A nurse is preparing to administer 0/9% sodium chloride (0.9% NaCl) 20ml/kg IV tp infuse over 6 hr to a school-age child who weighs 55 lbs. The nurse should set the IV pump to deliver how many ml/hr? (Round to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
8 mL/hr
8.3 mL/hr
83.3 mL/hr
83 mL/hr
The Correct Answer is D
Ordered dose of 0.9% Sodium Chloride: 20 mL/kg
Child's weight: 55 lbs
Infusion time: 6 hours
Step 1: Convert child's weight from pounds to kilograms:
1 pound (lb) = 0.453592 kilograms (kg)
Child's weight in kg = 55 lbs x 0.453592 kg/lb = 24.94756 kg
Step 2: Calculate the total volume of 0.9% Sodium Chloride:
Total volume (mL) = Ordered dose (mL/kg) x Child's weight (kg)
Total volume (mL) = 20 mL/kg x 24.94756 kg
Total volume (mL) = 498.9512 mL
Step 3: Calculate the infusion rate in mL/hr:
Infusion rate (mL/hr) = Total volume (mL) / Infusion time (hr)
Infusion rate (mL/hr) = 498.9512 mL / 6 hr
Infusion rate (mL/hr) = 83.15853333 mL/hr
Step 4: Round to the nearest whole number:
Infusion rate (mL/hr) ≈ 83 mL/hr
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Given:
Ordered dose of clindamycin palmitate: 225 mg
Concentration of clindamycin palmitate oral suspension: 75 mg/5 mL
Step 1: Set up the proportion:
Desired dose (mg) / Volume to administer (mL) = Concentration (mg/mL)
Step 2: Substitute the values:
225 mg / Volume = 75 mg/5 mL
Step 3: Solve for the unknown volume:
Volume = 225 mg / (75 mg/5 mL)
Volume = 225 mg x (5 mL / 75 mg)
Volume = 15 mL
Correct Answer is D
Explanation
A) Nausea
Nausea is not the most common or primary complication associated with thrombolytic drugs. While some patients may experience nausea as a minor side effect, it is not the hallmark complication of thrombolytic therapy. Thrombolytic drugs are used to dissolve blood clots, and their primary concern is related to bleeding due to their potent effect on clotting factors.
B) Hypertension
Hypertension (high blood pressure) is not typically associated with thrombolytic therapy. In fact, thrombolytic drugs are more likely to cause hypotension (low blood pressure) in some cases, especially if bleeding complications lead to significant blood loss.
C) Fever
Fever can occur as a side effect of many medications or conditions, but it is not a common or direct complication of thrombolytic therapy. Fever may occasionally arise as a response to infection, inflammation, or even the breakdown of clots, but it is not a primary concern when using thrombolytic drugs.
D) Bleeding
Bleeding is the most common and serious complication associated with thrombolytic drugs. These medications work by breaking down fibrin, the protein responsible for clot formation, to dissolve blood clots. While this is beneficial in conditions like myocardial infarction, stroke, or pulmonary embolism, it increases the risk of bleeding throughout the body. Bleeding can occur at various sites, including internal bleeding, gastrointestinal bleeding, and bleeding at the injection site.
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