Order: Octreotide continuous infusion via pump at 50 mcg/hour Available: Octreotide 0.5 mg in 100 mL of fluid Infuse at
The Correct Answer is ["50"]
Available: Octreotide 0.5 mg in 100 mL of fluid
Calculation:
Convert the available dose to mcg:
- 0.5 mg = 500 mcg
Determine the concentration:
- 500 mcg in 100 mL = 5 mcg/mL
Calculate the infusion rate:
- Desired rate: 50 mcg/hour
- Infusion rate (mL/hour) = Desired dose (mcg/hour)÷ Concentration (mcg/mL)
= 50 mcg/hour ÷ 5 mcg/Ml
= 10 mL/hour
The infusion rate of 10 mL/hour will deliver 50 mcg/hour of Octreotide, as prescribed.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Monitoring of results of liver function testing: While important, monitoring liver function tests is a routine assessment rather than a prioritized one compared to assessing for complications like ascites.
B. Assessment for signs and symptoms of jaundice: Jaundice is a common finding in cirrhosis but does not necessarily indicate an acute complication.
C. Measurement of abdominal girth and body weight: In advanced cirrhosis, monitoring for ascites and fluid retention is critical as these indicate worsening disease and potential complications.
D. Assessment for variceal bleeding: Incorrect. While important, the priority in routine assessment is monitoring for ascites and fluid overload, which can be managed more readily.
Correct Answer is A
Explanation
A. Avoid positioning the client supine: Orthopnea is the inability to breathe comfortably while lying flat, so the nurse should avoid placing the client in a supine position and instead elevate the head of the bed.
B. Limit the client's activity level: While activity may need to be adjusted, this is not the primary concern for orthopnea.
C. Administer supplemental oxygen at all times: Oxygen may be necessary, but the key issue with orthopnea is the need to avoid lying flat, not necessarily the need for constant supplemental oxygen.
D. Teach the client deep breathing and coughing exercises: While beneficial for other conditions, this does not directly address orthopnea, which is primarily positional.
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