The healthcare provider prescribes a liter of normal saline IV to be infused over 9 hours for a client who is NPO. The nurse should program the infusion pump to deliver how many mL/hour? (Enter numeric value only. If rounding is required, round to the nearest whole number).
The Correct Answer is ["111"]
Here's how to calculate the rate for the infusion pump:
Total volume to infuse: 1 liter (given)
Infusion time: 9 hours (given)
We need to find the volume delivered per hour (mL/hour) considering the total volume and infusion time.
Volume conversion: Since the volume is given in liters, convert it to mL:
1 liter * 1000 mL/liter = 1000 mL
Infusion rate (mL/hour):
Infusion rate (mL/hour) = Total volume (mL) / Infusion time (hours)
Infusion rate (mL/hour) = 1000 mL / 9 hours
Infusion rate (mL/hour) = 111.11 mL/hour (round to nearest tenth)
Therefore, the nurse should program the infusion pump to deliver approximately 111 mL/hour.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["0.5"]
Explanation
Here's how to calculate the volume the nurse should administer after reconstituting the medication:
1. Reconstitution and Concentration:
The medication label states adding 2.5 mL of normal saline will make a solution with a concentration of 1 gram per mL. This means after reconstituting, each 1 mL of the solution will contain 1 gram of medication.
2. Dose conversion:
The client's prescription is for 500 mg. We need to convert it to grams since the concentration is in grams per mL.
Conversion: 1 gram (g) = 1000 milligrams (mg)
Prescribed dose (g) = 500 mg / 1000 mg/g
Prescribed dose (g) = 0.5 g (round to nearest tenth)
3. Calculate the volume to administer:
We know the concentration after reconstitution (1 gram/mL) and the desired dose in grams (0.5 g).
Volume to administer (mL) = Dose (g) / Concentration (g/mL)
Volume to administer (mL) = 0.5 g / 1 g/mL
Volume to administer (mL) = 0.5 mL (round to nearest tenth as requested)
Therefore, the nurse should administer approximately 0.5 mL of the reconstituted medication to the client.
Correct Answer is ["2.4"]
Explanation
Here's how to calculate the volume (mL) the nurse should administer for cefazolin:
1. We know the following:
Prescribed dose: 800 mg cefazolin IM every 6 hours (given)
Vial content: 1 gram cefazolin (given)
However, we need to consider the reconstitution process for accurate dosage calculation.
Reconstitution information:
For IM use, add 2.5 mL sterile water for injection.
This dilution creates a total volume of 3.0 mL.
3. We need to find the concentration of cefazolin in the reconstituted solution (mg/mL).
Concentration (mg/mL) = Total drug amount (mg) / Total volume (mL) after reconstitution
Concentration (mg/mL) = 1 gram (which is 1000 mg) / 3.0 mL
Concentration (mg/mL) = 333.33 mg/mL (round to nearest tenth)
4. Now, we can find the volume to administer for the prescribed dose (800 mg) considering the concentration (333.33 mg/mL) in the reconstituted solution.
Volume to administer (mL): Dose (mg) / Concentration (mg/mL)
Volume to administer (mL): 800 mg / 333.33 mg/mL
Volume to administer (mL): 2.40 mL (round to nearest tenth)
Therefore, the nurse should administer approximately 2.4 mL of the reconstituted cefazolin solution intramuscularly.
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