A nurse is preparing to administer vancomycin 50 mg PO daily divided into four equal doses. The amount available is vancomycin 125 mg capsules. How many capsules 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.)

Choice A reason: Consume a high-protein diet

A high-protein diet is not typically recommended for clients with hepatitis B. While protein is essential for overall health, excessive protein intake can put additional strain on the liver, which is already compromised in hepatitis B patients. A balanced diet with adequate protein, carbohydrates, and fats is more appropriate.

Choice B reason: You may donate blood 6 months after completing the medication regimen

Clients with hepatitis B should not donate blood. The hepatitis B virus can be transmitted through blood, and even after completing a medication regimen, the virus can still be present in the blood. Therefore, this statement is incorrect and potentially harmful.

Choice C reason: Take acetaminophen every 4 hours, as needed, for discomfort

Acetaminophen should be used with caution in clients with hepatitis B. The liver metabolizes acetaminophen, and excessive use can lead to liver damage. It is crucial to consult with a healthcare provider before taking any medication, including acetaminophen, to avoid exacerbating liver issues.

Choice D reason: Rest frequently throughout the day

Resting frequently throughout the day is an important part of managing hepatitis B. The liver plays a crucial role in energy metabolism, and when it is compromised, clients may experience fatigue. Adequate rest helps the body recover and manage symptoms more effectively.

Choice A reason: Lisinopril is an angiotensin-converting enzyme (ACE) inhibitor used to treat high blood pressure and heart failure. ACE inhibitors can cause orthostatic hypotension, especially in older adults, due to their vasodilatory effects, which can lead to a sudden drop in blood pressure upon standing.

Choice B reason: Clopidogrel is an antiplatelet medication used to prevent blood clots in patients with cardiovascular diseases. It does not typically cause orthostatic hypotension. Its primary side effects are related to bleeding and bruising, rather than blood pressure changes.

Choice C reason: Atorvastatin is a statin used to lower cholesterol levels and reduce the risk of cardiovascular disease. Statins do not generally cause orthostatic hypotension. Their side effects are more commonly related to muscle pain and liver enzyme abnormalities.

Choice D reason: Furosemide is a loop diuretic used to treat edema and hypertension. Diuretics can cause orthostatic hypotension by reducing blood volume and altering electrolyte balance, leading to a decrease in blood pressure upon standing.

Choice E reason: Doxazosin is an alpha-blocker used to treat high blood pressure and benign prostatic hyperplasia. Alpha-blockers are well-known for causing orthostatic hypotension due to their mechanism of action, which involves relaxing blood vessels and reducing blood pressure.