The nurse is preparing to administer vancomycin (Vancocin) 750 mg in 250 ml of Dextrose 5% in Water (D,W) over 75 minutes. The secondary infusion pump should be programmed to administer how many ml/hour? (Enter numeric value only. If rounding is required, round to the nearest whole number.)
The Correct Answer is ["200"]
To calculate the infusion rate, we'll use the following formula:
Infusion Rate (mL/hour) = Total Volume (mL) / Infusion Time (hours)
First, convert minutes to hours:
75 minutes x (1 hour / 60 minutes) = 1.25 hours
Then, plug in the values into the formula:
Infusion Rate = 250 mL / 1.25 hours
Calculating the result:
Infusion Rate ≈ 200 mL/hour
Therefore, the nurse should program the secondary infusion pump to deliver 200 mL/hour.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Step 1: Calculate the infant's weight in kilograms:
22 pounds x (1 kg / 2.20462 pounds) ≈ 10 kg
Step 2: Calculate the recommended maximum daily dose:
Recommended Maximum Dose = 3.5 mg/kg/day x 10 kg
Recommended Maximum Dose = 35 mg/day
Step 3: Calculate the prescribed daily dose:
Prescribed Daily Dose = 0.87 mg/dose x 4 doses/day
Prescribed Daily Dose = 3.48 mg/day
Step 4: Compare the prescribed dose to the recommended maximum dose:
The prescribed daily dose (3.48 mg/day) is slightly above the recommended maximum daily dose (35 mg/day).
Therefore, the nurse should:
B. Assess the child's heart rate before administration.
While the prescribed dose is slightly above the recommended maximum, it's important to monitor the child's heart rate to ensure there are no adverse effects. If the heart rate is within the normal range, the medication can be administered. However, if there are any concerns, the nurse should consult with the health-care provider.
Correct Answer is ["16.8"]
Explanation
To calculate the volume of IV solution needed to dilute the nafcillin, we'll follow these steps:
Step 1: Calculate the total volume of the diluted solution:
Desired Concentration (mg/mL) = Prescribed Dose (mg) / Total Volume (mL)
Rearranging the formula to solve for Total Volume:
Total Volume (mL) = Prescribed Dose (mg) / Desired Concentration (mg/mL)
Total Volume = 800 mg / 40 mg/mL
Total Volume = 20 mL
Step 2: Calculate the volume of nafcillin solution to be added:
Volume of Nafcillin Solution = Prescribed Dose (mg) / Concentration of Nafcillin (mg/mL)
Volume of Nafcillin Solution = 800 mg / 250 mg/mL
Volume of Nafcillin Solution = 3.2 mL
Step 3: Calculate the volume of IV solution needed to dilute:
Volume of IV Solution = Total Volume - Volume of Nafcillin Solution
Volume of IV Solution = 20 mL - 3.2 mL
Volume of IV Solution = 16.8 mL
Therefore, the nurse should add 16.8 mL of IV solution to the volume control device to dilute the nafcillin.
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