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A physician orders levofloxacin (Levaquin) for a client to treat infection. The order is for levofloxacin (Levaquin) 500 mg/100 mL to be infused over a period of 1 hour. The IV infusion set has a drop factor of 10 drops/mL. The nurse would set the infusion flow rate at
- A. 16 drops/min
- B. 17 drops/min
- C. 18 drops/min
- D. 19 drops/min
Correct Answer: B
Rationale: 100 mL / 1 hour = 100 mL/hr; 100 mL/hr ? 1 hr/60 min = 1.67 mL/min; 1.67 mL/min ? 10 = 16.7 or 17 drops/min.
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A client is prescribed normal saline as an IV infusion. Based on the nurse's understanding of the drug, the nurse would administer the infusion cautiously to a client with which of the following? Select all that apply.
- A. Hypoproteinemia
- B. Urinary tract infection
- C. Edema
- D. Hepatic impairment
- E. Renal impairment
Correct Answer: A,C,E
Rationale: The nurse must monitor clients with the following conditions particularly closely during the administration of normal saline because sodium should be used cautiously in these clients: surgical clients and clients with circulatory insufficiency, hypoproteinemia, edema, urinary tract obstruction, congestive heart failure, or renal impairment.
A client is prescribed total parenteral nutrition due to weight loss secondary to cancer treatment. The nurse would most likely identify which nursing diagnosis as the priority?
- A. Risk for Injury
- B. Imbalanced Nutrition: Less Than Body Requirements
- C. Deficient Fluid Volume
- D. Risk for Decreased Cardiac Output
Correct Answer: B
Rationale: The need for total parenteral nutrition would support the nursing diagnosis of Imbalanced Nutrition: Less Than Body Requirements to help promote weight gain and nutritional stability.
A client is prescribed bicarbonate. The client's medication history reveals that the client is also taking fluoroquinolones. The nurse would be alert for the development of which of the following due to an interaction of these two drugs?
- A. Respiratory alkalosis
- B. Severe abdominal pain
- C. Increased risk of crystalluria
- D. Renal impairment
Correct Answer: C
Rationale: The nurse should monitor the client's condition for an increased risk of crystalluria as a result of the interaction of fluoroquinolones and bicarbonate.
A nurse suspects a client receiving an infusion of potassium to replace losses due to diuretic therapy may be developing hyperkalemia. Which of the following signs or symptoms would a nurse observe? Select all that apply.
- A. Anxiety
- B. Card Delegations arrhythmias
- C. Hypertension
- D. Decreased bowel sounds
- E. Paresthesias
Correct Answer: A,B,E
Rationale: The following are signs or symptoms a nurse would observe in a client with hyperkalemia: irritability, anxiety, listlessness, mental confusion, nausea, diarrhea, abdominal distress, GI hyperactivity, paresthesias, weakness and heaviness of the legs, flaccid paralysis, hypotension, cardiac arrhythmias, and ECG changes.
A physician orders levofloxacin (Levaquin) for a client to treat infection. The order is for levofloxacin (Levaquin) 1000 mg/50 mL to be infused over a period of 1 hour. The IV infusion set delivers 15 drops/mL. The nurse would set the infusion rate at
- A. 12 drops/min
- B. 13 drops/min
- C. 14 drops/min
- D. 15 drops/min
Correct Answer: B
Rationale: 50 mL / 1 hour = 50 mL/hr; 50 mL/hr ? 1 hr/60 min = 0.83 mL/min; 0.83 mL/min ? 15 = 12.5 or 13 drops/min.