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
A) Gamma globulin
Gamma globulin is a blood product used to provide passive immunity by supplying antibodies to prevent or treat certain infections. It is not used for digitalis toxicity, so A is incorrect.
B) Cardizem
Cardizem (diltiazem) is a calcium channel blocker primarily used for controlling heart rate and treating conditions such as atrial fibrillation or angina. It is not used as an antidote for digoxin toxicity, so B is incorrect.
C) Protamine
Protamine is a medication used to reverse the effects of heparin, an anticoagulant. It works by neutralizing the anticoagulant activity of heparin, but it is not used to treat digitalis (digoxin) toxicity, so C is incorrect.
D) Digoxin immune fab
Digoxin immune fab is the specific antidote for digoxin toxicity. It consists of antibodies that bind to digoxin molecules, thereby neutralizing their toxic effects on the heart. This antidote is used when a patient exhibits severe symptoms of digoxin toxicity, such as arrhythmias or life-threatening effects on the heart. Therefore, D is the correct answer.
Correct Answer is D
Explanation
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
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