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A client receives a prescription for ganciclovir 375 mg intravenously (IV) every 12 hours to infuse over 90 minutes. The pharmacy delivers ganciclovir 375 mg in a 150 mL IV bag. How many mL/hour should the nurse program the infusion pump?(Enter a whole number only.)
Correct Answer: 100
Rationale: The correct answer is 100 mL/hour. To find the answer, we can use the following formula: (mL/hour) = (mL/minute) x 60. Substituting the given values, we get: (mL/hour) = (150 / 90) x 60. Simplifying, we get: (mL/hour) = 1.667 x 60. (mL/hour) = 100. Therefore, the nurse should program the infusion pump to deliver 100 mL/hour of ganciclovir in IV bag.
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The healthcare provider prescribes filgrastim 5 mcg/kg/day subcutaneously for a client who weighs 132 pounds and has just completed chemotherapy. The medication is available in 480 mcg/0.8 mL. How many mL should the nurse administer?(Enter numerical value only. If rounding is required, round to the nearest tenth.)
Correct Answer: 0.5
Rationale: To find the answer, we can use the following steps: Convert the client's weight from pounds to kilograms by dividing by 2.2. Calculate the dose of filgrastim in mcg by multiplying the weight in kg by the dosage in mcg/kg/day. Divide the dose in mcg by the concentration of filgrastim in mcg/mL. Round the result to the nearest tenth. Using these steps, we get: (weight in kg) = (132) / (2.2) = 60 kg. (dose in mcg) = (5) x (60) = 300 mcg. (volume in mL) = (300) / (480 / 0.8) = 0.5 mL. (rounded volume in mL) = 0.5 mL. Therefore, the nurse should administer 0.5 mL of filgrastim to the client.
The healthcare provider prescribes metoclopramide 7.5 mg/mL IM every 3 hours PRN vomiting for a client who is receiving chemotherapy. The nurse prepares an injection using a 2 mL prefilled syringe cartridge labeled, 'metoclopramide 5 mg/mL.' How many mL should the nurse administer?(Enter numeric value only. If rounding is required, round to the nearest tenth.)
Correct Answer: 1.5
Rationale: The correct answer is 1.5 mL. To find the answer, we can use the following formula: (mL to be administered) = (mg prescribed) / (mg per mL). Substituting the given values, we get: (mL to be administered) = (7.5) / (5). Simplifying, we get: (mL to be administered) = 1.5. Therefore, the nurse should administer 1.5 mL of metoclopramide from the prefilled syringe cartridge to the client.
The nurse is initiating a prescription for Dextrose 2.5% in 0.45% Sodium Chloride (D2.5W, 0.45% NS) at 45 mL/hour for a child with dehydration. The nurse attaches a volume-control administration set with a microdrip chamber to the bag of solution. How many microdrops/minute should the nurse regulate the infusion? (Enter the numerical value only. If rounding is required, round to the nearest whole number.)
Correct Answer: 45
Rationale: To find the answer, we can use the following formula: (microdrops/minute) = (mL/hour) x (microdrops/mL) / 60. Substituting the given values, we get: (microdrops/minute) = (45) x (60) / 60. Simplifying, we get: (microdrops/minute) = 45. Therefore, the nurse should regulate the infusion to deliver 45 microdrops/minute of Dextrose 2.5% in 0.45% Sodium Chloride.
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: To find the answer, we can use the following steps: Convert the client's weight from pounds to kilograms by dividing by 2.2. Multiply the weight in kilograms by the dosage in units/kg. Round the result to the nearest whole number. Using these steps, we get: (weight in kg) = (198) / (2.2) = 90 kg. (dose in units) = (100) x (90) = 9000 units. (rounded dose in units) = 9000 units. Therefore, the nurse should administer 9000 units of IV Heparin to the client.
The healthcare provider prescribes a hydration infusion of normal saline to run over 3 hours at 30 mL/kg for a client who is dehydrated and weighs 70 kg. The nurse should program the infusion pump to deliver how many mL/hour?(Enter numeric value only.)
Correct Answer: 700
Rationale: To find the answer, we can use the following steps: Calculate the total volume of normal saline in mL by multiplying the weight in kg by the dosage in mL/kg. Divide the total volume of normal saline in mL by the number of hours to get the rate in mL/hour. Round the result to the nearest whole number. Using these steps, we get: (total volume in mL) = (30) x (70) = 2100 mL. (rate in mL/hour) = (2100) / (3) = 700 mL/hour. (rounded rate in mL/hour) = 700 mL/hour. Therefore, the nurse should program the infusion pump to deliver 700 mL/hour of normal saline.