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    ATI LPN Pharmacology Proctored Exam

    The patient has Levaquin 500 mg ordered once daily. The Levaquin is available in 100 mL of NS and should infuse over 1 hour. Using tubing with a 60 gtt/mL drop factor, how many drops per minute should the Levaquin be infused?

    Explanation & Rationale

    Choice A reason: 60 gtts/min assumes 100 mL in 100 minutes; this underestimates the 1-hour order, delivering Levaquin too slowly, risking subtherapeutic antibiotic levels. Choice B reason: 100 gtts/min is correct; 100 mL over 1 hour (60 min) with 60 gtts/mL equals 6000 gtts total, divided by 60 minutes matches the ordered rate. Choice C reason: 120 gtts/min overestimates; it implies 100 mL in 50 minutes, infusing too fast, potentially causing Levaquin-related side effects like tachycardia or irritation. Choice D reason: 200 gtts/min is excessive; 100 mL in 30 minutes doubles the rate, risking toxicity or infusion reactions, far exceeding the 1-hour prescription safely.

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