A nurse is preparing to administer diltiazem IV 0.25 mg/kg IV bolus given over 2 min to a client who has atrial fibrillation and weighs 154 lb. Available is diltiazem IV injection 25 mg/5 mL. How many mL should the nurse administer?
(Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
The Correct Answer is ["3.5"]
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Convert the client's weight from pounds to kilograms:
- 154 lb ÷ 2.2 lb/kg = 70 kg
-
Calculate the total dose required:
- 0.25 mg/kg × 70 kg = 17.5 mg
-
Determine the volume to administer:
- Given concentration: 5 mg/mL
- 17.5 mg ÷ 5 mg/mL = 3.5 mL
-
Rounding to the nearest tenth:
- The answer remains 3.5 mL
So the nurse should administer 3.5 mL of diltiazem IV injection.
which is 17.5 mg / 5 mg/mL = 3.5 mL. Rounding to the nearest tenth, the nurse should administer 3.5 mL of diltiazem IV injection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["0.4"]
Explanation
- To calculate the amount of morphine injection needed, use the formula: D/H x V = A, where D is the desired dose, H is the dose on hand, V is the volume on hand, and A is the amount to administer.
- Plug in the values from the question: 4 mg / 10 mg x 1 ml = 0.4 ml
- Round the answer to the nearest tenth: 0.4 ml
- The nurse should administer 0.4 ml of morphine injection.
Correct Answer is ["50"]
Explanation
To calculate the flow rate in drops per minute (gtt/min), you can use the formula:
Flow rate (gtt/min) = Volume (mL) × Drop factor (gtt/mL) ÷ Time (min)
Given:
Volume = 1000 mL
Drop factor = 12 gtt/mL
Time = 4 hours
Convert 4 hours to minutes:
4 hours × 60 minutes/hour = 240 minutes
Then
Flow rate (gtt/min) = 1000 mL × 12 gtt/mL ÷ 240 min
Flow rate (gtt/min) = 12000 gtt ÷ 240 min
Flow rate (gtt/min) = 50 gtt/min
Therefore, the nurse should regulate the flow rate to deliver 50 gtt/min.
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