A client is receiving a secondary IV infusion of potassium chloride (KCI) 30 mEq at a rate of 10 mEq an hour. The pharmacy dispenses a 100 mL of 0.9% normal saline (NS) containing KCI 30 mEq. The nurse should program the infusion pump to deliver how many mL/hour (Enter numeric value only. If rounding is required, round to the nearest whole number.)
The Correct Answer is ["33"]
Rationale:
Given:
Total dose of Potassium Chloride: 30 mEq
Volume of solution: 100 mL
Infusion rate: 10 mEq/hour
Step 1: Determine the concentration of Potassium Chloride in the solution:
Concentration (mEq/mL) = Total Potassium Chloride (mEq) / Volume of solution (mL)
Concentration (mEq/mL) = 30 mEq / 100 mL
Concentration (mEq/mL) = 0.3 mEq/mL
Step 2: Calculate the infusion rate in mL/hr:
Infusion rate (mL/hr) = Infusion rate (mEq/hr) / Concentration (mEq/mL)
Infusion rate (mL/hr) = 10 mEq/hr / 0.3 mEq/mL
Infusion rate (mL/hr) = 33.33 mL/hr
Step 3: Round to the nearest whole number:
Infusion rate (mL/hr) ≈ 33 mL/hr
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["7"]
Explanation
Given:
Ordered dose of Nesiritide: 0.01 mcg/kg/minute
Patient weight: 155.1 pounds
Bag size: 250 mL D5W
Concentration of Nesiritide: 1.5 mg
Step 1: Convert patient weight from pounds to kilograms:
1 pound (lb) = 0.453592 kilograms (kg)
Patient weight in kg = 155.1 lbs x 0.453592 kg/lb = 70.3 kg
Step 2: Calculate the total dose of Nesiritide in mcg/minute:
Total dose (mcg/minute) = Ordered dose (mcg/kg/minute) x Patient weight (kg)
Total dose (mcg/minute) = 0.01 mcg/kg/minute x 70.3 kg
Total dose (mcg/minute) = 0.703 mcg/minute
Step 3: Convert mcg/minute to mg/hour:
Total dose (mg/hour) = Total dose (mcg/minute) x 60 minutes/hour / 1000 mcg/mg
Total dose (mg/hour) = 0.703 mcg/minute x 60 minutes/hour / 1000 mcg/mg
Total dose (mg/hour) = 0.04218 mg/hour
Step 4: Calculate the infusion rate in mL/hour:
Infusion rate (mL/hour) = Total dose (mg/hour) / Concentration (mg/mL)
Infusion rate (mL/hour) = 0.04218 mg/hour / (1.5 mg/250 mL)
Infusion rate (mL/hour) = 0.04218 mg/hour x (250 mL/1.5 mg)
Infusion rate (mL/hour) = 7.03 mL/hour
Step 5: Round to the nearest whole number:
Infusion rate (mL/hour) ≈ 7 mL/hour
Correct Answer is ["0.5"]
Explanation
Given:
Ordered dose of interferon beta-1b: 0.125 mg
Vial strength: 0.3 mg
Reconstitution volume: 1.2 mL
Step 1: Determine the concentration of the reconstituted solution:
Concentration (mg/mL) = Total amount of medication (mg) / Volume of solution (mL)
Concentration (mg/mL) = 0.3 mg / 1.2 mL
Concentration (mg/mL) = 0.25 mg/mL
Step 2: Calculate the volume to be administered:
Volume (mL) = Desired dose (mg) / Concentration (mg/mL)
Volume (mL) = 0.125 mg / 0.25 mg/mL
Volume (mL) = 0.5 mL
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