lengthy presentation must include the following: • Introduction to palliative
NGN MOCK EXAM 99. This is a Drop Down Rationale question. Complete the sentence or fill- in the blank by choosing from a list of drop-down options and selecting the correct option. A full understanding of “paired” Information is required to answer the question correctly. It Is very important to choose the first option correctly so that the remaining option choices are based on the correct foundation. The nurse is caring for a 70-year old client with cellulitis on both lower extremities caused by methicillin resistant Staphylococcus aureus (MRSA) who is being treated with IV vancomycin. The next dose of vancomycin is due now, and the nurse checks the laboratory results Lab Tests Test Result Normal Reference Range Vancomycin trough level 16 mcg/ mi (11 3981 mrmol/L) 10 20 mcg/ml (10 3498-13 7998 meab) White blood cells (WBCs 10.600/mm (10 = 10 /L) 5000 10,000/mm (5 10 – 10 /L) Blood urea nitrogen (BUN) 20 ma/di (7 1 mmoi/L) 10 20 mg/dL (3 6 7 1 mmol/L) Creatinine 0.6 modi (53 memoll 1 2 moldl (44 106 msmol Based on this information, which action would the nurse take? Complete the following sentence by choosing from the list of options. The nurse would ( – – because [- – 1st set of possible answers 2nd set of possible answers Hold the next dose The WBC count is high Administer a lower dose The trough level is normal Administer the next dose orally The creatinine level indicates toxicity Administer the next dose as The BUN level is high but not toxic prescribed A. Hold the next dose because the WBC count is high. B. Administer a lower dose because the BUN level is high but not toxic. C. Administer the next dose orally because the creatinine level indicates toxicity. D. Administer the next dose as prescribed because the trough level is normal.
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