A client with an extrapyramidal reaction receives a prescription for diphenhydramine 35 mg IM. The medication is supplied as 50 mg/mL in a 1 mL prefilled single use syringe. How many mL should the nurse give? (Enter the numerical value only. If rounding is required, round to the nearest tenth.)
The Correct Answer is ["0.7"]
The nurse should administer 0.7 mL of diphenhydramine.
Here's the calculation:
Medication dosage: 35 mg (diphenhydramine)
Medication concentration: 50 mg/mL (given on the syringe label)
We need to find the volume (mL) containing the prescribed dose (35 mg) of diphenhydramine.
Volume to administer (mL) = Dose (mg) / Concentration (mg/mL)
Volume to administer (mL) = 35 mg / 50 mg/mL
Volume to administer (mL) = 0.7 mL (round to nearest tenth)
Therefore, the nurse should administer 0.7 mL of diphenhydramine
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["120"]
Explanation
Here's how to calculate the rate (mL/hour) for the infusion pump to deliver lidocaine 4 mg/minute:
1. Lidocaine concentration:
The medication bag contains 1 gram of lidocaine in 500 mL of dextrose 5% in water.
Convert grams to milligrams: 1 gram = 1000 milligrams
Lidocaine concentration (mg/mL) = Total lidocaine (mg) / Volume (mL)
Lidocaine concentration (mg/mL) = 1000 mg / 500 mL
Lidocaine concentration (mg/mL) = 2 mg/mL (round to nearest whole number)
2. Prescribed lidocaine dose: 4 mg/minute (given)
3. We need to find the volume delivered per hour (mL/hour) to achieve the prescribed lidocaine dose (4 mg/minute) considering the concentration (2 mg/mL) in the bag.
Infusion rate (mL/hour) = Dose (mg/minute) x Minutes per hour / Concentration (mg/mL)
However, there's a mismatch in units between dose (mg/minute) and concentration (mg/mL).
To address this, we can convert the infusion duration (minutes) to hours to match the concentration units (mg/mL).
Conversion factor: 60 minutes/hour
Infusion rate (mL/hour) = Dose (mg/minute) x (60 minutes/hour) / Concentration (mg/mL)
Infusion rate (mL/hour) = 4 mg/minute * 60 minutes/hour / 2 mg/mL
Infusion rate (mL/hour) = 120 mL/hour (round to nearest whole number)
Therefore, the nurse should program the infusion pump to deliver approximately 120 mL/hour.
Correct Answer is ["21"]
Explanation
Here's how to calculate the infusion rate (gtt/min) for the nurse to regulate:
1. Volume of lactated Ringer's solution:
Volume = 1 liter (given)
Conversion factor: 1 liter = 1000 mL
Volume (mL) = 1 liter * 1000 mL/liter
Volume (mL) = 1000 mL
2. Infusion duration:
Duration = 8 hours (given)
3. IV administration set gtt/mL:
Rate (gtt/mL) = 10 gtt/mL (given)
4. We need to find the rate (gtt/min) at which the solution should infuse to deliver the total volume (1000 mL) over the specified duration (8 hours).
Steps:
a. Convert infusion duration from hours to minutes:
Duration (minutes) = Duration (hours) x Minutes per hour
Duration (minutes) = 8 hours * 60 minutes/hour
Duration (minutes) = 480 minutes
b. Calculate the total number of drops to be infused:
Total drops = Volume (mL) x Rate (gtt/mL)
Total drops = 1000 mL * 10 gtt/mL
Total drops = 10,000 drops
c. Calculate the infusion rate (gtt/min):
Infusion rate (gtt/min) = Total drops / Duration (minutes)
Infusion rate (gtt/min) = 10,000 drops / 480 minutes
Infusion rate (gtt/min) = 20.83 gtt/min (round to nearest whole number as requested)
Therefore, the nurse should regulate the infusion at approximately 21 gtt/min.
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