A nurse is preparing to administer diltiazem IV 0.25 mg/kg V bolus given over 2 min to client who has atrial fibrillation and weighs 154 lb. Available is diltiazem IV injection 25 mg/S mL. How many mL should the nurse administer? Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
The Correct Answer is ["3.5"]
Understanding the Problem
Order: Diltiazem 0.25 mg/kg IV bolus over 2 minutes
Client Weight: 154 lbs
Available Solution: Diltiazem IV injection 25 mg/5 mL
Desired Dose: mL to administer
Step 1: Convert Client Weight to Kilograms (kg)
1 kg = 2.2 lbs
Client Weight in kg: 154 lbs / 2.2 lbs/kg = 70 kg
Step 2: Calculate the Total Dose
Ordered Dose: 0.25 mg/kg
Client Weight: 70 kg
Total Dose: 0.25 mg/kg * 70 kg = 17.5 mg
Step 3: Determine the Concentration of the Diltiazem Solution
Available Diltiazem: 25 mg
Solution Volume: 5 mL
Concentration: 25 mg / 5 mL = 5 mg/mL
Step 4: Calculate the Volume to Administer
Total Dose: 17.5 mg
Concentration: 5 mg/mL
Volume: 17.5 mg / 5 mg/mL = 3.5 mL
Step 5: Round to the Nearest Tenth
The calculated volume is 3.5 mL, which is already to the nearest tenth.
Answer: 3.5 mL
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. A total 62.5 mL is available in this dose: The label states that each mL of the reconstituted solution contains 62.5 mg of methylprednisolone. However, the total volume available depends on the reconstitution process, and this option does not directly match the provided information.
B. This medication can be administered IM only: The label clearly states that the medication can be given both intramuscularly (IM) and intravenously (IV), making this option incorrect.
C. This medication should be protected from light: The label explicitly instructs to protect the medication from light, confirming this as the correct answer.
D. The medication is effective for 7 days after reconstitution: The label specifies that the medication should be used within 48 hours after reconstitution, not 7 days.
Correct Answer is ["4.5"]
Explanation
Calculate the Insulin Dose in Units/hr:
Dose = 0.1 units/kg/hr x 45 kg
Dose = 4.5 units/hr
Determine the Insulin Concentration in Units/mL:
Available concentration = 1 unit/mL (given in the problem)
Calculate the Infusion Rate in mL/hr:
Infusion Rate (mL/hr) = Dose in units/hr / Concentration (units/mL)
Infusion Rate (mL/hr) = 4.5 units/hr / 1 unit/mL
Infusion Rate (mL/hr) = 4.5 mL/hr
Round to the Nearest Tenth (if necessary):
4.5 mL/hr
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