A nurse is assisting with the care of a client who is in labor and is receiving penicillin G 5.000.000 units via intermittent IV bolus over 60 min. Available is penicillin G 5,000,000 units in 0.9% sodium chloride 100 mL. The nurse should ensure that the IV pump is set to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
The Correct Answer is ["100"]
Given:
Total volume: 100 mL
Time: 60 minutes
Steps to solve:
Determine the flow rate:
Set up a proportion to solve for the unknown flow rate (X):
100 mL/60 min = X mL/1 min
Cross-multiplying gives us:
100 mL x 1 min = 60 min x X mL
Simplifying:
100 = 60X
Solving for X:
X = 100 / 60 = 1.67 mL/min
Convert to mL/hr:
1.67 mL/min x 60 min/hr = 100 mL/hr
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A) Frequency: The frequency in this prescription is specified as "qhs" (every night at bedtime), which is a standard and appropriate frequency for this type of treatment. There is no issue with the frequency, as it aligns with common treatment regimens for vaginal infections.
B) Route: The prescribed route for clindamycin is vaginal, which is unusual for antibiotics, as they are typically given orally or intravenously. However, clindamycin can be used vaginally for the treatment of infections such as group B streptococcus during pregnancy. The nurse should clarify the route to ensure that this is the intended administration method, especially considering that clindamycin is more commonly prescribed for oral or IV use.
C) Dosage: The dosage of 5 g is appropriate for vaginal clindamycin treatment for group B streptococcus and falls within typical guidelines for this type of therapy. Clindamycin vaginal suppositories or creams are usually dosed in the range of 5 g, making the dosage correct.
D) Medication: Clindamycin is a suitable antibiotic for treating group B streptococcus infections, including when administered vaginally. It is frequently used for such purposes, especially in pregnant women, to prevent neonatal transmission during labor.
Correct Answer is ["0.75"]
Explanation
Given:
Prescribed dose: 75 mg of enoxaparin
Available concentration: 100 mg/mL
Steps to solve:
Determine the volume to be administered:
Set up a proportion to solve for the unknown volume (X):
100 mg/mL = 75 mg/X mL
Cross-multiplying gives us:
100 mg x X mL = 75 mg x 1 mL
Simplifying:
100X = 75
Solving for X:
X = 75 / 100 = 0.75 mL
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