A physician prescribes Vancomycin 20 mg/kg intravenous (IV). The patient weighs 110 lbs. The medication is available in vials which contain 500 mg per 8 mL. What should the nurse withdraw from the vial? (round to the nearest whole number)
The Correct Answer is ["16"]
To calculate the dosage of Vancomycin, first convert the patient's weight from pounds to kilograms, knowing that 1 kg equals 2.2 lbs. The patient weighs 110 lbs, which is equivalent to 50 kg (110 lbs / 2.2). Next, multiply the patient's weight in kilograms by the prescribed dosage of 20 mg/kg, resulting in a total dosage of 1000 mg (50 kg * 20 mg/kg). Since the vials contain 500 mg per 8 mL, divide the total dosage required by the amount per vial to find out how many milliliters should be withdrawn. This results in 16 mL (1000 mg / (500 mg/8 mL)).
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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Correct Answer is C
Explanation
A. Chronic head injury patients often struggle with processing multiple pieces of information simultaneously due to cognitive limitations.
B. Activities requiring complex strategy, like chess, are typically challenging shortly after admission and not a realistic expectation.
C. Difficulty with planning and organizing thoughts and behaviors is a common cognitive deficit in patients with chronic head injury due to impaired executive function, often resulting from damage to the frontal lobe.
D. While non-compliance can occur, it is less predictable and may not be directly linked to chronic head injury itself.
Correct Answer is A
Explanation
A. The fifth intercostal space at the left midclavicular line is the location of the mitral valve, where murmurs associated with mitral valve disease are best auscultated.
B. The fourth intercostal space at the right sternal border is the location for assessing the tricuspid valve, not the mitral valve.
C. The third intercostal space at the left midclavicular line is not associated with loudest auscultation of the mitral valve murmur.
D. The second intercostal space at the right sternal border is where the aortic valve sounds are best heard.
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