An infusion at 3 mcg/kg/min. The drug is available as 600 mg in 1000 mL of fluid. The client weighs 150 pounds. Calculate. Do not round, if applicable.
The Correct Answer is ["20.46"]
Step 1: Convert the client's weight from pounds to kilograms.
150 pounds ÷ 2.2 = 68.18 kg
Result at each step = 68.18 kg
Step 2: Calculate the dose in mcg/min.
3 mcg/kg/min × 68.18 kg = 204.54 mcg/min
Result at each step = 204.54 mcg/min
Step 3: Convert the dose from mcg to mg.
204.54 mcg ÷ 1000 = 0.20454 mg/min
Result at each step = 0.20454 mg/min
Step 4: Calculate the infusion rate in mL/min.
0.20454 mg/min ÷ 600 mg × 1000 mL = 0.341 mL/min
Result at each step = 0.341 mL/min
Step 5: Convert the infusion rate to mL/hour.
0.341 mL/min × 60 min/hour = 20.46 mL/hour
Result at each step = 20.46 mL/hour
So, the infusion rate is 20.46 mL/hour.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A Reason:
Deep partial-thickness burns, also known as second-degree burns, typically present with a pink or red color and blisters. These burns extend into the deeper layers of the dermis but do not affect the full thickness of the skin. The presence of blisters indicates that the burn has penetrated the epidermis and reached the dermis, causing fluid accumulation between these layers.
Choice B Reason:
The burned area being yellow in color with severe edema is more indicative of a full-thickness burn or a severe infection. Full-thickness burns (third-degree burns) often appear white, brown, or black and are characterized by a leathery texture. Severe edema can occur with any burn but is not specific to deep partial-thickness burns.
Choice C Reason:
A burned area that is red in color with eschar present suggests a full-thickness burn. Eschar is a hard, leathery crust that forms over a full-thickness burn as the skin dies and coagulates. This type of burn destroys both the epidermis and dermis, and the presence of eschar indicates a more severe injury than a deep partial-thickness burn.
Choice D Reason:
A burned area that is black in color and pain is absent is characteristic of a full-thickness burn. In these burns, the nerve endings are destroyed, leading to a lack of pain sensation. The black color indicates necrosis of the skin and underlying tissues, which is not seen in deep partial-thickness burns.
Correct Answer is B
Explanation
Choice A Reason:
Improved blood flow to surrounding tissues is generally a desired outcome of treating an aneurysm, not a complication. When an aneurysm is successfully treated, the goal is to restore normal blood flow and prevent the aneurysm from rupturing. Improved blood flow indicates that the treatment was effective and that the risk of complications has been minimized.
Choice B Reason:
Rupture leading to severe internal bleeding is a significant potential complication of a treated aneurysm. Even after treatment, there is a risk that the aneurysm could rupture, especially if the treatment was not entirely successful or if the aneurysm was particularly large or complex. A rupture can lead to life-threatening internal bleeding and requires immediate medical attention. This is why ongoing monitoring and follow-up care are crucial for patients who have had an aneurysm treated.
Choice C Reason:
Decreased risk of blood clot formation is another desired outcome rather than a complication. Treating an aneurysm often involves measures to prevent blood clots, such as using anticoagulant medications. A successful treatment should reduce the risk of clot formation, which can otherwise lead to complications like stroke or embolism.
Choice D Reason:
Reduced risk of infection is also a desired outcome of aneurysm treatment. Infection can be a complication of any surgical procedure, including those used to treat aneurysms. However, with proper surgical techniques and post-operative care, the risk of infection can be minimized. Therefore, a reduced risk of infection is not a complication but rather an indication of successful treatment and good medical practice.
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