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NurseDive Free Nursing Practice Question
The physician orders vancomycin hydrochloride 2 g/day by mouth in 4 divided doses.
The pharmacy fills the client's prescription with 500 mg vancomycin hydrochloride capsules.
The nurse should instruct the client to take______capsule(s) per dose.
This question is an excerpt from Nurse Dive's nursing test bank - ATI Pharmacology Endocrine and Hematology Proctored Exam. Take the full exam now
Full Explanation
The physician has ordered a total of 2 g/day of vancomycin hydrochloride to be taken in 4 divided doses.
This means that each dose should be 2 g/day ÷ 4 = 0.5 g/dose.
Since the pharmacy has filled the prescription with 500 mg capsules, and 500 mg is equivalent to 0.5 g, the client should take 1 capsule per dose.
Similar Questions
A nurse is preparing to administer a client's daily dose of NPH insulin at 0730.
The nurse should expect this type of insulin to peak within which of the following timeframes after administration?
A. 30 minutes to 3 hours.
Choice A: 30 minutes to 3 hours is not the answer because NPH insulin usually starts to work about 1 to 3 hours after injection and peaks 4 to 12 hours later12.
B. 2 to 6 hours.
Choice B: 2 to 6 hours is not the answer because NPH insulin usually starts to work about 1 to 3 hours after injection and peaks 4 to 12 hours later12.
C. 4 to 5 hours.
Choice C: 4 to 5 hours is not the answer because NPH insulin usually starts to work about 1 to 3 hours after injection and peaks 4 to 12 hours later12.
D. 6 to 10 hours.
NPH insulin is an intermediate-acting insulin that usually starts to work about 1 to 3 hours after injection and peaks 4 to 12 hours later12. Peak time is when insulin has its strongest effect on lowering blood glucose1.
Full Explanation
NPH insulin is an intermediate-acting insulin that usually starts to work about 1 to 3 hours after injection and peaks 4 to 12 hours later12.
Peak time is when insulin has its strongest effect on lowering blood glucose1.
Choice A: 30 minutes to 3 hours is not the answer because NPH insulin usually starts to work about 1 to 3 hours after injection and peaks 4 to 12 hours later12.
Choice B: 2 to 6 hours is not the answer because NPH insulin usually starts to work about 1 to 3 hours after injection and peaks 4 to 12 hours later12.
Choice C: 4 to 5 hours is not the answer because NPH insulin usually starts to work about 1 to 3 hours after injection and peaks 4 to 12 hours later12.
A nurse is preparing to administer 400 mL of 0.9% sodium chloride IV over 8 hours.
The drop factor of the manual IV tubing is 60 gtt/mL.
The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number.
Use a leading zero if it applies. Do not use a trailing zero.).
Full Explanation
To calculate the flow rate in gtt/min, you need to divide the total volume of the IV fluid (400 mL) by the total infusion time in minutes (8 hours x 60 minutes/hour = 480 minutes) and then multiply by the drop factor of the manual IV tubing (60 gtt/mL).
This gives you a flow rate of (400 mL / 480 minutes) x 60 gtt/mL = 50 gtt/min.
The other choices are not answers because they are not provided in the question.
A nurse is caring for a client who has a prescription for digoxin 0.25 mg PO daily.
The amount available is digoxin 0.125 mg tablet.
How many tablets should the nurse administer per dose? (Round to the nearest whole number.
Use a leading zero if it applies. Do not use a trailing zero.).
A. 1.
Choice A: 1 is not the answer because 0.25 mg / 0.125 mg/tablet = 2 tablets.
B. 2.
To calculate the number of tablets the nurse should administer per dose, you need to divide the prescribed dose of digoxin (0.25 mg) by the amount of digoxin available in each tablet (0.125 mg/tablet). This gives you a result of 0.25 mg / 0.125 mg/tablet = 2 tablets.
C. 3.
Choice C: 3 is not the answer because 0.25 mg / 0.125 mg/tablet = 2 tablets.
D. 4.
Choice D: 4 is not the answer because 0.25 mg / 0.125 mg/tablet = 2 tablets.
Full Explanation
To calculate the number of tablets the nurse should administer per dose, you need to divide the prescribed dose of digoxin (0.25 mg) by the amount of digoxin available in each tablet (0.125 mg/tablet).
This gives you a result of 0.25 mg / 0.125 mg/tablet = 2 tablets.
Choice A: 1 is not the answer because 0.25 mg / 0.125 mg/tablet = 2 tablets.
Choice C: 3 is not the answer because 0.25 mg / 0.125 mg/tablet = 2 tablets.
Choice D: 4 is not the answer because 0.25 mg / 0.125 mg/tablet = 2 tablets.