The physician orders Dopamine 2.5 mcg/kg/min. Available is Dopamine 200mg in 250 ml normal saline. The client's weight is 138.6 lbs. Calculate mcg/min, mcg/hr. and mL/hr

Answer and Explanation

The Correct Answer is ["11.8"]

To calculate the dosage for Dopamine as per the physician's order, we first convert the client's weight from pounds to kilograms, knowing that 1 kg equals 2.2 lbs. The client weighs 138.6 lbs, which is approximately 62.9 kg (138.6 lbs / 2.2). Now, using the ordered dose of 2.5 mcg/kg/min, we multiply the client's weight in kg by the dose to find the mcg/min: 62.9 kg * 2.5 mcg/kg/min = 157.25 mcg/min. To find mcg/hr, we multiply this by 60 minutes: 157.25 mcg/min * 60 = 9435 mcg/hr.
Next, we need to calculate mL/hr. We have Dopamine 200 mg in 250 mL, which is 200,000 mcg in 250 mL since 1 mg equals 1000 mcg. This gives us a concentration of 800 mcg/mL (200,000 mcg / 250 mL). To find the mL/hr, we divide the mcg/hr by the concentration: 9435 mcg/hr / 800 mcg/mL = 11.8 mL/hr.
Rounding to the nearest tenth, the final dosages are:
mcg/min: 157.3 mcg/min
mcg/hr: 9435 mcg/hr
mL/hr: 11.8 mL/hr

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is ["15","994"]

Explanation

To calculate the infusion rate in mL/hr for administering dopamine at 10 mcg/kg/min for a client weighing 85.3 kg, you would first convert the weight to micrograms by multiplying by 1,000,000 (since there are 1,000,000 micrograms in a kilogram). This gives you 85,300,000 mcg. Then, you multiply this by the dosage rate, which is 10 mcg/kg/min, resulting in 853,000 mcg/min. Since the pharmacy provides dopamine 800 mg in 250 mL, you convert 800 mg to micrograms (800,000 mcg) to find out how many micrograms are in each mL. This is done by dividing 800,000 mcg by 250 mL, giving you 3200 mcg/mL. Finally, to find out the mL/hr, you divide the required micrograms per minute (853,000 mcg/min) by the concentration of the solution (3200 mcg/mL), which equals approximately 266.56 mL/min. To convert this to mL/hr, multiply by 60, resulting in approximately 15,994 mL/hr. Rounding to the nearest whole number, you would set the infusion pump to 15,994 mL/hr.

A. Administer desmopressin acetate 0.2 mg orally. B. Restrict fluid intake to 1, 000 mL per day. C. Maintain an IV of 0.45% sodium chloride. D. Provide a diet containing 2 g of sodium per day.

Correct Answer is B

Explanation

A. Desmopressin is used to treat diabetes insipidus, not SIADH.
B. Fluid restriction is a primary treatment to manage low sodium levels in SIADH.
C. 0.45% sodium chloride is hypotonic and not typically used in SIADH treatment.
D. Increasing dietary sodium alone is not sufficient; fluid restriction is more critical

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

The physician orders Dopamine 2.5 mcg/kg/min. Available is Dopamine 200mg in 250 ml normal saline. The client's weight is 138.6 lbs. Calculate mcg/min, mcg/hr. and mL/hr

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Administer Dopamine at 10 mcg/kg/min. The pharmacy provides dopamine 800 mg in 250 mL of D5W. Your client weights 85.3 kg. How many mL/hr are you to set the infusion pump? (Round answer to nearest whole number)

Correct Answer is ["15","994"]

Explanation

A nurse is caring for a client who has syndrome of inappropriate antidiuretic hormone (SIADH) and a sodium level of 123 mEq/L. Which of the following prescriptions should the nurse anticipate?

Correct Answer is B

Explanation

Which of the following is an expected finding in a client with syndrome of inappropriate antidiuretic hormone (SIADH)

Which of the following statements correctly describes the Plateau stage of Guillain-Barre syndrome?

A nurse is assessing a client with suspected meningitis. Which of the following findings would the nurse identify as a classic manifestation of meningitis?

What is the most common bacterial infection that causes Gillian Barre?

A nurse is providing care for an older adult client who has diabetes insipidus (DI). The nurse should monitor the client for which of the following neurologic effects?

A nurse is preparing to provide care for a client in the emergency department who has syndrome of Inappropriate antidiuretic hormone (SIADH). The client has a serum sodium of 115 mEq/L (136-145 mEq/L). Which of the following IV solutions should the nurse anticipate will be prescribed?

A nurse is planning care for a client who has a new diagnosis of diabetes insipidus. Which of the following interventions should the nurse include in the plan of care?

A nurse is assessing a client who reports severe headache and a stiff neck. The nurse's assessment reveals positive Kernig's signs. Which of the following actions should the nurse perform first?