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The primary healthcare provider (PHCP) prescribes 6,000 units of heparin subcutaneously. The vial reads 10,000 units/1 mL. How many milliliter(s) should the nurse administer? Fill in the blank. Round your answer using 1 decimal place.
Correct Answer: 0.6 mL
Rationale: Calculate: (6000 units ÷ 10,000 units) × 1 mL = 0.6 mL.
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The nurse is caring for a client who weighs 85 kg (187 lbs) who sustained a 27% total body surface area burn. Using the Parkland formula, calculate how many mL of intravenous fluid (IVF) the nurse will administer in the first eight hours. Fill in the blank.
Correct Answer: 4590 mL
Rationale: The Parkland formula is 4 mL × kg × % burn. For 85 kg and 27% burn: 4 × 85 × 27 = 9180 mL total. Half is given in the first 8 hours: 9180 ÷ 2 = 4590 mL.
The nurse is calculating intake for a client. The client received: ,¢ One 100 mL intravenous antibiotic ,¢ One eight-ounce cup of ice chips ,¢ One eight-ounce cup of coffee ,¢ One eight-ounce cup of ice cream ,¢ Three eight-ounce cups of water. The nurse should calculate the client's total intake as how many mL? Fill in the blank.
Correct Answer: 1080 mL
Rationale: Convert ounces to mL: 8 oz = 240 mL. Ice chips count as half volume: 240 mL ÷ 2 = 120 mL. Total: 100 mL (antibiotic) + 120 mL (ice chips) + 240 mL (coffee) + 240 mL (ice cream) + 720 mL (3 cups water) = 1080 mL.
The primary healthcare provider (PHCP) prescribes dopamine at 5 mcg/kg/minute. The client weighs 80.9 kg (177.98 lbs). The medication label reads dopamine 800 mg in 500 mL of dextrose 5% water (D5W). 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: 15 mL/hr
Rationale: Calculate dose: 5 mcg/kg/min × 80.9 kg = 404.5 mcg/min. Convert: 800 mg = 800,000 mcg, so 800,000 mcg/500 mL = 1600 mcg/mL. Flow rate: (404.5 mcg/min ÷ 1600 mcg/mL) × 60 min/hr = 15.17 mL/hr, rounded to 15 mL/hr.
The primary healthcare provider (PHCP) prescribes 10 mg/kg of acetaminophen for a child weighing 13.18 kg (28.99 lbs). How many milligrams should the nurse administer to the child? Fill in the blank. Round your answer to the nearest whole number.
Correct Answer: 132 mg
Rationale: Calculate: 10 mg/kg × 13.18 kg = 131.8 mg, rounded to 132 mg.
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 1,500 units per hour. How many milliliters (mL) did the client receive in an eight-hour shift? Fill in the blank.
Correct Answer: 480 mL
Rationale: Calculate mL/hr: (1500 units/hr ÷ 25,000 units) × 500 mL = 30 mL/hr. For 8 hours: 30 mL/hr × 8 hr = 480 mL.