The healthcare provider prescribes the antibiotic surgical prophylaxis protocol for a client who weighs 90 kg. The protocol is cefazolin 2 grams/100 mL. 0.9% normal saline over 1 hour for clients weighing less than 285.5 pounds or cefazolin 3 grams/100 mL 0.9% normal saline over 90 minutes for clients weighing greater than 265.5 pounds. The nurse should program the pump to deliver how many mL/hr? (Enter number value only. If rounding is required, round to the nearest whole number.)
The Correct Answer is ["100"]
Since the client weighs 90 kg, let’s first convert their weight to pounds to determine the appropriate cefazolin dosage:
Conversion factor: 1 kg = 2.205 pounds
Client weight (pounds) = 90 kg x 2.205 pounds/kg = 198.45 pounds (rounded to two decimals)
Now, comparing the client’s weight (198.45 pounds) to the weight threshold (265.5 pounds):
Client weight is less than the threshold (198.45 pounds < 265.5 pounds).
Therefore, the appropriate dosage is:
Cefazolin 2 grams/100 mL 0.9% normal saline over 1 hour.
The pump rate is determined by the total volume of the IV fluid and the infusion time.
We are not given the specific bag size, but typically these come in 100 mL or 500 mL volumes.
Assuming a 100 mL bag (which aligns with the concentration provided):
Total volume of IV bag: 100 mL
Infusion time: 1 hour
Calculation:
Pump rate (mL/hr) = Total volume (mL) / Infusion time (hr)
Pump rate (mL/hr) = 100 mL / 1 hour = 100 mL/hr
Therefore, the nurse should program the pump to deliver 100 mL/hr.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A) Assessing for orthostatic hypotension is important when administering medications that can lower blood pressure, but in this scenario, the vital signs indicate bradycardia (heart rate of 48 beats/minute), which may be a contraindication for administering labetalol. Therefore, withholding the dose and notifying the healthcare provider is the priority.
B) Administering the dose and monitoring the client's blood pressure regularly could potentially worsen bradycardia and hypotension, especially given the client's current vital signs. It is safer to withhold the dose and seek guidance from the healthcare provider.
C) Withholding the scheduled dose and notifying the healthcare provider is the most appropriate action in this situation. The client's bradycardia, along with the hypertension, raises concern about the safety of administering labetalol without further assessment and possible adjustment of the treatment plan.
D) Applying a telemetry monitor may be warranted if the client's bradycardia is of concern, but it does not address the potential risk associated with administering labetalol to a client with a heart rate of 48 beats/minute. The priority is to withhold the medication and inform the healthcare provider for further evaluation and guidance.
Correct Answer is C
Explanation
A) Intolerance to cold: Intolerance to cold is a common symptom of hypothyroidism, not a sign of taking too much levothyroxine sodium. Therefore, this symptom would not indicate an overdose of the medication.
B) Constipation: Constipation can be a symptom of hypothyroidism, and it may improve with appropriate thyroid hormone replacement therapy. It is not typically associated with taking too much levothyroxine sodium.
C) Restlessness: This is the correct answer. Restlessness, anxiety, nervousness, or feeling jittery are symptoms of hyperthyroidism, which can occur if the client is taking too much levothyroxine sodium. If the dose of levothyroxine is too high, it can lead to hyperthyroid symptoms, even though the medication is intended to treat hypothyroidism.
D) Decreased appetite: Decreased appetite is not a typical symptom of taking too much levothyroxine sodium. In fact, weight loss is more commonly associated with hyperthyroidism, which can occur if the dose of levothyroxine is too high. However, decreased appetite alone may not specifically indicate an overdose of levothyroxine.
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