A nurse is preparing to administer dopamine 5 mcg/kg/min via continuous IV infusion to a newborn who weighs 4.4 kg and has septic shock. Available in dopamine 200 mg in dextrose 5% in water 250 mL. The nurse should set the IV pump to deliver how many mL/hr?
(Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
The Correct Answer is ["1.7"]
The dose of dopamine in mg/hr: 5 mcg/kg/min x 4.4 kg x 60 min/hr = 1320 mcg/hr Converted to mg: 1320 mcg/hr / 1000 mcg/mg = 1.32 mg/hr
Infusion rate in mL/hr: 1.32 mg/hr / (200 mg/250 mL) = 1.65 mL/hr Rounded off to the nearest tenth: 1.7 mL/hr
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Offering the medication now to prevent saturation of the perineal pad is incorrect because the prescription specifies administering the medication only if the pad is saturated within 15 minutes. Preventative administration is not indicated.
B. Giving the medication each time the client saturates the perineal pad within 15 minutes is incorrect because the prescription states "one time only." Repeated administration is not in line with the prescription.
C. Administering the medication once if the client saturates the perineal pad within 15 minutes is correct. This interpretation aligns with the prescription's directive to give the medication one time only under the specified condition.
D. Waiting to administer the medication after the client saturates a perineal pad is incorrect because the prescription does not specify a waiting period after saturation. The medication should be given immediately if the saturation occurs within the 15-minute timeframe.
Correct Answer is ["0.6"]
Explanation
Step 1: Determine the amount of enoxaparin in mg per mL. 60 mg ÷ 0.6 mL = 100 mg/mL
Result: 100 mg/mL
Step 2: Calculate the volume in mL needed to administer 55 mg. 55 mg ÷ 100 mg/mL = 0.55 mL
Result: 0.55 mL
Step 3: Round the result to the nearest tenth. 0.55 mL rounded to the nearest tenth = 0.6 mL
Result: 0.6 mL
The nurse should administer 0.6 mL of enoxaparin.
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