The nurse is preparing to administer methylprednisolone 40 mg IV. The medication vial is labeled '125 mg per 2 mL.' How many mL of medication should the nurse administer? (Enter numeric value only. If rounding is required, round to the nearest hundredth.)
Correct Answer: 0.64
Rationale: Concentration: 125 mg / 2 mL = 62.5 mg/mL. Volume = 40 / 62.5 = 0.64 mL.
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A client receives a prescription for 1 liter of lactated Ringer's intravenously (IV) to be infused over 12 hours. The IV administration set delivers 60 gtt/mL. How many gtt/min should the nurse regulate the infusion? (Enter numerical value only. If rounding is required, round to the nearest whole number.)
Correct Answer: 83
Rationale: Volume = 1000 mL, drop factor = 60 gtt/mL, time = 12 hours = 720 minutes. Flow rate = (1000 × 60) / 720 = 83.333 gtt/min, rounded to 83.
The healthcare provider prescribes magnesium hydroxide 4800 mg by mouth at bedtime for a client with constipation. The bottle is labeled 'Magnesium Hydroxide Saline Laxative, USP 400 mg per 5 mL.' How many ounces should the nurse instruct the client to take with each dose? (Enter numerical value only.)
Correct Answer: 0.41
Rationale: Volume: 4800 mg / (400 mg / 5 mL) = 12 mL. Convert to ounces: 12 × 0.033814 = 0.405768 oz, rounded to 0.41 oz.
The nurse is initiating a prescription for Dextrose 2.5% in 0.45% Sodium Chloride (Ds 0.5% NS) at 45 mL/hour for a child with dehydration. The nurse attaches a volume control administration set with a micro-drip chamber to the bag of solution. How many micro-drops/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: Micro-drip factor = 60 drops/mL. Flow rate = (45 × 60) / 60 = 45 micro-drops/min.
The nurse plans to provide the next shift with the IV fluid balance for a client who had a 440 mL secondary infusion that was started 2 hours ago at a rate of 85 ml/hour via an infusion pump. What is the remaining volume to be infused? (Enter numeric value only.)
Correct Answer: 270
Rationale: Infused volume = 85 mL/hour × 2 hours = 170 mL. Remaining volume = 440 - 170 = 270 mL.
A pediatric client with cerebral palsy receives a prescription for a 75% enteral nutrition formula of 320 mL to infuse at 80 mL/hour via an enteral feeding pump. The formula is available full strength in a 240 mL can. To prepare the solution, the nurse should use how many mL of the enteral nutrition formula? (Enter numeric value only. If rounding is required, round to the nearest whole number.)
Correct Answer: 192
Rationale: For a 75% solution, let x = formula volume, y = water. x + y = 320 mL, x / 320 = 0.75. Solving, x = 0.75 × 320 = 240 mL formula, but adjusted for dilution: x = (3/2) y, x + y = 320, yields x = 192 mL formula.
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