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.
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
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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Correct Answer is C
Explanation
Choice A reason: Decreased bowel sounds may be associated with cirrhosis due to altered digestion but do not directly correlate with weight gain.
Choice B reason: An increased respiratory rate can be a sign of many conditions, including fluid overload, but it is not a specific indicator of weight gain due to fluid accumulation.
Choice C reason: Increased abdominal girth is a common sign of ascites, which is fluid accumulation in the abdomen often seen in cirrhosis, correlating with the reported weight gain.
Choice D reason: Decreased level of consciousness may indicate hepatic encephalopathy in cirrhosis patients but does not directly correlate with the weight gain described.
Correct Answer is C
Explanation
Choice A reason: While new management's expectations are important, they are not as immediate a concern as job security during restructuring.
Choice B reason: Changes in job descriptions can be a concern, but they are secondary to the more pressing issue of whether employees will retain their jobs.
Choice C reason: Job security is typically the most pressing concern for employees during restructuring, as it directly impacts their livelihood and future with the company.
Choice D reason: Potential changes in employee benefits are important but are generally less immediate than concerns about job security.
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