A client is receiving IV dextrose 5% in water (DSW) at 125 mL/hour and a secondary infusion of pantoprazole 40 mg IV daily. The pharmacy provides a 110 mL premixed solution of pantoprazole to be infused over 15 minutes. The nurse should program the secondary infusion to deliver how many mL/hour? (Enter numeric value only.)
The Correct Answer is ["440"]
While the primary infusion rate (dextrose 5% in water) and the total volume of pantoprazole solution are provided, the pantoprazole infusion doesn't directly affect the rate of the primary DSW infusion.
Here's the breakdown:
Primary Infusion:
Dextrose 5% in water (DSW) at 125 mL/hour (given) - This rate remains constant throughout the secondary infusion.
Secondary Infusion:
Pantoprazole 40 mg total dose (given)
Premixed solution volume: 110 mL (given)
Infusion duration: 15 minutes (given) = 0.25 hours (convert minutes to hours)
The nurse programs the secondary infusion pump to deliver the 110 mL pantoprazole solution over 0.25 hours, independent of the primary DSW infusion.
Therefore, the nurse should program the secondary infusion pump to deliver a rate of:
Delivery rate (mL/hour) = Total volume (mL) / Infusion time (hours)
Delivery rate (mL/hour) = 110 mL / 0.25 hours
Delivery rate (mL/hour) = 440 mL/hour (This is the rate for the pantoprazole solution only)
In conclusion:
The primary DSW infusion rate remains at 125 mL/hour.
The secondary pantoprazole infusion rate is 440 mL/hour, but it delivers the total dose (110 mL) over the 15-minute timeframe.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["8"]
Explanation
Here's how to calculate the number of acyclovir tablets the nurse should administer every 24 hours:
1. We know the following:
Prescribed dose per administration: 800 mg (given)
Frequency: Every 6 hours (given)
Tablet strength: 400 mg per tablet (given)
2. We need to find the total daily dose (mg) of acyclovir.
Calculation:
Total daily dose (mg) = Dose per administration (mg) x Frequency (number of administrations per day)
Total daily dose (mg) = 800 mg/dose x 4 doses/day (24 hours / 6 hours/dose)
Total daily dose (mg) = 3200 mg
3. Now, we can find the total number of tablets for the daily dose.
Number of tablets = Total daily dose (mg) / Dose per tablet (mg)
Number of tablets = 3200 mg / 400 mg/tablet
Number of tablets = 8 tablets
Therefore, the nurse should administer 8 tablets of acyclovir every 24 hours.
Correct Answer is ["2000"]
Explanation
Here's how to calculate the total milligrams of ampicillin the child should receive per day:
Convert child's weight to kilograms:
Weight (kg) = Weight (lbs) / Conversion factor (lbs/kg)
Weight (kg) = 88 lbs / 2.205 lbs/kg
Weight (kg) = 40 kg (round to nearest whole number)
Calculate the total daily dosage:
Daily dosage (mg) = Dose per kg (mg/kg/day) * Weight (kg)
Daily dosage (mg) = 50 mg/kg/day * 40 kg
Daily dosage (mg) = 2000 mg
Therefore, the child should receive 2000 mg of ampicillin per day.
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