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. PT/INR: PT/INR is used to assess clotting function and liver synthetic function but does not directly relate to the symptoms of lethargy and confusion.
B. Urea: Urea levels are related to kidney function and protein metabolism but do not directly explain the symptoms of encephalopathy.
C. Ammonia: Elevated ammonia levels in cirrhosis can lead to hepatic encephalopathy, which presents as lethargy and confusion. The liver is unable to convert ammonia to urea, leading to its accumulation in the blood.
D. Albumin: Albumin levels are important in assessing nutritional status and fluid balance in cirrhosis but do not directly cause lethargy and confusion.
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.
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