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The primary healthcare provider (PHCP) prescribes a regular insulin infusion. The prescription is for 4.5 units/hr. The label on the medication reads 250 mL of 0.9% saline containing 100 units of regular insulin. How many mL/hr should the client receive? Fill in the blank. Round your answer using 1 decimal place.
Correct Answer: 11.3 mL/hr
Rationale: Calculate: (4.5 units/hr ÷ 100 units) × 250 mL = 11.25 mL/hr, rounded to 11.3 mL/hr.
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A nurse is preparing to administer gentamicin to a child. The order is for 3 mg/kg IV daily in three divided doses. The client weighs 44.1 kg (97.02 lbs). How many milligrams should the nurse administer per dose? Fill in the blank. Round your answer to the nearest whole number.
Correct Answer: 44 mg
Rationale: Calculate total daily dose: 3 mg/kg × 44.1 kg = 132.3 mg. Divide by 3 doses: 132.3 mg ÷ 3 = 44.1 mg, rounded to 44 mg.
The primary healthcare provider (PHCP) prescribes 0.5 g of acetaminophen by mouth every six hours. The nurse has administered 3 doses. How many total milligrams has the client received? Fill in the blank.
Correct Answer: 1500 mg
Rationale: Convert 0.5 g to 500 mg (1 g = 1000 mg). Three doses: 500 mg × 3 = 1500 mg.
The primary healthcare provider (PHCP) prescribes 100 mL of 0.9% saline to infuse over 45 minutes. 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: 133 mL/hr
Rationale: Convert 45 minutes to 0.75 hours. Flow rate: 100 mL ÷ 0.75 hr = 133.33 mL/hr, rounded to 133 mL/hr.
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 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.