A physician ordered 5 mL 10% dextrose stat. The only dextrose available is a vial of 5 mL 50% dextrose.
How can the nurse provide the appropriate dose?
Dextrose 50%, add 1 mL to 4 mL injectable saline
Dextrose 50%, add 2 mL to 3 mL injectable saline
Dextrose 50%, add 3 mL to 2 mL injectable saline
Dextrose 50%, add 4 mL to 1 mL injectable saline
Dextrose 50%, add 4 mL to 1 mL injectable saline
The Correct Answer is A
Dextrose 50%, add 1 mL to 4 mL injectable saline. To obtain 5 mL of 10% dextrose, 0.5 mL of the 50% dextrose should be diluted with 4.5 mL of sterile water or normal saline. Therefore, the nurse should add 1 mL of the 50% dextrose to 4 mL of injectable saline to get a final concentration of 10% dextrose in 5 mL. This will give the client the appropriate dose.
Choice B is incorrect because adding 2 mL of the 50% dextrose to 3 mL of saline would give a final concentration of 20%, which is higher than the prescribed concentration of 10%.
Choice C is incorrect because adding 3 mL of the 50% dextrose to 2 mL of saline would give a final concentration of 30%, which is significantly higher than the prescribed concentration of 10%.
Choice D is incorrect because adding 4 mL of the 50% dextrose to 1 mL of saline would give a final concentration of 40%, which is much higher than the prescribed concentration of 10%.
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Related Questions
Correct Answer is B
Explanation
We can use the following formula to calculate the infusion time:
Infusion time (in hours) = Remaining volume (in mL) / Infusion rate (in mL/hr)
First, let's convert the current time to minutes since we will be calculating the infusion time in minutes as well:
19:30 = 19 hours x 60 minutes/hour + 30 minutes = 1170 minutes Now we can substitute the given values into the formula:
Infusion time (in hours) = 376 mL / 40 mL/hr Infusion time (in hours) = 9.4 hours
To convert this to hours and minutes, we can separate the integer and decimal parts of the answer:
9 hours (integer part) and 0.4 hours x 60 minutes/hour = 24 minutes (decimal part)
Therefore, the infusion time is 9 hours and 24 minutes, and the infusion will finish at approximately 04:54 (19:30 + 9 hours and 24 minutes).
Correct Answer is B
Explanation
To calculate the answer, we can use the following formula:.
(mg of drug required / total mg in vial) x total volume in vial = mL to administer. First, let's convert the dose from mg to g:.
80 mg = 0.08 g.
Next, let's plug in the values:. (0.08 g / 1 g) x 8 mL = 0.64 mL.
Therefore, the nurse should administer 0.64 mL of Solu-Medrol.
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