A nurse is caring for client who has sepsis and a prescription for vancomycin 1 g in 250 mL dextrose 5% (D,W) over 2 hr by IV intermittent bolus. The nurse should set the IV pump to deliver how many mL/hr? (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 ["125"]
To calculate the IV pump rate:
- Total volume of dextrose solution: 250 mL
- Time for infusion: 2 hours
- The pump rate is calculated as total volume divided by time: 250/2
- This results in a pump rate of 125 mL/hr
Therefore, the nurse should set the IV pump to deliver 125 mL/hr.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is []
Explanation
Condition:
A. Transfusion-associated circulatory overload (TACO)
Rationale: The client’s symptoms—dyspnea, restlessness, crackles in the lungs, jugular vein distension, and elevated blood pressure—are consistent with TACO, a condition resulting from excessive fluid volume during a blood transfusion.
Actions to Take:
C. Administer furosemide
Rationale: Furosemide is a diuretic that helps reduce fluid overload, which is a key issue in TACO.
B. Administer diphenhydramine
Rationale: Although not the primary treatment for TACO, diphenhydramine can help manage symptoms if there is a mild allergic reaction contributing to the situation.
Parameters to Monitor:
A. Intake and output
Rationale: Monitoring intake and output helps assess fluid balance and effectiveness of treatment for TACO.
D. Weight
Rationale: Weight monitoring helps assess fluid overload and effectiveness of diuretic therapy
Correct Answer is A
Explanation
A. Administer oxygen therapy. This is the priority intervention to ensure adequate oxygenation and address hypoxemia due to the pulmonary embolism.
B. Start an IV infusion of lactated Ringer's is not the immediate priority; oxygen therapy addresses acute symptoms of a pulmonary embolism first.
C. Initiate cardiac monitoring is important, but it is secondary to addressing the client's oxygenation needs.
D. Give morphine IV may be part of the treatment plan, but oxygen therapy is the most immediate intervention for a pulmonary embolism.
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