Nokea
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.
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The nurse reviews the client's intake and output throughout the twelve-hour shift. ,¢ The client consumed three eight-ounce cups of water. ,¢ The client received 0.9% sodium chloride at 70 mL/hr for 12 hours. ,¢ The client received an infusion of 500 mg of azithromycin reconstituted in 250 mL of 0.9% sodium chloride to treat a bacterial infection. ,¢ The client received 5 mg of morphine sulfate diluted in 0.9% sodium chloride, totaling an infused volume of 7 mL. When calculating the total intake for the client for the shift, the nurse would document how many milliliters?
- A. 1817 mL
- B. 1815 mL
- C. 1810 mL
- D. 1800 mL
Correct Answer: A
Rationale: Calculate IV fluid: 70 mL/hr × 12 hr = 840 mL. Convert ounces to mL: 8 oz = 240 mL. Total: 720 mL (3 cups water) + 840 mL (saline) + 250 mL (azithromycin) + 7 mL (morphine) = 1817 mL.
The primary healthcare provider (PHCP) prescribes magnesium sulfate at 2 grams/hour. The nurse has magnesium sulfate 20 grams in 500 mL of 0.9% saline on hand. How many mL per hour will the nurse administer? Fill in the blank.
Correct Answer: 50 mL/hr
Rationale: Calculate: (2 g/hr ÷ 20 g) × 500 mL = 50 mL/hr.
The primary healthcare provider (PHCP) prescribes 0.375 mg of digoxin intravenously (IV) to a client. The nurse has 0.25 mg/mL of digoxin on hand. How many mL will the nurse administer? Fill in the blank. Record your answer using 1 decimal place.
Correct Answer: 1.5 mL
Rationale: Calculate: 0.375 mg ÷ 0.25 mg/mL = 1.5 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 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.