After assessing a client, a primary healthcare provider prescribes diphenhydramine 25 mg IV STAT for anaphylaxis. The pharmacy supplies a vial with a concentration of 50 mg/mL.
How much and when should a nurse administer this medication?
Administer 0.5 mL of medication immediately to the client
Administer 25 mg of medication once a day to the client for two weeks
Administer 25 mg of medication every eight hours
Administer 0.5 mL of medication if the client has symptoms of allergy
Administer 0.5 mL of medication if the client has symptoms of allergy
The Correct Answer is A
To find how much medication to administer, you need to calculate the following:
- The volume of diphenhydramine in milliliters
- The infusion time in minutes
First, divide the dose of diphenhydramine by the concentration to get the volume in milliliters:
25 mg / 50 mg/mL = 0.5 mL diphenhydramine should be diluted in 10 to 20 mL of normal saline and infused over at least 2 minutes.
Therefore, the nurse should administer **0.5 mL** of diphenhydramine diluted in 10 to 20 mL of normal saline over **at least 2 minutes**.
The nurse should administer this medication **as soon as possible** after receiving the order and the medication from the pharmacy, as STAT means immediately or urgently. The nurse should also monitor the client for signs of improvement or adverse reactions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
To find the total amount of heparin, you need to calculate the following:
- The concentration of heparin in units per milliliter
- The volume of heparin infused from 9:00 am to 11:00 am and from 11:00 am to 2:00 pm
- The amount of heparin in units from each time period and the total amount
First, divide the amount of heparin by the volume of D5W to get the concentration in units per milliliter:
25,000 units / 250 mL = 100 units/mL
Next, multiply the infusion rate by the duration to get the volume infused in each time period:
From 9:00 am to 11:00 am (2 hours), the infusion rate is 12 mL/hr:
12 mL/hr x 2 hours = 24 mL
From 11:00 am to 2:00 pm (3 hours), the infusion rate is 10 mL/hr:
10 mL/hr x 3 hours = 30 mL
Then, multiply the volume infused by the concentration to get the amount of heparin in units in each time period:
From 9:00 am to 11:00 am, the volume infused is 24 mL:
24 mL x 100 units/mL = 2400 units
From 11:00 am to 2:00 pm, the volume infused is 30 mL:
30 mL x 100 units/mL = 3000 units
Finally, add the amounts of heparin from each time period to get the total amount:
2400 units + 3000 units = 5400 units
Therefore, the patient received **5400 units** of heparin from 9:00 am to 2:00 pm.
Correct Answer is B
Explanation
The correct angle for giving an intradermal injection is **10 to 15 degrees**. This angle allows the needle to enter the dermis, which is the layer of skin just below the epidermis. The needle should be inserted almost flat against the patient's skin, with the bevel side up. A small blister or bleb should form under the skin after injecting the medication.
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