A nurse is preparing to administer nitroglycerine 15 mcg/min by continuous IV infusion. Available is nitroglycerin 25 mg in 250 mL of dextrose 5% in water (D5W). The nurse should set the IV pump to deliver how many mL/hr? (Round to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.
9
19
0.9
90
The Correct Answer is A
Convert the dosage to mcg per hour:
15 mcg/min×60 min/hr=900 mcg/hr15
Convert the available nitroglycerin concentration to mcg/mL:
25 mg=25,000 mcg
The concentration is(25,000 mcg/250 mL)=100 mcg
Calculate the flow rate in mL per hour using the dosage and concentration:
Flow rate (mL/hr)=(900 mcg/hr100 mcg/mL)=9 mL/hr
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Given:
Ordered dose of acetaminophen: 10 mg/kg
Child's weight: 22 lb
Concentration of acetaminophen liquid: 160 mg/5 mL
Step 1: Convert child's weight from pounds to kilograms:
1 pound (lb) = 0.453592 kilograms (kg)
Child's weight in kg = 22 lbs x 0.453592 kg/lb = 9.976824 kg
Step 2: Calculate the total dose of acetaminophen:
Total dose (mg) = Ordered dose (mg/kg) x Child's weight (kg)
Total dose (mg) = 10 mg/kg x 9.976824 kg
Total dose (mg) = 99.76824 mg
Step 3: Calculate the volume to be administered:
Volume (mL) = Total dose (mg) / Concentration (mg/mL)
Volume (mL) = 99.76824 mg / 160 mg/5 mL
Volume (mL) = 99.76824 mg x (5 mL / 160 mg)
Volume (mL) = 3.1177575 mL
Step 4: Round to the nearest tenth:
Volume (mL) ≈ 3.1 mL
Correct Answer is D
Explanation
Rationale:
Ordered Dose:
The prescription is for 12 mg of Celestone Soluspan (betamethasone) IM every 24 hours for 2 doses.
Available Dose (from label): The vial contains 6 mg/mL.
Dosage Calculation: Using the formula:
Volumetoadminister(mL) = Availableconcentration(mg/mL) / Ordereddose(mg)
Volumetoadminister = 12mg / 6mg/mL = 2 mL
Administration Route:
The order specifies IM (intramuscular) administration, aligning with the label instructions.
Thus, 2 mL IM is the correct dosage to administer.
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