A client receives a prescription for norepinephrine 3 mcg/min intravenously (IV). The IV bag is contains norepinephrine 4 mg in dextrose 5% in water (D,W) 1,000 mL. How many mL/hour should the nurse program the infusion pump? (Enter numerical value only.)
The Correct Answer is ["45"]
1mg=1000mcg
4mg= 41000= 4000mcg
Desired dose= 3mcg/min
Desired dose per hour=3mcg60= 180mcg Form the prepared solution: 1000ml=4000mcg
?= 180mcg
=1801000/4000
=45ml/hr
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. While psychological support may be beneficial for managing chronic pain, arranging a consultation with a psychologist may not directly address the client's immediate need for pain management.
B. Fibromyalgia is a chronic pain condition, and a pain specialist is best equipped to assess and manage the client's pain effectively. Therefore, arranging an appointment with a pain specialist is the most appropriate intervention.
C. Hospice care is typically reserved for end-of-life care and may not be suitable for a client with fibromyalgia unless the condition is terminal.
D. Forming an interdisciplinary team may be helpful for comprehensive care but may not directly address the client's immediate need for pain management.
Correct Answer is B
Explanation
A. Remove the catheter and palpate the client's bladder for residual distention:
This is not the next appropriate action. Palpating the bladder does not address the immediate need to relieve the remaining urine or monitor for signs of overdistension.
B. Allow the bladder to empty completely or up to 1,000 mL of urine:
Gradual emptying is recommended to prevent bladder spasms and circulatory compromise due to rapid decompression of a distended bladder. It is safe to continue draining the urine up to 1,000 mL in a controlled manner before considering clamping the catheter temporarily if needed.
C. Clamp the catheter for thirty minutes and then resume draining:
Clamping after draining only 500 mL is unnecessary. The bladder should be allowed to empty up to 1,000 mL first, as gradual decompression is generally safe and therapeutic. Clamping prematurely might cause unnecessary discomfort or delay effective bladder emptying.
D. Remove the catheter and replace with an indwelling catheter:
Replacing the catheter is not required unless there is a clinical indication, such as repeated urinary retention or prolonged voiding difficulties. A straight catheter is appropriate for one-time use unless otherwise specified.
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