A client weighing 33 lbs. is prescribed cefazolin sodium (Ancef) 25 mg/kg/hr. The medication is in 100 mL of 0.9% normal saline and the nurse is using a drop factor of 10 gtts/ml. How many gtts/min should this client receive?
1. 28 gtts/min
2. 38 gtts/min
3. 49 gtts/min
4. 52 gtts/min
2
Rationale 1: First determine the dose that the client is to receive per hour by dividing the weight in lbs. by 2.2 and then multiplying by 50 mg or 33/2.2 x 25 = 375 mg. Then solve the equation 375 mg/100 mL x 10 gtts/ml = 37.5 or 38 gtts/min.
You might also like to view...
Which is the most appropriate guideline for a nurse who makes decisions about vaccines in the elderly?
A) Immunizations should be given until the person does not seem to respond to them anymore. B) Vaccines are more successful if the elderly person takes additional measures to improve their effectiveness. C) Vaccines can be less effective in the elderly because of age-related changes in the immune system in response to foreign antibodies. D) Immunizations should be continued although they may cause T-cell function to decline and result in a weaken response to their effectiveness.
A nurse manager recognizes the need to expand her professional network as she begins a job search for a middle-management position. Which of the following actions is least likely to ex-pand her job-searching network?
a. Reviewing her address book or card file for names and phone numbers of former colleagues who are now in mid-dle-management positions b. Making an appointment to meet with a former instructor from her graduate pro-gram in nursing administration c. Making a long overdue return call to a former colleague who is now a chief nurse executive d. Attending a state-level conferences for nurse managers and executives and vo-lunteering to help with professional or-ganizations' informal luncheons and re-ceptions
The nurse notices that a client who follows a Kosher diet has a hamburger for lunch. Which item should the nurse remove before providing the tray to the client?
a. Green salad b. Peas and carrots c. Container of milk d. Container of orange juice
A client has chronic obstructive pulmonary disease (COPD) exacerbation. The pulse oximeter shows a saturation of 86% on room air. The nurse assesses diminished lung sounds and low-pitched wheezing posteriorly, shallow respirations, respiratory rate of 32/min, and use of accessory muscles. What is the most appropriate oxygen delivery device for this client?
a. Nasal cannula b. Non-rebreathing mask c. Oxymizer d. Venturi mask