A client is receiving a 200 mL bolus of 0.9% normal saline (NS) to be infused over 20 minutes. The nurse should set the Infusion pump to deliver how many mL/hour? (Enter numeric value only.)
Correct Answer: 600
Rationale: Infusion rate = 200 mL / (20 / 60) hours = 600 mL/hour.
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The healthcare provider prescribes cefazolin 800 mg IM every six hours. The available vial is labeled, 'Cefazolin 1 gram,' and the instructions for reconstitution state, For IM use add 2.5 mL sterile water for injection to provide a total volume of 3.0 mL'. After reconstitution, the solution contains how many mg/mL? (Enter numeric value only. If rounding is required, round to the nearest whole number.)
Correct Answer: 333
Rationale: Concentration: 1000 mg / 3 mL = 333.333 mg/mL, rounded to 333.
The healthcare provider prescribes an IV bolus of diltiazem 0.25 mg/kg for a client with atrial fibrillation. The client weighs 178 pounds. How many mg should the nurse administer? (Enter numeric value only. If rounding is required, round to the nearest whole number.)
Correct Answer: 20
Rationale: Weight: 178 pounds / 2.2 = 80.91 kg. Dose: 0.25 mg/kg × 80.91 = 20.2275 mg, rounded to 20 mg.
The nurse plans to administer a bolus dose of IV Heparin based on the client's weight. The prescribed bolus dose is 100 units/kg. The client weighs 198 pounds. How many units of Heparin should the nurse administer? (Enter numeric value only.)
Correct Answer: 9000
Rationale: Weight: 198 pounds / 2.2 = 90 kg. Dose: 100 units/kg × 90 = 9000 units.
A child who weighs 42 kg receives a prescription for methylprednisolone succinate 1.5 mg/kg/day intravenously in divided doses every 6 hours. The medication is available in 40 mg/mL vials. How many mL should the nurse administer with each dose? (Enter numerical value only. If rounding is required, round to the nearest tenth.)
Correct Answer: 0.4
Rationale: Daily dose: 1.5 mg/kg/day × 42 = 63 mg/day. Per dose (every 6 hours, 4 doses/day): 63 / 4 = 15.75 mg. Volume: 15.75 / 40 = 0.39375 mL, rounded to 0.4 mL.
The healthcare provider prescribes lamivudine oral solution 150 mg twice daily for a client who is HIV positive. The available bottle contains 240 mL of lamivudine labeled, '10 mg/mL.' How many mL should the nurse administer in a 24 hour period? (Enter numeric value only.)
Correct Answer: 30
Rationale: Dose per administration: 150 mg / (10 mg/mL) = 15 mL. Daily volume: 15 × 2 = 30 mL.
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