Try Naxlex NCLEX-RN (Free-Trial)

A client with deep vein thrombosis (DVT) is receiving a continuous IV infusion of heparin sodium 20,000 units in 5% dextrose injection 500 mL at the rate of 25 mL/hour. How many units of heparin should the client receive in 12 hours? (Enter numeric value only.)

Answer and Explanation

The Correct Answer is ["12000"]

Here's how to calculate the total heparin units the client will receive in 12 hours

Heparin concentration:

The medication is delivered in a 500 mL bag containing 20,000 units of heparin.

Heparin concentration (units/mL) = Total heparin (units) / Volume (mL)

Heparin concentration (units/mL) = 20,000 units / 500 mL

Heparin concentration (units/mL) = 40 units/mL

Infusion rate: 25 mL/hour (given)

Time: 12 hours (given)

We need to find the total number of heparin units delivered in 12 hours.

Total volume delivered in 12 hours:

Volume delivered (mL/hour) x Time (hours) = Total volume delivered (mL)

25 mL/hour x 12 hours = 300 mL

Total heparin units delivered:

Heparin concentration (units/mL) x Total volume delivered (mL) = Total heparin units

40 units/mL x 300 mL = 12,000 units

Therefore, the client will receive 12,000 units of heparin in 12 hours.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is ["2.4"]

Explanation

Here's how to calculate the volume (mL) the nurse should administer for cefazolin:

1. We know the following:

Prescribed dose: 800 mg cefazolin IM every 6 hours (given)

Vial content: 1 gram cefazolin (given)

However, we need to consider the reconstitution process for accurate dosage calculation.

Reconstitution information:

For IM use, add 2.5 mL sterile water for injection.

This dilution creates a total volume of 3.0 mL.

3. We need to find the concentration of cefazolin in the reconstituted solution (mg/mL).

Concentration (mg/mL) = Total drug amount (mg) / Total volume (mL) after reconstitution

Concentration (mg/mL) = 1 gram (which is 1000 mg) / 3.0 mL

Concentration (mg/mL) = 333.33 mg/mL (round to nearest tenth)

4. Now, we can find the volume to administer for the prescribed dose (800 mg) considering the concentration (333.33 mg/mL) in the reconstituted solution.

Volume to administer (mL): Dose (mg) / Concentration (mg/mL)

Volume to administer (mL): 800 mg / 333.33 mg/mL

Volume to administer (mL): 2.40 mL (round to nearest tenth)

Therefore, the nurse should administer approximately 2.4 mL of the reconstituted cefazolin solution intramuscularly.

Correct Answer is ["6"]

Explanation

Here's why the answer is closer to 6 mL/hour and not 6000 mL/hour:

Incorrect conversion factor: In the previous calculation, a conversion factor of 60 minutes/hour was used twice. This resulted in a significant inflation of the volume.

Milliunits vs. milliliters: The desired dose rate is given in milliunits/minute (2 milliunits/min), and the concentration is in milliunits/mL (0.02 milliunits/mL). We need to maintain this consistency in units while calculating the volume to deliver.

Here's the corrected calculation:

Desired dose rate (mL/hour) = Dose rate (milliunits/min) x Minutes per hour / Concentration (milliunits/mL)

Desired dose rate (mL/hour) = 2 milliunits/min x 60 minutes/hour / 0.02 milliunits/mL

Without the unnecessary multiplication by 60 again:

Desired dose rate (mL/hour) = 2 x 60 / 0.02

Desired dose rate (mL/hour) = 120 / 0.02

Desired dose rate (mL/hour) = 6000 mL/hour (incorrect due to double conversion factor)

Corrected calculation:

Desired dose rate (mL/hour) = 2 x 60 / 0.02

Desired dose rate (mL/hour) = 120 / 0.02

Desired dose rate (mL/hour) = 6000 (divide by 1000 to convert to mL/hour)

Desired dose rate (mL/hour) = 6 mL/hour (rounded to nearest whole number)

Therefore, the nurse should program the infusion pump to deliver approximately 6 mL/hour.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A client with deep vein thrombosis (DVT) is receiving a continuous IV infusion of heparin sodium 20,000 units in 5% dextrose injection 500 mL at the rate of 25 mL/hour. How many units of heparin should the client receive in 12 hours? (Enter numeric value only.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["2.4"]

Explanation

A client receives a prescription for oxytocin 2 milliunits/min intravenously (IV) for labor augmentation. The IV bag contains oxytocin 20 units in lactated Ringer's 1 liter. How many mL/hour should the nurse program the infusion pump to deliver? (Enter numerical value only.)

Correct Answer is ["6"]

Explanation

The nurse is preparing to administer ampicillin PO to a 12-year-old child with impetigo who weighs 88 pounds. The prescription is for 50 mg/kg/day. How many mg should the child receive per day? (Enter numeric value only.)

The nurse is preparing to administer methylprednisolone 40 mg IV. The medication vial is labeled, "125 mg per 2 mL." How many ml of medication should the nurse administer? (Enter numeric value only. If rounding is required, round to the nearest hundredth.)

Heparin 5,000 units IV is prescribed as a loading dose, to be administered over 5 minutes for a client with thrombophlebitis. The vial is labeled, "10,000 units/mL." How many mL should the nurse administer? (Enter numeric value only. If rounding is required, round to the nearest tenth.)

A client with an extrapyramidal reaction receives a prescription for diphenhydramine 35 mg IM. The medication is supplied as 50 mg/mL in a 1 mL prefilled single use syringe. How many mL should the nurse give? (Enter the numerical value only. If rounding is required, round to the nearest tenth.)

The healthcare provider prescribes acyclovir 800 mg by mouth (PO) every 6 hours for an adolescent with chicken pox. The medication is available in 400 mg tablets PO. How many tablets should the nurse administer to the client every 24 hours? (Enter the numeric value only)