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 A
Explanation
According to the web, intradermal injections are administered into the dermis just below the epidermis at a 5 to 15 degree angle12 This angle allows for smooth piercing of the skin and induction of the medication into the dermis.
Option B (20 to 35 degrees) is incorrect because it is too steep for an intradermal injection and may cause the medication to enter the subcutaneous layer instead of the dermis.
Option C (45 to 70 degrees) is incorrect because it is too steep for an intradermal injection and may cause the medication to enter the subcutaneous layer instead of the dermis.
Option D (90 degrees) is incorrect because it is too steep for an intradermal injection and may cause the medication to enter the muscle layer instead of the dermis.
Correct Answer is C
Explanation
We can use the following formula to calculate the infusion rate:
Infusion rate (mL/hr) = (Dose ordered in mcg/min x Volume to be infused in mL) / Dose available in mg
First, we need to convert the dose ordered from mg/min to mcg/min: 125 mg = 125,000 mcg
125,000 mcg/500 mL = 250 mcg/mL
Now we can plug in the values we have into the formula:
Infusion rate (mL/hr) = (42 mcg/min x 60 min x 24 hours) / (250 mcg/mL) Infusion rate (mL/hr) = 10.08 mL/hr
Rounding to the nearest tenth, the answer is C. 10.1 mL/hr.
Therefore, the nurse should program the IV pump to deliver the nitroglycerin at a rate of 10.1 mL/hr to achieve the ordered dose of 42 mcg/minute.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today