestation of atelectasis. Atelectasis primarily affects the lungs and respiratory function rather than swallowing function.
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