Administer Dopamine at 10 mcg/kg/min. The pharmacy provides dopamine 800 mg in 250 mL of D5W. Your client weights 85.3 kg. How many mL/hr are you to set the infusion pump? (Round answer to nearest whole number)
The Correct Answer is ["16"]
Step 1: Determine client’s dose in mcg/min
10 mcg/kg/min×85.3 kg=853 mcg/min
Step 2: Convert mcg/min to mg/hr
-
853 mcg/min=0.853 mg/min
-
Per hour:
0.853 mg/min×60 min/hr=51.18 mg/hr
Step 3: Determine concentration of dopamine solution
-
800 mg in 250 mL → 800 mg250 mL=3.2 mg/mL
Step 4: Calculate infusion rate in mL/hr
51.18 mg/hr3.2 mg/mL=15.99 mL/hr
Step 5: Round to nearest whole number
≈16 mL/hr
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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Correct Answer is A
Explanation
A. Checking urine specific gravity is essential in diabetes insipidus to monitor the concentration of urine and assess the effectiveness of treatment.
B. Administering a diuretic is not appropriate as it could worsen the fluid loss in diabetes insipidus.
C. Measuring blood glucose levels is not specifically relevant to the management of diabetes insipidus.
D. Initiating fluid restrictions is not appropriate; in fact, increasing fluid intake is necessary to prevent dehydration.
Correct Answer is C
Explanation
A. A low-sodium diet is not appropriate for Addison's disease; instead, adequate sodium intake is necessary.
B. Hyperglycemia is not typically associated with Addison's disease; hypoglycemia is more common.
C. Teaching the parents about cortisol replacement therapy is crucial because children with Addison's disease require lifelong cortisol replacement to manage their condition.
D. Monitoring for fluid volume excess is not typically a concern in Addison's disease; fluid volume deficit is more common.
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