A client receives a prescription for heparin sodium 20,000 Units in 5% dextrose injection 500 mL to be infused at a rate of 880 units/hour. The nurse should program the infusion pump to deliver how many mL/hour?
(Enter numeric value only.)
The Correct Answer is ["22"]
The client receives a prescription for heparin sodium 20,000 Units in 5% dextrose injection 500 mL to be infused at a rate of 880 units/hour.
The concentration of heparin in the IV solution is 40 units/mL (20,000 units / 500 mL).
Since the healthcare provider prescribes 880 units/hour of heparin, the nurse should program the infusion pump to deliver 22 mL/hour of the IV solution (880 units/hour / 40 units/mL).
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["2.4"]
Explanation
Step 1 is to identify the ordered dose and the correct available concentration based on the route of administration.
Ordered Dose: 4,780 IU
Route: IV (Intravenous)
Available Strength: 10,000 IU
Reconstitution Volume for IV: 5 mL
Step 2 is to calculate the volume to administer in milliliters (mL)
Volume = (Ordered Dose ÷ Available Dose) × Available Volume
Volume = (4,780 ÷ 10,000) × 5
4,780 ÷ 10,000 = 0.478
0.478 × 5 = 2.39
Volume to administer = 2.39 mL
Step 3 is to round to the nearest tenth
2.39 rounds to 2.4
Answer: 2.4
Correct Answer is ["2.5"]
Explanation
The client weighs 172 pounds which is equivalent to 78.02 kg (1 kg = 2.20462 pounds).
The prescription for levothyroxine is 1.6 mcg/kg/day, so the client should receive 124.83 mcg of levothyroxine per day (1.6 mcg/kg/day * 78.02 kg).
The medication is available in 50 mcg scored tablets, so the nurse should administer 2.5 tablets per day (124.83 mcg / 50 mcg/tablet).

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