Prescribed is 80 mg of gentamicin in 50 mL to infuse in 30 minutes. The nurse would program the electronic infusion pump at what rate?

Answer and Explanation

The Correct Answer is ["100"]

To calculate the infusion rate for gentamicin, the nurse needs to use the following formula:

infusion rate (mL/h) = volume (mL) x 60 / time (min).

Plugging in the given values, we get: infusion rate (mL/h) = 50 x 60 / 30 = 100.

Therefore, the nurse would program the electronic infusion pump at 100 mL/h.

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

Explanation

A. Bradycardia

Bradycardia (slow heart rate) is a symptom of cholinergic crisis. Excessive stimulation of acetylcholine receptors can lead to bradycardia.

B. Rash

Rash is not typically associated with cholinergic crisis. Instead, it may be associated with other conditions or drug reactions.

C. Vomiting

Vomiting is a symptom of cholinergic crisis. Excessive stimulation of the gastrointestinal tract by acetylcholine can lead to increased gastrointestinal motility and nausea/vomiting.

D. Fever

Fever is not typically associated with cholinergic crisis. Instead, it may suggest an infection or other inflammatory condition.

E. Drooling

Drooling is a symptom of cholinergic crisis. Excessive stimulation of salivary glands by acetylcholine can lead to increased salivation and drooling.

A. Call the health carer provider immediately to change the medication to oral. B. Continue the infusion and reassure the patient. C. Flush the line with 10 mL of normal saline and continue the infusion. D. Discontinue the IV and restart the IV infusion in a different site

Correct Answer is D

Explanation

A. Call the health care provider immediately to change the medication to oral.

Changing the medication to oral may not address the immediate issue of the burning sensation and feeling of heat at the IV site. This option focuses on changing the route of administration rather than addressing the current discomfort.

B. Continue the infusion and reassure the patient.

Continuing the infusion without addressing the patient's discomfort could lead to potential complications, and it is important to prioritize patient comfort and safety. Reassurance alone may not be sufficient if there is an issue with the IV site.

C. Flush the line with 10 mL of normal saline and continue the infusion.

While flushing the line with normal saline is a good practice to ensure patency, it may not resolve the issue if there is ongoing irritation or infiltration at the site. Continuing the infusion without addressing the patient's complaint might lead to further discomfort.

D. Discontinue the IV and restart the IV infusion in a different site.

This is the best action. Discontinuing the IV allows the nurse to assess the current site for signs of infiltration or irritation. Restarting the IV in a different site addresses the immediate issue, ensuring that the medication is delivered safely and effectively.

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Prescribed is 80 mg of gentamicin in 50 mL to infuse in 30 minutes. The nurse would program the electronic infusion pump at what rate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with myasthenia gravis is experiencing a cholinergic crisis. Which symptoms are associated with this condition? (Select all that apply.)

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

Explanation

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Correct Answer is D

Explanation

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