Question

8. The nurse is preparing to administer Vancomycin 16 by intermittent IV bolus. Available is Vancomycin 16 in 100ml of dextrose 5% in water to infuse over 45 minutes. The drop factor of the manual IV tubing is 10ggt/ml. The nurse should adjust the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Do not use a trailing zero.) 9. The nurse is teaching a client who has osteoporosis about a new prescription for alendronate. Which of the following instructions should the nurse provide? A. Do not take the medication on an empty stomach B. Avoid lying down after taking this medication for at least 30 minutes C. Drink an 8 oz glass of grapefruit juice with this medication D. Monitor serum calcium. Expected reference for calcium is 3.0 to 5.7mg/dL. 10. A woman who lives in Seattle, travels frequently for work. She has been taking the Estrogen Receptor Modulator, Raloxifene for 6 months. The nurse will provide the following instructions to this patient? A. This medication will make you a high risk for venous thromboembolism. B. Be sure to take this medication with a full glass of orange juice. C. This medication should be taken on an empty stomach. D. This medication will decrease bone mineral density.

Answer 1

8.to calculate drip rate formula is

Drip rate=volume to be infused/time in minutes*drop factor

Volume to be infused =100ml(1gm vancomycin diluted in 100ml of dextrose 5%)

Time in minutes=45 mins

Drop factor=10ggt/ml

Drip rate=100/45*10

               =2.2*10

               =22.2

              =22 drops/min

The IV drip rate is 22 drops /minute

9.B avoid lying down for at least 30 mins after taking this medication.

When you take medicine the water you drink will push the medicine to the stomach .if you lie down it will come back to esophagus and can damage the esophagus.alendronatr has a corrosive effect on the esophagus which can cause heartburn,esophageal ulcers.

Option A,C,D are wrong because the medication should be taken on empty stomach for better absorption,the medication should be taken with plan water and not grapejuuce because alendronate can get attached to minerals in the juice and lead to poor absorption .and calcium level should be monitored as it can lead to lower calcium levels but a person with low calcium levels should not consume alendronate and the normal calcium is 8.5-10mg/dl.

10.A.The medication will make you a high risk for venous thromboembolism

Because raloxifene causes blood clots especially of leg veins so a woman who will be travelling continuously should be instructed to move and walk in between during long flights,to take regular breaks if using car or bus trips .to avoid clot formation and dislodgement of the thrmbos and causing embolism .

Option B,C,D is not right because the drug can be taken any time of the day with or without food it doesn't have any interactions with food,their is no specifications to take in plain water or juice ,The medication should be consumed with calcium and vitamin supplement .so reduce in bone density can apoen but it is not an important instruction to be given especially when the women is a Traveller and the risk of venous thromboembolism is at highest