The healthcare provider prescribes cefuroxime 5 grams every 8 hours IM for a client with pneumonia. The available vial is labeled, "Cefuroxime 500 mg/mL." How many mL should the nurse administer to this client? (Enter numerical value only. If rounding is required round to the nearest whole number.)

Answer and Explanation

The Correct Answer is ["10"]

To calculate the volume in mL to administer, use the formula:

Volume (mL) = Prescribed dose (mg)/Available concentration (mg/mL)

Step 1: Convert the prescribed dose to milligrams
The prescribed dose is 5 grams.

Convert grams to milligrams:

5 grams × 1000 mg/gram = 5000 mg

Step 2: Divide by the concentration
The available concentration is 500 mg/mL.

Calculate the volume:

Volume (mL) = 5000 mg / 500 mg/mL = 10 mL

The nurse should administer 10 mL.

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Correct Answer is ["B","C","D","E"]

Explanation

Send wound drainage for culture and sensitivity.

Culturing the wound drainage helps identify the specific bacteria causing the infection and determine its antibiotic susceptibility, guiding appropriate treatment.

C. Monitor the client's white blood cell count.

Monitoring the white blood cell count helps assess for signs of infection and the body's immune response to the MRSA infection.

D. Use standard precautions and wear a mask.

Standard precautions should always be followed to prevent the transmission of infections in healthcare settings. Wearing a mask may be indicated if there is a risk of respiratory droplet transmission during wound care or other procedures.

E. Institute contact precautions for staff and visitors.

Contact precautions should be implemented to prevent the spread of MRSA to others. This includes wearing gloves and gowns when providing care, as well as educating staff and visitors about proper hand hygiene and infection control measures.

A. Living will becomes invalid when receiving hospice care. B. Hospice services can be initiated prior to discharge. C. Family members can be involved in the plan of care. D. Provides comfort, dignity, and emotional support. E. Can be provided within comforts of home.

Correct Answer is ["B","C","D","E"]

Explanation

B. Hospice services can be initiated while the client is still in the hospital. Hospice teams can work alongside the hospital staff to provide care and support to the client and family during the transition to hospice care.
C. Hospice care emphasizes the involvement of family members in the care of the patient. The hospice team works with the patient and family to develop a personalized plan of care that addresses the physical, emotional, and spiritual needs of the patient and family members.
D. Hospice care focuses on providing comfort, maintaining dignity, and offering emotional support to patients with terminal illnesses and their families. The goal is to enhance quality of life and ensure that the patient's wishes and preferences are respected throughout the end-of- life process.
E. Hospice care can be provided in various settings, including the patient's own home, assisted living facilities, nursing homes, or inpatient hospice units. The option to receive care in the comfort of home is often preferred by many patients and families as it allows them to remain in familiar surroundings surrounded by loved ones.

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The healthcare provider prescribes cefuroxime 5 grams every 8 hours IM for a client with pneumonia. The available vial is labeled, "Cefuroxime 500 mg/mL." How many mL should the nurse administer to this client? (Enter numerical value only. If rounding is required round to the nearest whole number.)

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A client who is paraplegic is admitted with a foul-smelling drainage from a sacral ulcer. The client is suspected to have a methicillin- resistant Staphylococcus aureus (MRSA) infection. Which nursing intervention(s) should the nurse include in the plan of care? Select all that apply.

Correct Answer is ["B","C","D","E"]

Explanation

A female client with metastatic breast cancer is admitted with shortness of breath and pleural effusions. The client has a living will and the family is requesting hospice information. Which information should the nurse provide regarding hospice? Select all that apply.

Correct Answer is ["B","C","D","E"]

Explanation

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The healthcare provider prescribes cefuroxime 5 grams every 8 hours IM for a client with pneumonia. The available vial is labeled, "Cefuroxime 500 mg/mL." How many mL should the nurse administer to this client? (Enter numerical value only. If rounding is required round to the nearest whole number.)

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