The primary healthcare provider (PHCP) prescribes 500 mL of...

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 Ã— drop factor) Ã· time in minutes. Here, 500 mL Ã— 10 gtts/mL = 5000 gtts, divided by 60 minutes = 5000 Ã· 60 â‰ˆ 83.33, rounded to 83 gtts/minute.

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The primary healthcare provider (PHCP) prescribes 150 mL of sterile water to be administered over one hour. The drop factor is 15 gtts/mL. How many drops per minute will the nurse set the flow rate at? Fill in the blank. Round your answer to the nearest whole number.

Correct Answer: 38 gtts/minute

Rationale: Calculate: (150 mL Ã— 15 gtts/mL) Ã· 60 min = 2250 gtts Ã· 60 = 37.5 gtts/min, rounded to 38 gtts/min.

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.

The client is prescribed 3 g/hr of intravenous magnesium sulfate via continuous infusion. The label reads 20g of magnesium sulfate in 1000 mL of normal saline. How many mL/hr should the nurse set the pump to deliver the prescribed dose? Fill in the blank.

Correct Answer: 150 mL/hr

Rationale: Calculate: (3 g/hr Ã· 20 g) Ã— 1000 mL = 150 mL/hr.

The primary healthcare provider (PHCP) prescribes one liter of 0.9% saline to infuse over 6 hours. How many mL per hour will the nurse administer to the client? Fill in the blank. Round your answer to the nearest whole number.

Correct Answer: 167 mL/hr

Rationale: Convert 1 liter to 1000 mL. Divide by 6 hours: 1000 mL Ã· 6 hr = 166.67 mL/hr, rounded to 167 mL/hr.

The nurse is preparing to administer a regular insulin IV bolus to a client who has hyperglycemic-hyperosmolar state (HHS). The primary health care provider (PHCP) has prescribed an initial bolus dose of 0.1 unit/kg. The client weighs 125.90 kg (276.98 lbs). How much regular insulin should the nurse administer to the client as an IV bolus? Fill in the blank. Round your answer to the nearest whole number.

Correct Answer: 13 units

Rationale: Calculate: 0.1 units/kg Ã— 125.90 kg = 12.59 units, rounded to 13 units.