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An adolescent with meningococcal meningitis is receiving a continuous IV infusion of penicillin G, which is prescribed as 20 million units in a total volume of 2 liters of normal saline every 24 hours. The pharmacy delivers 10 million units/liter of normal saline. How many mL/hour should the nurse program the infusion pump? (Enter numeric value only. If rounding is required, round to the nearest whole number.)

Answer and Explanation

The Correct Answer is ["83"]

The nurse should set the infusion pump to deliver the entire 2 liters (2000 mL) over the course of 24 hours.

Therefore, the IV pump should be set to deliver:

Rate (mL/hr) = Total volume (mL) / Time (hr) = 2000 mL / 24 hr

After performing the calculation, we find that the rate equals 83.33 mL/hr.

So, the nurse should set the infusion pump to deliver 83 mL/hr (rounded to the nearest whole number).

This is because 83 mL of the solution contains the prescribed dose of penicillin G every hour.

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Free Nursing Study Resources

Correct Answer is ["1"]

Explanation

Here's the breakdown:

Prescribed dose: 2 mg midazolam (given)

Vial concentration: 4 mg/2 mL (label)

We need to find the volume containing the 2 mg dose considering the concentration.

Calculation:

Volume (mL) = Dose (mg) / (Concentration (mg/mL) / 2)

We divide the concentration by 2 because we need the volume that delivers 2 mg (half the concentration).

Volume (mL) = 2 mg / (4 mg/mL / 2)

Volume (mL) = 2 mg / 2 mg/mL

Volume (mL) = 1 mL

Therefore, the nurse should administer 1 mL of midazolam to deliver the prescribed dose of 2 mg.

Correct Answer is ["0.1"]

Explanation

Here's how to calculate the volume the nurse should administer:

1. Dose of cyanocobalamin (vitamin B12): 100 mcg

2. Concentration of cyanocobalamin in the vial: 1 mg/mL (given on the vial label)

We need to find the volume (in mL) that contains the prescribed dose (100 mcg) of cyanocobalamin.

Calculation:

Volume to administer (mL) = Dose (mcg) / Concentration (mcg/mL)

Note: Since both the medication dose and concentration are given in mcg units, we can directly perform the calculation without converting units.

Volume to administer (mL) = 100 mcg / 1 mg/mL

Conversion:

1 mg is equal to 1000 mcg. Therefore, 1 mg/mL is the same as 1000 mcg/mL.

Volume to administer (mL) = 100 mcg / (1000 mcg/mL)

Volume to administer (mL) = 0.1 mL (round to nearest tenth as requested)

Therefore, the nurse should administer approximately 0.1 mL of the cyanocobalamin injection.

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Naxlex Comprehensive Predictor Exams

A client receives a prescription for a single dose of midazolam 2 mg IV to be administer before a scheduled procedure. The vial is label, *4 mg/2 mL." How many mL should the nurse administer? (Enter numerical value only.)

Correct Answer is ["1"]

Explanation

The healthcare provider prescribes cyanocobalamin injection 100 mcg IM every 3 days for a client with pernicious anemia. The vial is labeled, "1 mg/mL." How many mL should the nurse administer? (Enter numerical value only. If rounding is required, round to the nearest tenth.)

Correct Answer is ["0.1"]

Explanation

A client with deep vein thrombosis (DVT) is receiving a continuous IV infusion of heparin sodium 20,000 units in 5% dextrose injection 500 mL at the rate of 25 mL/hour. How many units of heparin should the client receive in 12 hours? (Enter numeric value only.)

A premature infant with a birth weight of 1,200 grams is receiving beractant 120 mg intratracheal every 6 hours. Single use vials of beractant are labeled, "100 mg/4 mL." How many mL should the nurse administer? (Enter the numerical value only. If rounding is required, round to the nearest tenth.)

A client receives a prescription for oxytocin 2 milliunits/min intravenously (IV) for labor augmentation. The IV bag contains oxytocin 20 units in lactated Ringer's 1 liter. How many mL/hour should the nurse program the infusion pump to deliver? (Enter numerical value only.)

The healthcare provider prescribes 0.075 mg of levothyroxine PO daily. The medication is labeled, "50 mcg tablets." How many tablets should the nurse administer? (Enter numeric value only. If rounding is required, round to the nearest tenth.)

A client receives a prescription for 1 liter of lactated Ringer's IV to be infused over 8 hours. The IV administration set delivers 10 gtt/mL. How many gtt/min should the nurse regulate the infusion? (Enter numerical value only. If rounding is required, round to the nearest whole number.)