Give Nitroprusside 0.5 mcg/kg/min. The client weighs 176 lbs. The drug is available as 500mg in 500 mL of fluid. Calculate mcg/min, mcg/hr, and mL/hr. (Round your answer to the nearest tenth and include the units of measure.)

Answer and Explanation

The Correct Answer is ["2.4"]

Rationale:
To calculate the dosage of Nitroprusside in mcg/min, first convert the client's weight from pounds to kilograms, knowing that 1 kg equals 2.2 lbs. Therefore, 176 lbs is approximately 80 kg. Next, multiply the client's weight in kg by the dosage rate: 0.5 mcg/kg/min. So, 80 kg * 0.5 mcg/kg/min equals 40 mcg/min. To find mcg/hr, multiply the mcg/min dosage by 60, the number of minutes in an hour, which gives us 2400 mcg/hr. Finally, to calculate mL/hr, use the concentration of the drug: 500 mg in 500 mL. Since 1 mg equals 1000 mcg, 500 mg is 500,000 mcg. Divide the hourly dosage in mcg by the total number of mcg in the available fluid to find the mL/hr. Thus, 2400 mcg/hr divided by (500,000 mcg / 500 mL) results in 2.4 mL/hr. Rounded to the nearest tenth, the final dosages are 40 mcg/min, 2400 mcg/hr, and 2.4 mL/hr.

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Correct Answer is B

Explanation

A. Desmopressin is used to treat diabetes insipidus, not SIADH.
B. Fluid restriction is a primary treatment to manage low sodium levels in SIADH.
C. 0.45% sodium chloride is hypotonic and not typically used in SIADH treatment.
D. Increasing dietary sodium alone is not sufficient; fluid restriction is more critical

A. Hypernatremia B. Increased urine output C. Decreased serum sodium levels D. Increased serum osmolality

Correct Answer is C

Explanation

A. Hypernatremia is not characteristic of SIADH; hyponatremia is more common.
B. Increased urine output is not seen in SIADH; rather, there is decreased urine output.
C. Decreased serum sodium levels (hyponatremia) are a key feature of SIADH due to excessive water retention.
D. Increased serum osmolality is not seen in SIADH; decreased serum osmolality is more characteristic.

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Give Nitroprusside 0.5 mcg/kg/min. The client weighs 176 lbs. The drug is available as 500mg in 500 mL of fluid. Calculate mcg/min, mcg/hr, and mL/hr. (Round your answer to the nearest tenth and include the units of measure.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has syndrome of inappropriate antidiuretic hormone (SIADH) and a sodium level of 123 mEq/L. Which of the following prescriptions should the nurse anticipate?

Correct Answer is B

Explanation

Which of the following is a characteristic of syndrome of inappropriate antidiuretic hormone (SIADH)?

Correct Answer is C

Explanation

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