Order: Vancomycin 40 mg/kg/d divided into q.6h. doses IV. The manufacturer recommends reconstituting 500mg vial with 10 mL, yielding 50 mg/mL. How many milliliters will you administer for each dose if the client weighs 90 lb?

1. 180 mL
2. 18 mL
3. 8.2 mL
4. 3.4 mL


3
Rationale 1:

Nursing

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A client is hospitalized with a second episode of pulmonary embolism (PE). Recent genetic testing reveals the client has an alteration in the gene CYP2C19. What action by the nurse is best?

a. Instruct the client to eliminate all vitamin K from the diet. b. Prepare preoperative teaching for an inferior vena cava (IVC) filter. c. Refer the client to a chronic illness support group. d. Teach the client to use a soft-bristled toothbrush.

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The nurse is counseling a male client about decreasing his caloric intake to treat his obesity. He has a BMI of 31.8 . What would be the best level of caloric intake for this client?

A) 1000 to 1200 cal/day C) 1200 to 1600 cal/day B) 1100 to 1500 cal/day D) 1300 to 1700 cal/day

Nursing

Using the sense of smell to adjust an individual's mood is accomplished through:

A) Herbal therapy B) Aromatherapy C) Suggestion D) Ingestion

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The nurse is assessing the tympanic membrane of a client and notes the presence of a darkened area. Based on this assessment data, which does the nurse suspect?

A. Acute otitis media. B. History of frequent middle ear infections. C. Blocked eustachian tubes. D. Recent trauma.

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