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A client who weighs 60 kg receives a prescription for dalteparin 200 units/kg subcutaneously once a day for a month. The medication is available in 25,000 units/mL vial. How many mL should the nurse administer? (Enter numerical value. If rounding is required, round to the nearest tenth.)
Correct Answer: 0.5
Rationale: Dose: 200 units/kg × 60 = 12000 units. Volume: 12000 / 25000 = 0.48 mL, rounded to 0.5 mL.
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The healthcare provider prescribes 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: Infusion rate = 150 mL / (90 / 60) hours = 100 mL/hour.
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.
Dobutamine hydrochloride 2 mcg/kg/min is prescribed for a client weighing 165 pounds. The solution is mixed with 50 mg of dobutamine In 1,000 mL of DW. The nurse should set the Infusion pump to deliver how many mL/hour? (Enter numeric value only.)
Correct Answer: 180
Rationale: Weight: 165 / 2.2 = 75 kg. Dose: 2 mcg/kg/min × 75 = 150 mcg/min × 60 = 9000 mcg/hour. Concentration: 50 mg = 50000 mcg / 1000 mL = 50 mcg/mL. Volume = 9000 / 50 = 180 mL/hour.
A client who weighs 154 pounds receives a prescription for epoetin alfa 50 units/kg subcutaneously 3 times a week. The medication is available in 2000 units/ml. vial. 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: 1.7
Rationale: Weight: 154 × 0.4536 = 69.8544 kg. Dose: 50 units/kg × 69.8544 = 3492.72 units. Volume: 3492.72 / 2000 = 1.74636 mL, rounded to 1.7 mL.
The healthcare provider prescribes liraglutide 1.2 mg subcutaneously daily for a client with type 2 diabetes mellitus. The liraglutide Pen contains 18 mg of liraglutide and will deliver doses of 0.6 mg, 1.2 mg, or 1.8 mg. When teaching the client about the use of the liraglutide Pen, how many doses should the nurse tell the client is available in each Pen? (Enter the numerical value only.)
Correct Answer: 15
Rationale: Doses = Total amount / Dose = 18 mg / 1.2 mg = 15 doses.