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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 ÷ 6 hr = 166.67 mL/hr, rounded to 167 mL/hr.
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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 primary health care provider (PHCP) prescribes ondansetron 0.15 mg/kg IV to a pediatric client who weighs 18.18 kg (39.99 lbs). The medication label reads 2 mg/mL. How many milliliters will the nurse administer to the client? Fill in the blank. Round your answer using 1 decimal place.
Correct Answer: 2.7 mL
Rationale: Calculate dose: 0.15 mg/kg × 18.18 kg = 2.727 mg. Convert: 2.727 mg ÷ 2 mg/mL = 1.3635 mL, rounded to 2.7 mL.
The primary healthcare provider orders methylprednisolone 1.6 mg/kg for a child weighing 30.4 kg (66.8 lbs). The label on the medication reads 500 mg/4 mL. How many milliliters (mL) should the nurse administer? Fill in the blank. Round your answer using 1 decimal place.
Correct Answer: 0.4 mL
Rationale: Calculate dose: 1.6 mg/kg × 30.4 kg = 48.64 mg. Convert: (48.64 mg ÷ 500 mg) × 4 mL = 0.39 mL, rounded to 0.4 mL.
The nurse is calculating intake for a client. The client received: ,¢ Two 100 mL intravenous antibiotics ,¢ Two eight-ounce cups of ice ,¢ One eight-ounce cup of coffee ,¢ Three eight-ounce cups of water. The nurse should document the client's total intake as how many mL? Fill in the blank.
Correct Answer: 1160 mL
Rationale: Convert ounces to mL: 8 oz = 240 mL. Ice counts as half volume: 240 mL ÷ 2 = 120 mL per cup. Total: 200 mL (antibiotics) + 240 mL (2 cups ice) + 240 mL (coffee) + 720 mL (3 cups water) = 1160 mL.
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 × 15 gtts/mL) ÷ 60 min = 2250 gtts ÷ 60 = 37.5 gtts/min, rounded to 38 gtts/min.