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A client is brought to the emergency center for fluid replacement after running a marathon, and the healthcare provider prescribes a 500 mL bolus of 0.9% normal saline to be administered over 4 hours. The infusion set delivers 10 gtt/mL, so the nurse should regulate the infusion to deliver how many gtt/minute? (Enter numerical value only. If rounding is required, round to the nearest whole number.)

Answer and Explanation

The Correct Answer is ["21"]

To find the answer, we can use the following formula:

(gtt/min) = (mL/hour) x (gtt/mL) / 60

Substituting the given values, we get:

(gtt/min) = (500 / 4) x (10) / 60

Simplifying, we get:

(gtt/min) = 125 x 10 / 60

(gtt/min) = 20.833

(rounded gtt/min) = 21

Therefore, the nurse should regulate the infusion to deliver 21 gtt/minute of 0.9% normal saline.

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Correct Answer is ["250"]

Explanation

To find the answer, we can use the following formula:

(mL/hour) = (mL/minute) x 60

Substituting the given values, we get:

(mL/hour) = (500 / 120) x 60

Simplifying, we get:

(mL/hour) = 4.167 x 60

(mL/hour) = 250

Therefore, the nurse should program the infusion pump to deliver 250 mL/hour of azithromycin in NS to the patient.

Correct Answer is ["800"]

Explanation

To find the answer, we can use the following steps:

- Convert the child's weight from pounds to kilograms by dividing by 2.2

- Multiply the weight in kilograms by the dosage in mg/kg

- Round the result to the nearest whole number

Using these steps, we get:

- (weight in kg) = (44) / (2.2) = 20

- (dose in mg) = (40) x (20) = 800

- (rounded dose in mg) = 800

Therefore, the nurse should administer 800 mg of vancomycin to the child.

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Naxlex Comprehensive Predictor Exams

A patient is receiving a secondary infusion of azithromycin 500 mg in 500 mL of normal saline (NS) to be infused over 2 hours. How many mL/hour should the nurse program the infusion pump? (Enter numerical value only.)

Correct Answer is ["250"]

Explanation

A child is to receive vancomycin 40 mg/kg intravenously one hour before a scheduled procedure. The child weighs 44 pounds. How many mg of the medication should the nurse administer? (Enter numeric value only.)

Correct Answer is ["800"]

Explanation

A client who weighs 60 kg receives a prescription for dalteparin 200 units/kg subcutaneously once a day for a month. The medication is available in 25,000 units/mL vial. How many mL should the nurse administer? (Enter numerical value. If rounding is required, round to the nearest tenth.)

The healthcare provider prescribed 2 liters of 5% Dextrose in water (D5W) to infuse in 24 hours. The IV administration set delivers 15 gtt/mL. How many mL/hour should the nurse program the infusion pump? (Enter numeric value only. If rounding is required, round to the nearest whole number.)

Filgrastim 5 mcg/kg/day subcutaneous is prescribed for a child with cancer who weighs 88 pounds. The medication is labeled 300 mcg/mL. How many mL should the nurse administer daily to this child? (Enter the numerical value only. If rounding required, round to the nearest tenth.)

A client who weighs 176 pounds receives a prescription for lorazepam 0.05 mg/kg intramuscularly 2 hours before a scheduled procedure. The medication is available in 4 mg/mL vial. How many mL should the nurse administer? (Enter numeric value only.)

A child who weighs 66 pounds receives a prescription for amoxicillin 80 mg/kg/day by mouth in divided doses every 12 hours. The bottle is labeled, "Amoxicillin for Oral Suspension, USP 400 mg per 5 mL." How many mL should the nurse administer with each dose? (Enter numerical value only.)

A child with a seizure disorder receives a prescription for phenytoin 20 mg by mouth every 8 hours. The suspension is available in 125 mg/5 mL. How many mL should the nurse administer? (Enter the numerical value only. If rounding is required, round to the nearest tenth.)