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Questions 149

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Question 1 of 5

The nurse has an order to administer 100 units of regular insulin in 500 mL of 0.9% NS to infuse at 12 units per hour. The nurse should program the IV pump to deliver how many mLs per hour?

Correct Answer: 60

Rationale: Concentration: 100 units/500 mL = 0.2 units/mL.
To deliver 12 units/hour: 12 ÷ 0.2 = 60 mL/hour.

Question 2 of 5

The sputum of a client remains positive for the tubercle bacillus even though the client has been taking Laniazid (isoniazid). The nurse recognizes that the client should have a negative sputum culture within:

Correct Answer: D

Rationale: With effective treatment, sputum cultures for tuberculosis typically become negative within 2-3 months (approximately 12 weeks), depending on the regimen and adherence.

Question 3 of 5

The nurse calculates the amount of an antibiotic for injection to be given to an infant. The amount of medication to be administered is 1.25 mL. The nurse should:

Correct Answer: A

Rationale: For infants, volumes greater than 1 mL should be divided and administered in separate sites, such as each vastus lateralis, to reduce discomfort and ensure absorption.

Question 4 of 5

The patient is prescribed metronidazole (Flagyl) for adjunct treatment for a duodenal ulcer. When teaching about this medication, the nurse would include:

Correct Answer: D

Rationale: Metronidazole can cause a disulfiram-like reaction with alcohol, so avoidance is critical.

Question 5 of 5

The nurse is caring for a client on the oncology unit. Which nursing activity is appropriate to delegate to the unit LPN?

Correct Answer: A

Rationale: Obtaining vital signs is within the LPN’s scope. Administering blood, IV pain medication, or chemotherapy typically requires RN expertise.

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