Order: Ampicillin 165 mg. IV q.8h. The directions on the package state: "Reconstitution of the single-use vial with 4.8 mL yields 250 mg/5 mL." How many milliliters will you administer?
1. 3.3 mL
2. 3.17 mL
3. 8.25 mL
4. 8.6 mL
1
Rationale 1:
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A patient is given a prescription for azithromycin [Zithromax] and asks the nurse why the dose on the first day is twice the amount of the dose on the next 4 days. Which reply by the nurse is correct?
a. "A large initial dose helps to get the drug to optimal levels in the body faster." b. "The first dose is larger to minimize the first pass effect of the liver." c. "The four smaller doses help the body ta-per the amount of drug more gradually." d. "Tubular reabsorption is faster with initial doses, so more is needed at first."
The strongest level of evidence reflects the absolute contraindication for NSAID use exists with
A. Chronic kidney disease B. Peptic ulcer disease C. Heart disease D. Liver disease
A client who is a heavy smoker receives a diagnosis of metastatic lung cancer
The client tells a nurse, "I'm not giving up smoking! What else do I have to enjoy in my last days?" The nurse recognizes that the client may have difficulty with change because he lacks: A) Knowledge. B) Support systems. C) Finances. D) Motivation.
In any health care system there is the potential for illegal and unethical activity. Which of the following are activities documented to have occurred in the past? Select all that apply
1. Inappropriate use of home health services 2. Inaccurate billing for services 3. Excessive administrative staff 4. "Kick-backs" for referrals