A nurse is preparing to administer regular insulin 3.5 units/hr by continuous IV infusion. Available is regular insulin 100 units in 0.45% sodium chloride 1,000 mL. 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.)
The Correct Answer is ["35"]
Understanding the Problem
Order: Regular insulin 3.5 units/hr
Available Solution: Regular insulin 100 units in 1000 mL of 0.45% sodium chloride
Desired Rate: mL/hr
Step 1: Determine the Concentration of the Insulin Solution
Available Insulin: 100 units
Solution Volume: 1000 mL
Concentration: 100 units / 1000 mL = 0.1 units/mL
Step 2: Calculate the Infusion Rate in mL/hr
Ordered Dose: 3.5 units/hr
Concentration: 0.1 units/mL
Infusion Rate: 3.5 units/hr / 0.1 units/mL = 35 mL/hr
Step 3: Round to the Nearest Whole Number
The calculated rate is 35 mL/hr, which is already a whole number.
Answer: 35 mL/hr
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["1.9"]
Explanation
Order: Dexamethasone 0.5 mg/kg/day IM, divided equally every 6 hours
Client Weight: 132 lbs
Available Solution: Dexamethasone 4 mg/mL
Desired Dose: mL per dose
Step 1: Convert Client Weight to Kilograms (kg)
1 kg = 2.2 lbs
Client Weight in kg: 132 lbs / 2.2 lbs/kg = 60 kg
Step 2: Calculate the Total Daily Dose
Ordered Dose: 0.5 mg/kg/day
Client Weight: 60 kg
Total Daily Dose: 0.5 mg/kg/day x 60 kg = 30 mg/day
Step 3: Determine the Number of Doses per Day
Doses are given every 6 hours.
Hours in a Day: 24 hours
Number of Doses: 24 hours / 6 hours/dose = 4 doses
Step 4: Calculate the Dose per Administration
Total Daily Dose: 30 mg/day
Number of Doses: 4 doses
Dose per Administration: 30 mg / 4 doses = 7.5 mg/dose
Step 5: Calculate the Volume to Administer per Dose
Dose per Administration: 7.5 mg
Concentration: 4 mg/mL
Volume to Administer: 7.5 mg / 4 mg/mL = 1.875 mL
Step 6: Round to the Nearest Tenth
The calculated volume is 1.875 mL.
Rounded to the nearest tenth: 1.9 mL
Answer: 1.9 mL
Correct Answer is C
Explanation
A. The medication can be used for up to 14 days after reconstitution: The label states that the reconstituted solution should be used within 48 hours and discarded afterward, making this option incorrect.
B. The medication should be reconstituted with 0.9% sodium chloride solution: The label specifies that the medication should be reconstituted with bacteriostatic water for injection USP with benzyl alcohol, not 0.9% sodium chloride solution.
C. The medication can be used for IV administration: The label states that the medication is for intramuscular (IM) or intravenous (IV) use, confirming that IV administration is appropriate.
D. The vial contains a single dose: The label indicates that this is a multiple-dose vial, meaning it can be used for more than one administration.
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