The nurse is preparing a client's dose of an IM analgesic in a single syringe. The prescription is hydromorphone 4 mg and hydroxyzine 25 mg. The hydromorphone is available in a 10 mg/mL ampule, and the hydroxyzine is available in a 50 mg/mL vial. How many total mL should the nurse administer? (Enter the numeric value only. If rounding is required, round to the nearest tenth.)
The Correct Answer is ["0.9"]
Here's how to calculate the total volume the nurse should administer for the combined medication:
1. Calculate the volume of hydromorphone:
Dose: 4 mg
Concentration: 10 mg/mL (from ampule label)
Volume (mL) for hydromorphone = Dose (mg) / Concentration (mg/mL)
Volume (mL) for hydromorphone = 4 mg / 10 mg/mL
Volume (mL) for hydromorphone = 0.4 mL
2. Calculate the volume of hydroxyzine:
Dose: 25 mg
Concentration: 50 mg/mL (from vial label)
Volume (mL) for hydroxyzine = Dose (mg) / Concentration (mg/mL)
Volume (mL) for hydroxyzine = 25 mg / 50 mg/mL
Volume (mL) for hydroxyzine = 0.5 mL
3. Add the volumes for each medication to find the total volume:
Total volume = Volume (mL) for hydromorphone + Volume (mL) for hydroxyzine
Total volume = 0.4 mL + 0.5 mL
Total volume = 0.9 mL (round to nearest tenth as requested)
Therefore, the nurse should administer a total of 0.9 mL.
Nursing Test Bank
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 ["21"]
Explanation
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
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