A healthcare provider orders nitroprusside (100 mg/1 mL) 3 mcg/kg/minute for a patient weighing 154 lb. What rate (mL/hr) should the nurse program into the IV pump?
126 mL/hr
1.26 mL/hr
1260 mL/hr
12.6 mL/hr
The Correct Answer is B
First, we need to convert the patient's weight from pounds to kilograms using the conversion factor 1 kg =
2.2 lb:
154 lb / 2.2 lb/kg = 70 kg
Next, we need to calculate the dose of nitroprusside in mcg/min using the formula Dose = Weight × Dosage:
Dose = 70 kg × 3 mcg/kg/min = 210 mcg/min
Then, we need to convert the dose of nitroprusside from mcg/min to mg/hr using the conversion factor 1 mg = 1000 mcg:
210 mcg/min × 1 mg/1000 mcg × 60 min/hr = 12.6 mg/hr
Finally, we need to calculate the rate of nitroprusside in mL/hr using the formula Rate = Dose/Concentration:
Rate = 12.6 mg/hr / 100 mg/mL = 0.126 mL/hr
To round to the nearest hundredth, we get 0.13 mL/hr, which is approximately equal to 1.26 mL/hr.
Therefore, the nurse should program the IV pump to deliver nitroprusside at a rate of 1.26 mL/hr.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
To find the number of capsules of amoxicillin required for 5 days, you need to calculate the following:
- The total dose of amoxicillin in milligrams (mg) for 5 days using the formula: Total dose (mg) = Prescribed dose (mg) x Frequency (times/day) x Duration (days)
- The number of capsules of amoxicillin using the formula: Number of capsules = Total dose (mg) / Strength per capsule (mg)
First, use the formula for total dose to find the amount of amoxicillin in milligrams for 5 days:
Total dose (mg) = Prescribed dose (mg) x Frequency (times/day) x Duration (days)
Since the prescribed dose is 250 mg, the frequency is 3 times per day, and the duration is 5 days, plug in these values into the formula:
Total dose (mg) = 250 mg x 3 times/day x 5 days
Simplify and solve for the total dose:
Total dose (mg) = 3750 mg
Next, use the formula for number of capsules to find how many capsules of amoxicillin are needed:
Number of capsules = Total dose (mg) / Strength per capsule (mg)
Since the total dose is 3750 mg and the strength per capsule is 250 mg, plug in these values into the formula:
Number of capsules = 3750 mg / 250 mg
Simplify and solve for the number of capsules:
Number of capsules = 15
Therefore, the client needs **15 capsules** of amoxicillin for 5 days.
Correct Answer is A
Explanation
To find the milligrams per minute, you need to calculate the following:
- The volume of Lopressor in milliliters
- The infusion rate in milliliters per minute using the formula: Infusion rate (mL/min) = Total volume (mL) / Time (min)
- The dose of Lopressor in milligrams per minute using the formula: Dose (mg/min) = Infusion rate (mL/min) x Concentration (mg/mL)
First, divide the dose of Lopressor by the concentration to get the volume in milliliters:
5 mg / 1 mg/mL = 5 mL
Next, use the formula for infusion rate to find how many milliliters per minute the IV pump should deliver:
Infusion rate (mL/min) = Total volume (mL) / Time (min)
Since the total volume is 5 mL and the time is 2 minutes, plug in these values into the formula:
Infusion rate (mL/min) = 5 mL / 2 min
Simplify and solve for the infusion rate:
Infusion rate (mL/min) = 2.5 mL/min
Then, use the formula for dose to find how many milligrams per minute the patient should receive:
Dose (mg/min) = Infusion rate (mL/min) x Concentration (mg/mL)
Since the infusion rate is 2.5 mL/min and the concentration is 1 mg/mL, plug in these values into the formula:
Dose (mg/min) = 2.5 mL/min x 1 mg/mL
Simplify and solve for the dose:
Dose (mg/min) = 2.5 mg/min
Therefore, the patient should receive **2.5 mg/min** of Lopressor.
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