Nokea
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.
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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 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.
The nurse should review a client's medical history prior to the administration of plasma protein factors as their administration is contraindicated in clients with which of the following? Select all that apply.
- A. Allergy to albumin
- B. Severe anemia
- C. Cardiac failure
- D. Cardiopulmonary bypass
- E. Dialysis
Correct Answer: A,B,C,D
Rationale: The nurse should review a client's medical history prior to the administration of plasma protein factors as their administration is contraindicated in the following situations: clients with allergic reaction to albumin, severe anemia, cardiac failure, or normal or increased intravascular volume or clients on cardiopulmonary bypass.
The use of an infusion pump or controller still requires nursing supervision and frequent monitoring of the IV infusion to monitor for signs of infiltration. Assessment of which of the following at the infusion site would lead the nurse to suspect that infiltration is occurring? Select all that apply.
- A. Edema
- B. Necrosis
- C. Burning
- D. Itching
- E. Redness
Correct Answer: A,E
Rationale: It is important for the nurse to monitor frequently for signs of infiltration while an infusion pump is in use. The signs of infiltration include edema and redness at the infusion site.
A nurse is teaching a client about his prescribed potassium replacement therapy. The client is to continue taking the drug orally at home. After teaching the client about this therapy, the nurse determines that additional teaching is needed when the client states which of the following?
- A. I'll take the drug immediately after a meal.
- B. I need to drink a full glass of water when I take the drug.
- C. If I have trouble swallowing the drug, I can crush it.
- D. If the pharmacy gives me a liquid form, I can mix it in cold water or juice.
Correct Answer: C
Rationale: When given orally, potassium may cause GI distress. Therefore, it is given immediately after meals or with food and a full glass of water. Oral potassium must not be crushed or chewed.