The primary healthcare provider (PHCP) prescribes 2350 mL of 0.9% saline to be administered over five hours to a client with severe hypovolemia. How many mL/hr will the nurse administer? Fill in the blank.
Correct Answer: 470 mL/hr
Rationale: Calculate: 2350 mL ÷ 5 hr = 470 mL/hr.
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The primary healthcare provider (PHCP) prescribes 500 mL of 0.45% saline to be administered over one hour. The drop factor is 10 gtts/mL. How many drops per minute should the nurse set the flow rate at? Fill in the blank. Round your answer to the nearest whole number.
Correct Answer: 83 gtts/minute
Rationale: To calculate drops per minute, use the formula: (volume in mL × drop factor) ÷ time in minutes. Here, 500 mL × 10 gtts/mL = 5000 gtts, divided by 60 minutes = 5000 ÷ 60 ≈ 83.33, rounded to 83 gtts/minute.
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.
A nurse is preparing to administer vancomycin to a child. The order is for 50 mg/kg/day in three divided doses. The client weighs 13 kg (28.6 lbs). The medication label indicates vancomycin 500 mg in 100 mL of 0.9% saline. How many mL will the nurse administer per dose? Fill in the blank. Round your answer to the nearest whole number.
Correct Answer: 43 mL
Rationale: Calculate daily dose: 50 mg/kg × 13 kg = 650 mg. Per dose: 650 mg ÷ 3 = 216.67 mg. Convert: (216.67 mg ÷ 500 mg) × 100 mL = 43.33 mL, rounded to 43 mL.
The nurse is caring for a client receiving a continuous infusion of heparin. The label reads 25,000 units of heparin in 500 mL of Dextrose 5% in water (D5W). The client is receiving 1,250 units per hour. How many milliliters (mL) did the client receive in an eight-hour shift? Fill in the blank.
Correct Answer: 400 mL
Rationale: Calculate mL/hr: (1250 units/hr ÷ 25,000 units) × 500 mL = 25 mL/hr. For 8 hours: 25 mL/hr × 8 hr = 400 mL.
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.
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