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Exam (elaborations) NR446 Simulation Multi client (NR446)

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Exam (elaborations) NR446 Simulation Multi client (NR446) Multi Client 1. The healthcare provider ordered 500mg Vancomycin Hydrochloride IVPB every six hours. The maximum safe dose range is 40mg/kg/day. The client weighs 165 lb. What is the maximum therapeutic dose the nurse will administer pe...

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  • July 22, 2022
  • 4
  • 2020/2021
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NR446 Simulation Multi client



Multi Client

1. The healthcare provider ordered 500mg Vancomycin Hydrochloride IVPB every six

hours. The maximum safe dose range is 40mg/kg/day. The client weighs 165 lb. What is

the maximum therapeutic dose the nurse will administer per day? mg/day (If needed,

round to the nearest whole number)

3,000mg/day




2. What is the purpose of Vancomycin Hydrochloride and what are the

side effects/administration protocols?

Vancomycin Hydrochloride is an antibiotic.

Side effects include Ototoxicity (auditory portion of eighth cranial nerve).

Urogenital: Nephrotoxicity leading to uremia. Body as a Whole:Hypersensitivity

reactions (chills, fever, skin rash, urticaria, shock-like state), anaphylactoid

reaction with vascular collapse, superinfections, severe pain, thrombophlebitis at

injection site, generalized tingling following rapid IV infusion. Hematologic:

Transient leukopenia, eosinophilia. GI: Nausea, warmth. Other: Injection reaction

that includes hypotension accompanied by flushing and erythematous rash on

face and upper body ("red-neck syndrome") following rapid IV infusion.

Protocol Give a single dose at a rate of 10 mg/min or over NOT LESS than 60

min. Avoid rapid infusion, which may cause sudden hypotension. Monitor IV site

closely; necrosis and tissue sloughing will result from extravasation.

3. What are some of the risks that diabetics face as a result of uncontrolled

blood sugars?

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