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A school-aged client is receiving vancomycin, 400 mg IV every 6 hours for a Methicillin-Resistant Staphylococcus Aureus (MRSA) infection. The medication is diluted in a 100 mL bag of 0.9% sodium chloride with instructions to infuse over one and a half hours. How many mL/hour should the nurse program the infusion pump? (Please enter the numeric value only. If rounding is required, round to the nearest whole number.

Answer and Explanation

The Correct Answer is ["67"]

Step 1: Convert the volume of fluid to be infused from mL to mL (since the rate is usually measured in mL/hr):

100 mL = 100 mL (No conversion needed as the volume is already in mL)

Step 2: Convert the time for infusion from hours to hours (since the rate is usually measured in mL/hr):

1.5 hours = 1.5 hours (No conversion needed as the time is already in hours)

Step 3: Calculate the rate (volume ÷ time):

Rate = Volume ÷ Time

Rate = 100 mL ÷ 1.5 hours

Rate = 66.67 mL/hr

So, the nurse should program the infusion pump to deliver at a rate of 67 mL/hr (rounded to the nearest whole number

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Free Nursing Study Resources

Correct Answer is ["A","D","E","F","H"]

Explanation

Choice A reason: Applying sequential compression stockings when in bed is a recommended postoperative intervention for bariatric surgery patients. It helps prevent deep vein thrombosis (DVT) by promoting venous return and reducing venous stasis, which is particularly important in patients with obesity due to their increased risk for DVT.
Choice B reason: Maintaining strict bedrest for 12 hours after surgery is not typically recommended as it can increase the risk of complications such as DVT and pulmonary embolism. Early mobilization is generally encouraged to promote circulation and respiratory function.
Choice C reason: Providing chilled beverages is not a specific nursing intervention indicated in the immediate postoperative period for bariatric surgery patients. Fluid intake should be carefully monitored and regulated, but the temperature of the beverages is not a primary concern.
Choice D reason: Changing position frequently is an important postoperative intervention to prevent complications such as pressure ulcers and to promote lung expansion, especially in patients with obesity who are at higher risk for these issues.
Choice E reason: Encouraging coughing and deep breathing is essential after bariatric surgery to help clear the airways, prevent atelectasis, and improve oxygenation. This is particularly important for this patient who has a history of sleep apnea and reported diminished breath sounds postoperatively.
Choice F reason: Observing for signs and symptoms of dumping syndrome is relevant for bariatric surgery patients, as this syndrome can occur when food moves too quickly from the stomach to the small intestine. However, this is more of a long-term concern rather than an immediate postoperative intervention.
Choice G reason: Keeping the client NPO (nothing by mouth) is a common immediate postoperative order, but as the patient progresses, they will be started on a liquid diet and advanced as tolerated. Therefore, it is not a nursing intervention that would be indicated indefinitely.
Choice H reason: Maintaining the head at a 45-degree angle can help improve respiratory function by reducing pressure on the diaphragm, which is especially beneficial for patients with obesity and a history of sleep apnea, as in this case.

A. Allergic rhinitis. B. Otitis media. C. Myocarditis. D. Bronchitis. E. Contact dermatitis.

Correct Answer is ["A","E"]

Explanation

Choice A reason: Allergic rhinitis is a common condition that responds well to antihistamines, which can alleviate symptoms such as sneezing, runny nose, and itching.

Choice B reason: Otitis media is an inflammation of the middle ear and is not typically treated with antihistamines.

Choice C reason: Myocarditis is an inflammation of the heart muscle and is not treated with antihistamines.

Choice D reason: Bronchitis involves inflammation of the bronchial tubes and is not primarily treated with antihistamines.

Choice E reason: Contact dermatitis, which is an allergic skin reaction, can be treated with antihistamines to relieve itching and rash.

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Naxlex Comprehensive Predictor Exams

Patient Data Exhibits The nurse reviews new data. Which 5 nursing interventions are indicated for this client?

Correct Answer is ["A","D","E","F","H"]

Explanation

What conditions are most likely to respond to treatment with antihistamines? Select all that apply.

Correct Answer is ["A","E"]

Explanation

The healthcare provider has prescribed heparin, 3 units/kg to be administered via IV push for a client who weighs 175 pounds. The vial is labeled as "100 units/mL." How many mL should the nurse administer? (Please enter the numerical value only. If rounding is required, round to the nearest tenth.)

Which nursing responsibility is related to health promotion and teaching for the client with rheumatoid arthritis?

One hour following cardiac catheterization via the left femoral site, a client reports feeling weak and dizzy. Assessment reveals that the client's dressing is dry and intact. Which action should the nurse take next?

Patient Data Exhibits Which interventions are indicated to promote positive outcomes for the patient? Select all that apply.

An older adult client arrives at the clinic describing a new onset of urinary incontinence. Which intervention should the nurse implement?