A nurse is preparing to administer metoprolol 5 mg IV bolus to a client for heart rate control. Available is metoprolol injection 1 mg/mL. How many mL should the nurse administerperdose?

Answer and Explanation

The Correct Answer is ["5"]

To calculate how many milliliters (mL) of metoprolol 1 mg/mL solution should be administered to deliver a 5 mg IV bolus dose, you can use the following formula:

Dose (mL) = Desired dose (mg) / Concentration (mg/mL)

In this case:

Desired dose = 5 mg

Concentration = 1 mg/mL

Dose (mL) = 5 mg / 1 mg/mL = 5 mL

Therefore, the nurse should administer 5 mL of metoprolol 1 mg/mL solution per dose to deliver a 5 mg IV bolus for heart rate control.

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Correct Answer is ["B","E"]

Explanation

A. Confirm that the room number matches the medical record.Room numbers should never be used as a sole method to identify a client. Room assignments can change, and relying on them could lead to errors.

B. Compare the client identification number to the blood component tag number.Matching the client identification number to the blood component tag ensures the blood is being administered to the correct client. This is a key step in preventing transfusion errors.

C. Verify the provider's prescription with another RN.While this is an important step in the blood administration process, it is not specifically related to identifying the client.

D. Ask the client to verbalize if the blood type is Rh-negative or positive.Clients may not know their blood type, and relying on their verbal confirmation is unsafe. The blood type must be confirmed through laboratory testing and matched with the blood being administered.

E. Scan the barcode on the client's identification band.Scanning the barcode on the client’s identification band is a reliable and commonly used method for verifying the client’s identity in modern healthcare settings. This ensures that the blood is administered to the correct client.

A. Notify the blood bank of the discrepancy B. Administer the blood as ordered. C. Complete an incident report. D. Contact the provider for further orders.

Correct Answer is B

Explanation

A. Notify the blood bank of the discrepancy:

This choice suggests that there is a discrepancy between the blood type of the unit on hand (type B) and the client's blood type (type AB). However, in reality, there is no discrepancy in this case because individuals with type AB blood are universal recipients and can receive blood from donors of any blood type, including type B. Therefore, there is no need to notify the blood bank of any discrepancy.

B. Administer the blood as ordered:

This choice is the correct action. Type AB individuals are known as universal recipients because they can safely receive blood from donors of any blood type (A, B, AB, or O) without causing a major transfusion reaction. Since the client has type AB blood and the unit of blood on hand is type B, the nurse can administer the blood as ordered without concerns about blood type compatibility.

C. Complete an incident report:

Completing an incident report is typically done when an unexpected event or error occurs during patient care. In this scenario, there is no error or unexpected event related to blood type compatibility, so there is no need to complete an incident report.

D. Contact the provider for further orders:

Contacting the provider for further orders would be necessary if there were a specific reason or concern related to the blood transfusion that requires clarification or additional instructions. However, in this case, there are no issues with blood type compatibility, so contacting the provider is not necessary.

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A nurse is preparing to administer metoprolol 5 mg IV bolus to a client for heart rate control. Available is metoprolol injection 1 mg/mL. How many mL should the nurse administerperdose?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer blood to a client. Which of the following actions should the nurse take to identify the client? (Select All that Apply.)

Correct Answer is ["B","E"]

Explanation

A nurse is preparing to administer blood to a client. The unit of blood on hand is type B, and the client has type AB blood. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

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