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%.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The correct answer is choice B. 31. To find the number of bottles required, use the formula: (dose x frequency x duration) / (bottle size x bottle concentration). In this case, (4 mg/kg x 43 kg x 3 times/day x 6 days) / (100 mg/bottle) = 30.96 bottles. Round up to the nearest whole number to get 31 bottles.
Correct Answer is B
Explanation
We can use proportion to calculate the volume of Primaxin to administer:. 275 mg is to X mL as 500 mg is to 2 mL.
275/X = 500/2.
Cross-multiplying, we get:. 500X = 275 x 2.
X = (275 x 2)/500. X = 1.1 mL.
Therefore, the nurse should administer 1.1 mL of Primaxin to the patient, rounded to the nearest tenth.
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