A nurse is preparing to administer regular insulin 0 1 units/kg/hr by continuous tv infusion for a client who weighs 180 lb. Available is regular insulin 500 units in 500 mL of 0.9% sodium chloride. The nurse should set the IV pump to deliver how many mi/hr? (Round to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
The Correct Answer is ["8"]
Convert the Client's Weight from Pounds to Kilograms:
1 kg = 2.205 lbs
Weight in kg = 180 lbs / 2.205 lbs/kg
Weight in kg ≈ 81.63 kg
Calculate the Insulin Dose in Units/hr:
Dose = 0.1 units/kg/hr x 81.63 kg
Dose ≈ 8.163 units/hr
Calculate the Insulin Concentration in Units/mL:
Available concentration = 500 units / 500 mL
Concentration = 1 unit/mL
Calculate the Infusion Rate in mL/hr:
Infusion Rate (mL/hr) = Dose in units/hr / Concentration (units/mL)
Infusion Rate (mL/hr) = 8.163 units/hr / 1 unit/mL
Infusion Rate (mL/hr) ≈ 8.163 mL/hr
Round to the Nearest Whole Number:
8 mL/hr
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["38"]
Explanation
Convert Grams to Milligrams:
The available lidocaine is 1 gram (g).
We need to convert this to milligrams (mg) because the dose is in mg/min.
There are 1000 milligrams in 1 gram (1 g = 1000 mg).
So, 1 g x 1000 mg/g = 1000 mg
Calculate the Lidocaine Concentration in mg/mL:
Available lidocaine: 1000 mg
Total volume: 250 mL
Concentration: 1000 mg / 250 mL = 4 mg/mL
Calculate the Lidocaine Dose in mg/hr:
Dose: 2.5 mg/min
There are 60 minutes in 1 hour.
Dose in mg/hr: 2.5 mg/min x 60 min/hr = 150 mg/hr
Calculate the Infusion Rate in mL/hr:
Concentration: 4 mg/mL
Dose in mg/hr: 150 mg/hr
Infusion Rate (mL/hr) = Dose in mg/hr / Concentration (mg/mL)
Infusion Rate (mL/hr) = 150 mg/hr / 4 mg/mL = 37.5 mL/hr
Round to the Nearest Whole Number:
38 mL/hr
Correct Answer is ["3.5"]
Explanation
Understanding the Problem
Order: Diltiazem 0.25 mg/kg IV bolus over 2 minutes
Client Weight: 154 lbs
Available Solution: Diltiazem IV injection 25 mg/5 mL
Desired Dose: mL to administer
Step 1: Convert Client Weight to Kilograms (kg)
1 kg = 2.2 lbs
Client Weight in kg: 154 lbs / 2.2 lbs/kg = 70 kg
Step 2: Calculate the Total Dose
Ordered Dose: 0.25 mg/kg
Client Weight: 70 kg
Total Dose: 0.25 mg/kg * 70 kg = 17.5 mg
Step 3: Determine the Concentration of the Diltiazem Solution
Available Diltiazem: 25 mg
Solution Volume: 5 mL
Concentration: 25 mg / 5 mL = 5 mg/mL
Step 4: Calculate the Volume to Administer
Total Dose: 17.5 mg
Concentration: 5 mg/mL
Volume: 17.5 mg / 5 mg/mL = 3.5 mL
Step 5: Round to the Nearest Tenth
The calculated volume is 3.5 mL, which is already to the nearest tenth.
Answer: 3.5 mL
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