Answer:
32 mL
Explanation:
Step 1: Covert pounds to kilograms. This problem's units are already in kg, so no conversion is necessary.
Step 2: Calculate the number of hours an infusion will last by dividing the volume in the bag (1 liter,or 1000 mL) by the rate per hour: 1000 mL/100 mL/h = 10 hours.
Step 3: In case the problem asks for a dose per minute, you will need to multiply the hours by 60 to convert to minutes, but this problem does not ask for it, it asks for ug/kg/hr, so no need to convert here.
Step 4: Now plug into the equation: 4 ug/40 kg/10 hr = 1600 ug.
Step 5: Now convert the ug into mg by dividing by 1000: 1600/1000 = 1.6 mg.
Step 6: Then calculate the quantity of fentanyl to add, by dividing the 1.6 mg by the concentration of the drug (0.05 mg/mL): 1.6 mg/0.05 mg/mL = 32 mL.
Note: to be truly accurate when adding drugs to bags like this, you should discard 32 mL of fluids from the bag prior to adding the 32 mL of fentanyl.
Answer:
I will instruct her to take series of deep breathes and coughs. This will help lower the risk of pneumonia.
She should also be taught how to use the incentive spirometer. The spirometer helps in knowing the level of air ventilation in the lungs by measuring the level of inhalation and exhalation of air in the lungs.
She should also be told of the best type of sleeping posture.
Answer:
Instances for which a staff member needs to report an occurrence directly to a manager include which of the following: A. An RN is diverting drugs; C. A patient reports that a male LVN made a sexual advance toward her; D. A nurse sees a gun in another staff member's locker at work.
Explanation:
A staff member needs to report the cases mentioned in A, C and D directly to a manager because all those situations are a risk and put lives in danger. In situation B, when a patient complains about the poor care received on the prior shift may be report to another member who is not the manager. It is an important situation to report, though is not so complicated as the prior mentioned. Diverting drugs is an inappropriate behaviour, such as a sexual advance to a patient or carring a gun to the work place. These situations must be reported to a manager.
