A nurse is preparing to administer a loading dose of phenytoin 10 mg/kg by IV bolus to a client who weighs 154 lb. Available is phenytoin50 mg/mL. How many mL should the nurse administer?
(Round the answer to the nearest whole number. Use a leading zero if it applies t use a trailing zero.)

Answer and Explanation

The Correct Answer is ["14"]

To answer this question, the nurse needs to perform the following steps:

Convert the client's weight from pounds to kilograms by dividing it by 2.2. 154 lb / 2.2 = 70 kg.

Multiply the client's weight by the loading dose of phenytoin to get the total dose in milligrams. 70 kg x 10 mg/kg = 700 mg.

Divide the total dose by the concentration of phenytoin to get the volume in milliliters. 700 mg / 50 mg/mL = 14 mL.

Round the volume to the nearest whole number. The nurse should administer 14 mL of phenytoin by IV bolus.

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Correct Answer is ["67"]

Explanation

To solve this problem, the nurse needs to use the formula:

gtt/min = (Volume in mL x Drop factor in gtt/mL) / Time in min

Plugging in the given values, we get:

gtt/min = (100 x 10) / 15

gtt/min = 66.67

Rounding to the nearest whole number, we get:

gtt/min = 67

Therefore, the nurse should set the manual IV infusion to deliver 67gtt/min.

Correct Answer is ["50"]

Explanation

To calculate the flow rate in drops per minute (gtt/min), you can use the formula:

Flow rate (gtt/min) = Volume (mL) × Drop factor (gtt/mL) ÷ Time (min)

Given:
Volume = 1000 mL
Drop factor = 12 gtt/mL
Time = 4 hours

Convert 4 hours to minutes:
4 hours × 60 minutes/hour = 240 minutes

Then

Flow rate (gtt/min) = 1000 mL × 12 gtt/mL ÷ 240 min

Flow rate (gtt/min) = 12000 gtt ÷ 240 min

Flow rate (gtt/min) = 50 gtt/min

Therefore, the nurse should regulate the flow rate to deliver 50 gtt/min.

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A nurse is preparing to administer a loading dose of phenytoin 10 mg/kg by IV bolus to a client who weighs 154 lb. Available is phenytoin50 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies t use a trailing zero.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["67"]

Explanation

Correct Answer is ["50"]

Explanation

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A nurse is preparing to administer a loading dose of phenytoin 10 mg/kg by IV bolus to a client who weighs 154 lb. Available is phenytoin50 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies t use a trailing zero.)

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A nurse is preparing to administer a loading dose of phenytoin 10 mg/kg by IV bolus to a client who weighs 154 lb. Available is phenytoin50 mg/mL. How many mL should the nurse administer?
(Round the answer to the nearest whole number. Use a leading zero if it applies t use a trailing zero.)