The healthcare provider prescribes 2 L of 5% dextrose in water (D,W) IV to infuse in 24 hours. The IV administration set delivers 15 gtt/mL. How many gtt/min should the nurse regulate the infusion? (Enter numerical value only. If rounding is required, round to the nearest whole number.)
The Correct Answer is ["21"]
Here's how to calculate the infusion rate (gtt/min) for the nurse to regulate:
1. We know:
Total volume of D5W solution: 2 L (liters)
Infusion time: 24 hours
IV administration set gtt/mL: 15 gtt/mL
2. We need to find the infusion rate in gtt/min.
Steps:
a. Convert liters to milliliters (mL) for better calculation:
1 liter = 1000 mL
Total volume (mL) = 2 L * 1000 mL/L
Total volume (mL) = 2000 mL
b. Convert infusion time from hours to minutes:
Infusion time (minutes) = Infusion time (hours) x Minutes per hour
Infusion time (minutes) = 24 hours * 60 minutes/hour
Infusion time (minutes) = 1440 minutes
c. Calculate the total volume of solution to be infused per minute:
Volume rate (mL/min) = Total volume (mL) / Infusion time (minutes)
Volume rate (mL/min) = 2000 mL / 1440 minutes
Volume rate (mL/min) = 1.389 mL/min (round to nearest hundredth)
d. Finally, calculate the infusion rate in gtt/min:
Infusion rate (gtt/min) = Volume rate (mL/min) x gtt/mL
Infusion rate (gtt/min) = 1.389 mL/min * 15 gtt/mL
Infusion rate (gtt/min) = 20.835 gtt/min (round to nearest whole number as requested)
Therefore, the nurse should regulate the infusion at approximately 21 gtt/min
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["0.64"]
Explanation
Here's how to calculate the volume of methylprednisolone the nurse should administer:
1. We know:
Dose to administer: 40 mg (given)
Concentration of the medication: 125 mg per 2 mL (given from the vial label)
2. We need to find:
Volume of medication to administer (mL)
Calculation:
We can set up a proportion to find the volume needed for the desired dose:
Desired dose (mg) / Volume to administer (mL) = Concentration (mg/mL)
Rearrange the formula to solve for the volume:
Volume to administer (mL) = Desired dose (mg) / Concentration (mg/mL)
Plug in the values:
Volume to administer (mL) = 40 mg / (125 mg/2 mL)
Important note: We can divide the concentration by 2 mL because we only need the medication concentration, not the total volume in the vial (which is 2 mL).
Volume to administer (mL) = 40 mg / 62.5 mg/mL (round the concentration to nearest tenth for easier calculation)
Volume to administer (mL) = 0.64 mL (round to nearest hundredth)
Therefore, the nurse should administer 0.64 mL of methylprednisolone.
Correct Answer is ["1.3"]
Explanation
here's how to calculate the volume (mL) of filgrastim the nurse should administer:
Client weight conversion:
Client weight: 176 pounds
Since medication dosage is based on weight per kilogram (kg), we need to convert the weight to kg for accurate calculation.
Conversion factor: 1 kg = 2.205 lbs
Client weight (kg) = 176 pounds / 2.205 lbs/kg
Client weight (kg) = 80 kg (round to nearest whole number)
Filgrastim dose per kg:
Dose per kg = 5 mcg/kg (given)
Filgrastim concentration:
The medication vial is labeled 300 mcg/mL. This indicates there are 300 mcg of filgrastim in every 1 mL of solution.
We need to find the volume (mL) containing the prescribed dose (based on weight) of filgrastim (5 mcg/kg) considering the concentration (300 mcg/mL) in the vial.
Total filgrastim dose (mcg): Dose (mcg/kg) x Client weight (kg)
Total filgrastim dose (mcg): 5 mcg/kg * 80 kg
Total filgrastim dose (mcg): 400 mcg
Volume to administer (mL): Total dose (mcg) / Concentration (mcg/mL)
Volume to administer (mL): 400 mcg / 300 mcg/mL
Volume to administer (mL) = 1.33 mL (round to nearest tenth)
Therefore, the nurse should administer approximately 1.3 mL of filgrastim subcutaneously.
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