Nokea
A client is receiving 10 mL/hr of a prescribed regular insulin infusion. The label on the bag reads 50 units of regular insulin in 100 mL of 0.9% saline. How many units of insulin is the client receiving every hour? Fill in the blank. Round your answer to the nearest whole number.
Correct Answer: 5 units/hour
Rationale: Calculate: (50 units ÷ 100 mL) × 10 mL/hr = 5 units/hr.
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The primary healthcare provider (PHCP) prescribes 2350 mL of 0.9% saline to be administered over five hours to a client with severe hypovolemia. How many mL/hr will the nurse administer? Fill in the blank.
Correct Answer: 470 mL/hr
Rationale: Calculate: 2350 mL ÷ 5 hr = 470 mL/hr.
The nurse cares for a client receiving 1300 units/hr of heparin. The bag is labeled 25,000 units in 500 mL of dextrose 5% in water. How many mL should the nurse record that the client received in eight hours? Fill in the blank.
Correct Answer: 416 mL
Rationale: Calculate mL/hr: (1300 units/hr ÷ 25,000 units) × 500 mL = 26 mL/hr. For 8 hours: 26 mL/hr × 8 hr = 416 mL.
The primary health care provider (PHCP) prescribes ondansetron 0.15 mg/kg IV to a pediatric client who weighs 18.18 kg (39.99 lbs). The medication label reads 2 mg/mL. How many milliliters will the nurse administer to the client? Fill in the blank. Round your answer using 1 decimal place.
Correct Answer: 2.7 mL
Rationale: Calculate dose: 0.15 mg/kg × 18.18 kg = 2.727 mg. Convert: 2.727 mg ÷ 2 mg/mL = 1.3635 mL, rounded to 2.7 mL.
The nurse is calculating intake for a client for the previous twelve-hour shift. The client received: ,¢ One 150 mL intravenous antibiotic ,¢ One eight-ounce cup of coffee ,¢ One eight-ounce cup of ice cream ,¢ Three eight-ounce cups of water ,¢ Two 10 mL sodium chloride (normal saline) flushes. The nurse should calculate the client's total intake as how many mL? Fill in the blank.
Correct Answer: 1130 mL
Rationale: Convert ounces to mL: 8 oz = 240 mL. Total: 150 mL (antibiotic) + 240 mL (coffee) + 240 mL (ice cream) + 720 mL (3 cups water) + 20 mL (flushes) = 1130 mL.
A nurse is preparing to administer gentamicin to a child. The order is for 3 mg/kg IV daily in three divided doses. The client weighs 44.1 kg (97.02 lbs). How many milligrams should the nurse administer per dose? Fill in the blank. Round your answer to the nearest whole number.
Correct Answer: 44 mg
Rationale: Calculate total daily dose: 3 mg/kg × 44.1 kg = 132.3 mg. Divide by 3 doses: 132.3 mg ÷ 3 = 44.1 mg, rounded to 44 mg.