A client receives a prescription for penicillin 1.2 million units IM. The available vial is labeled, "600,000 units/2 mL." How many mL should the nurse administer? (Enter numeric value only.)
The Correct Answer is ["4"]
Calculations:
Desired dose: 1.2 million units
Available dose: 600,000 units/2 mL
To find the volume to administer, we can use the following formula:
Volume to administer = (Desired dose / Available dose) * Volume per dose
Volume to administer = (1,200,000 units / 600,000 units/mL) * 2 mL = 4 mL
Therefore, the nurse should administer 4 mL of the penicillin solution.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["200"]
Explanation
Calculations:
Total volume of the IV bag = 200 mL
Infusion time = 1 hour
To calculate the infusion rate in mL/hr, we use the formula:
Infusion rate (mL/hr) = Total volume (mL) / Infusion time (hours)
Infusion rate (mL/hr) = 200 mL / 1 hour = 200 mL/hr
Therefore, the nurse should program the infusion pump to deliver 200 mL/hr.
Correct Answer is B
Explanation
A) Assess for hypoglycemia between meals: While monitoring for hypoglycemia is important, insulin lispro, being a rapid-acting insulin, primarily acts around meal times. Hypoglycemia is most likely to occur around the times when insulin lispro is active, which correlates with meal times rather than between meals.
B) Provide meals at the same time this insulin is given: Insulin lispro is a rapid-acting insulin designed to manage blood glucose levels around meal times. Administering insulin lispro immediately before or with meals helps match the insulin peak with the glucose from the meal, minimizing the risk of postprandial hyperglycemia or hypoglycemia.
C) Keep an oral liquid or glucose source available: Keeping a glucose source available is a good practice to quickly address hypoglycemia if it occurs. However, the most critical intervention is ensuring that insulin administration aligns with food intake to manage glucose levels effectively.
D) Check blood glucose levels every six hours: Checking blood glucose levels every six hours might not capture the fluctuations related to insulin lispro's rapid action. More frequent monitoring around meal times is necessary to adjust doses appropriately and prevent hyperglycemia or hypoglycemia.
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