A nurse is preparing to administer 0.9% sodium chloride 750 mL IV to infuse over 2 hr. The nurse should set the IV pump to deliver how many mL/hr?
(Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Answer and Explanation

The Correct Answer is ["375"]

To answer this question, you need to use the formula: rate (mL/hr) = volume (mL) / time (hr). Plug in the given values and you get: rate = 750 / 2.

Simplify and you get: rate = 375.

Therefore, the nurse should set the IV pump to deliver 375 mL/hr.

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Correct Answer is ["14"]

Explanation

To answer this question, the nurse needs to perform the following steps:

Convert the client's weight from pounds to kilograms by dividing it by 2.2. 154 lb / 2.2 = 70 kg.

Multiply the client's weight by the loading dose of phenytoin to get the total dose in milligrams. 70 kg x 10 mg/kg = 700 mg.

Divide the total dose by the concentration of phenytoin to get the volume in milliliters. 700 mg / 50 mg/mL = 14 mL.

Round the volume to the nearest whole number. The nurse should administer 14 mL of phenytoin by IV bolus.

A. The medication is for IV administration. B. The total amount available per container is 4 mL. C. The nurse should avoid shaking the medication. D. The medication should not be stored below 30 C(86 F)

Correct Answer is B

Explanation

A. The medication is for IV administration: This cannot be assumed unless the label specifically states “for intravenous use.” Phenytoin comes in multiple formulations (oral suspension, tablets, IV), so route must be verified.
B. The total amount available per container is 4 mL: This is label-specific information. If the label indicates that each vial contains 4 mL, this is a factual and critical point to ensure accurate dosing.
C. The nurse should avoid shaking the medication: While some medications (e.g., suspensions) should not be shaken vigorously, phenytoin IV solution is not a suspension, and this instruction may not apply to all forms.
D. The medication should not be stored below 30°C (86°F): This is incorrect. Phenytoin should be stored at controlled room temperature, typically 20°C to 25°C (68°F to 77°F), and protected from excessive heat or cold.

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A nurse is preparing to administer 0.9% sodium chloride 750 mL IV to infuse over 2 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer a loading dose of phenytoin 10 mg/kg by IV bolus to a client who weighs 154 lb. Available is phenytoin50 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies t use a trailing zero.)

Correct Answer is ["14"]

Explanation

A nurse is preparing to administer phenytoin. Which of the following information should the nurse identify as correct according to the medication label?

Correct Answer is B

Explanation

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A nurse is preparing to administer 0.9% sodium chloride 750 mL IV to infuse over 2 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse is preparing to administer 0.9% sodium chloride 750 mL IV to infuse over 2 hr. The nurse should set the IV pump to deliver how many mL/hr?
(Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)