A nurse is preparing to administer lactated Ringer's 75 mL/hr by continuous IV infusion. The drop factor on the manual IV tubing is 20 gtt/mL. The nurse should set the IV flow rate to deliver how many gtt/min? (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 ["25"]

To calculate the IV flow rate in gtt/min, you need to multiply the infusion rate in mL/hr by the drop factor in gtt/mL and divide by 60 min/hr. In this case, the formula is (75 mL/hr x 20 gtt/mL) / 60 min/hr = 25 gtt/min. Therefore, the nurse should set the IV flow rate to deliver 25 gtt/min.

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Correct Answer is A

Explanation

Choice A rationale: The medication can be used for IV administration or IM administration as indicated in the label. Methylprednisolone is a corticosteroid that can be given intravenously to treat inflammatory conditions such as asthma, allergic reactions, rheumatoid arthritis, and multiple sclerosis. The medication label should indicate the route of administration, the concentration, the expiration date, and the storage conditions.

Choice B rationale: According to the label, the medication should not be used for more than 48 hours after reconstitution, and it should be stored in a refrigerator.

Choice C rationale: The vial contains multiple doses, and each dose should be withdrawn with a sterile syringe.

Choice D rationale: The medication should be reconstituted with bacteriostatic water for injection, not with 0.9% sodium chloride.

Correct Answer is ["20.1"]

Explanation

To calculate the dosage of methylprednisolone, first convert the client's weight from pounds to kilograms, knowing that 1 kilogram equals 2.2 pounds.

The client weighs 184 pounds, which is approximately 83.64 kilograms (184 lb / 2.2).

Next, multiply the client's weight in kilograms by the dosage prescribed, which is 30 mg/kg.

This results in a total dosage of 2509.2 mg (83.64 kg * 30 mg/kg).

Finally, divide the total dosage by the concentration of the available medication to find out how many milliliters to administer.

The available medication is 125 mg/mL,

so you would administer 20.07 mL (2509.2 mg / 125 mg/mL).

Rounded to the nearest tenth, the nurse should administer 20.1 mL.

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Naxlex Comprehensive Predictor Exams

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

Correct Answer is A

Explanation

A nurse is preparing to administer methylprednisolone 30 mg/kg via IV bolus to a client who weighs 184 lb. Available is methylprednisolone 125 mg/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.)

Correct Answer is ["20.1"]

Explanation

A nurse is preparing to administer fentanyl 50 mcg IM to a client. Available is fentanyl 0.05 mg/mL. How many ml should the nurse administer per dose? (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 potassium gluconate 40 mEq PO. Available is potassium gluconate liquid 20 mEq/15 mL. How many mL should the nurse administer? (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.)

A nurse is preparing to administer enoxaparin 1 mg/kg subcutaneous to a client who weighs 165 lb. Available is enoxaparin 30 mg/0.3 mL. How many ml should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse is preparing to administer morphine 4 mg IV bolus. Available is morphine injection 10 mg/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.)