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A client with a gram-positive bacterial skin infection is receiving daptomycin 500 mg IV every 24 hours. The pharmacy delivers a secondary infusion of 0.9% Sodium Chloride with daptomycin 500 mg/100 mL to be infused in 30 minutes. How many mL/hour should the nurse program the infusion pump?(Enter the numerical value only.)
Correct Answer: 200
Rationale: The correct answer is 200 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) = (100 / 30) x 60. Simplifying, we get: (mL/hour) = 3.333 x 60. (mL/hour) = 200. Therefore, the nurse should program the infusion pump to deliver 200 mL/hour of daptomycin in 0.9% Sodium Chloride.
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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 heparin 1,400 units/hour intravenously (IV). The IV bag contains heparin 20,000 units in 250 mL dextrose 5% in water. How many mL/hour should the nurse program the infusion pump to deliver?(Enter numeric value only. If rounding is required, round to the nearest whole number.)
Correct Answer: 17
Rationale: The correct answer is 17 mL/hour. To find the answer, we can use the following formula: (mL/hour) = (units/hour) x (mL per unit). Substituting the given values, we get: (mL/hour) = (1,400) x (250 / 20,000). Simplifying, we get: (mL/hour) = (1,400) x (0.0125). (mL/hour) = 17.5. (rounded mL/hour) = 17. Therefore, the nurse should program the infusion pump to deliver 17 mL/hour of heparin in dextrose 5% in water.
A patient receives a prescription for oxytocin 2 milliunits/min intravenously (IV) for labor augmentation. The IV bag contains oxytocin 20 units in lactated Ringer's 1 liter. How many mL/hour should the nurse program the infusion pump to deliver?(Enter numerical value only.)
Correct Answer: 6
Rationale: To find the answer, we can use the following steps: Convert the dosage of oxytocin from milliunits/min to units/hour by multiplying by 60. Calculate the concentration of oxytocin in the IV bag by dividing the amount of oxytocin by the volume of solution. Divide the dosage of oxytocin by the concentration of oxytocin in the IV bag to get the volume to be delivered. Using these steps, we get: (dosage of oxytocin in units/hour) = (2) x (60) = 120 milliunits/hour. (concentration of oxytocin in IV bag) = (20) / (1000) = 0.02 units/mL. (volume to be delivered in mL/hour) = (120 x 10^-3) / (0.02) = 6 mL/hour. Therefore, the nurse should program the infusion pump to deliver 6 mL/hour of oxytocin in lactated Ringer's to the patient.
The healthcare provider prescribes streptomycin 200 mg intramuscularly every 12 hours. The vial is labeled, 'Streptomycin 1 gram/2.5 mL.' How many milliliters should the nurse administer? (Enter numerical value only. If rounding is required, round to the nearest tenth.)
Correct Answer: 0.5
Rationale: The correct answer is 0.5 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) = (200) / (1000 / 2.5). Simplifying, we get: (mL to be administered) = (200) x (2.5 / 1000). (mL to be administered) = 0.5. Therefore, the nurse should administer 0.5 mL of streptomycin from the vial to the client.
The nurse is caring for a client with an oral temperature of 100.6 F. What temperature in Celsius should the nurse document in the medical record? (Enter numerical value only. If rounding is required, round to the nearest tenth.)
Correct Answer: 38.1
Rationale: To find the answer, we can use the following formula: (Celsius) = (Fahrenheit - 32) x (5 / 9). Substituting the given value, we get: (Celsius) = (100.6 - 32) x (5 / 9). Simplifying, we get: (Celsius) = 68.6 x (5 / 9). (Celsius) = 38.111. (rounded Celsius) = 38.1. Therefore, the nurse should document the oral temperature as 38.1 C in the medical record.