Summary NR 446 Multi-Client simulation Paper.

NR 446 Multi-Client simulation Paper. There are two cases in this scenario: The first one is Janet Martin, a 75-year old female whose daughter called stating that Janet was complaining of coughing and she was not feeling well and unable to get off the couch because she is weak and fatigued. The daughter brought her into the Emergency Department because of fever and chills for two days, decreased appetite, green productive cough, and fatigue. Janet was admitted to the telemetry unit with a diagnosis of bilateral pneumonia. Janet also had an open wound on her left great toe that turned out to have MRSA after a wound culture was completed. The wound has closed. The second scenario is Margaret Stanton, a 75-year old female admitted to the telemetry unit late last night for MVP (Mitral valve prolapse) and is scheduled for surgery this morning at 0730. To prepare and to be able to participate in the simulation, the following questions need to be completed. 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) Answer: 3,000 mg/day 40 mg/ kg/day X kg 165 lbs./2.2 = 3000 mg/day What is the purpose of Vancomycin Hydrochloride and what are the side effects/administration protocols? Vancomycin Hydrochloride is an anti-infective drug that is used to treat potentially life-threatening infections particularly staphylococcal infections such