A nurse is preparing to administer vancomycin 15 mg/kg/day divided equally every 12 hr. The client weighs 198 lb. How many mg should the nurse administer With each dose? (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 ["675"]
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- 198 lb ÷ 2.205 lb/kg = 90 kg
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Calculate the total daily dose:
- 15 mg/kg/day * 90 kg = 1350 mg/day
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Calculate the dose for each 12-hour period:
- 1350 mg/day ÷ 2 doses/day = 675 mg/dose
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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Correct Answer is C
Explanation
A serum potassium level of 3.2 mEq/L is considered low, as normal potassium levels are typically between 3.5 and 5.0 mEq/L. When a client has hypokalemia (low potassium), administering potassium chloride (KCl) can help to correct the imbalance. It is important for the nurse to follow hospital protocols and guidelines when administering medications, especially those that can affect electrolyte balance.
A-Holding the KCL in inappropriate as it is needed from the indicated levels
B-The KCL should not be held as the client needs it
D-Hypokalemia is expected in loop diuretics therapy due to renal losses of potassium
Correct Answer is C
Explanation
Aspirin can cause gastrointestinal irritation and increase the risk bleeding due to its effect on platelet aggregation. While other side effects such as gastrointestinal discomfort, nausea, and heartburn are common, bleeding is a serious side effect that requires close monitoring.
A, B, D It is less likely for aspirin to cause blurred vision, constipation, or insomnia as direct adverse effects. Aspirin has antiplatelet effects which increases risk of bleeding
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