A nurse is preparing to administer cimetidine 300 mg IV over 15 min to a client. Available is cimetidine 300 mg/100 mL of 0.9% sodium chloride. The nurse should set the IV pump to deliver how many mL/hr?
(Round the answer to the nearest whole number. Use a leading zero if it applies. Done use a trailing zero.)
The Correct Answer is ["400"]
Step 1: Determine the Total Volume Needed
- Supplied concentration: 300 mg/100 mL
- Prescribed dose: 300 mg
- Total volume needed = 100 mL
Step 2: Convert Time to Hours
- Prescribed infusion time = 15 minutes
- 15 minutes ÷ 60 minutes/hour = 0.25 hours
Step 3: Calculate the Infusion Rate (mL/hr)
- Infusion rate = Total volume (mL) ÷ Time (hours)
- Infusion rate = 100 mL ÷ 0.25 hours
- Infusion rate = 400 mL/hr
The nurse should set the IV pump to deliver cimetidine at 400 mL/hr (rounded to the nearest whole number).
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "You should take this medication on an empty stomach:"
Bumetanide can be taken with or without food. It is not necessary to take it on an empty stomach.
B. "You should monitor for hearing difficulties:"
This is the correct answer. Loop diuretics, including bumetanide, are associated with ototoxicity, which can lead to hearing difficulties or hearing loss. Clients should be instructed to report any changes in hearing.
C. "You should decrease your intake of foods high in potassium:"
Bumetanide can cause potassium loss, but instructing the client to decrease potassium intake may not be appropriate without knowing the client's specific potassium levels. Monitoring potassium levels and adjusting the diet or prescribing supplements as needed would be a more individualized approach.
D. "You should take the medication at bedtime:"
Bumetanide is often prescribed in the morning to avoid disrupting sleep with increased urination during the night. Taking it at bedtime is not a typical recommendation.
Correct Answer is D
Explanation
A. Increased blood pressure: Heparin does not typically directly affect blood pressure. However, if there are other underlying conditions or complications related to the reason for heparin use, it might indirectly influence blood pressure. But a high aPTT level itself wouldn't directly cause an increase in blood pressure.
B. Decreased temperature: Heparin does not usually affect body temperature. Changes in temperature might occur due to other factors, but they are not directly related to heparin administration or its effects on aPTT.
C. Decreased respiratory rate: Heparin does not typically affect the respiratory rate directly. Changes in respiratory rate might occur due to other causes but are not directly correlated with heparin administration or its effects on aPTT.
D. Increased pulse rate: Heparin, especially when aPTT is elevated, might indicate that the blood is less likely to clot. An increased pulse rate could be indicative of compensatory mechanisms due to potential bleeding or changes in clotting factors influenced by heparin. It's essential to monitor for an increased pulse rate as a potential sign of bleeding complications associated with anticoagulant therapy.
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