A physician ordered Reglan (metoclopramide) 10 mg to be mixed with 50 mL normal saline and infused over 15 minutes. A nurse must set the IV pump to deliver the medication per mL/hr as ordered.
At what rate should the solution be administered?
200 mL/hr
100 mL/hr
50 mL/hr
300 mL/hr
300 mL/hr
The Correct Answer is A
The physician ordered Reglan (metoclopramide) 10 mg to be mixed with 50 mL of normal saline and infused over 15 minutes. Since the infusion time is 15 minutes (0.25 hours), we can calculate the rate per hour to administer the solution as follows: (50 mL / 0.25 hours) = 200 mL/hour.
B. 100 mL/hr is incorrect because it would take 30 minutes to infuse the solution.
C. 50 mL/hr is incorrect because it would take 1 hour to infuse the solution.
D. 300 mL/hr is incorrect because it would only take 10 minutes to infuse the solution.
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Related Questions
Correct Answer is A
Explanation
Before administering Haldol (haloperidol) or any medication, it is important for the nurse to communicate with the healthcare provider to clarify and understand the rationale for the medication order. This ensures patient safety and promotes informed decision-making.
In this scenario, the nurse should discuss the use of Haldol with the healthcare provider. This discussion allows the nurse to obtain additional information about the medication, including its purpose, potential side effects, and any specific considerations or precautions related to the patient's condition. It also provides an opportunity to confirm the appropriateness of the medication choice for managing the patient's agitation.
While options b, c, and d involve discussing specific aspects of the medication order (tid, po, trailing zero) with the healthcare provider, the most comprehensive and necessary action is to discuss the use of Haldol itself. This discussion encompasses all aspects of the medication order and ensures a clear understanding of the prescribed treatment.
Therefore, the correct action for the nurse to take before administering the medication is to discuss the use of Haldol with the healthcare provider.
Correct Answer is C
Explanation
To determine the correct answer, we need to calculate the flow rate in drops per minute (gt/min) based on the infusion details provided.
The nurse is administering a 2 g cefotaxime infusion dissolved in 100 mL of isotonic glucose solution over 1 hour. The drop factor of the IV tubing is 15 gt/mL.
First, we need to convert the volume of the infusion from milliliters (mL) to drops using the drop factor:
Volume in drops = Volume in mL × Drop factor Volume in drops = 100 mL × 15 gt/mL Volume in drops = 1500 gt
Next, we need to calculate the flow rate in drops per minute:
Flow rate (gt/min) = Volume in drops / Infusion time in minutes Flow rate (gt/min) = 1500 gt / 60 min
Flow rate (gt/min) ≈ 25 gt/min
Therefore, the correct answer is c. 25 gt/min. The nurse should set the IV infusion to deliver the cefotaxime at a flow rate of 25 gt/min to complete the infusion in 1 hour.
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