A nurse is preparing to administer magnesium sulfate 1 g/hr via continuous IV infusion to a client. Available is magnesium sulfate 40 g in 0.9% sodium chloride 000 mL. 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. Do not use a trailing zero.)
The Correct Answer is ["25"]
To calculate the IV pump setting, you need to determine how many milliliters per hour will provide 1 gram of magnesium sulfate. With 40 grams of magnesium sulfate in 1000 mL, you have a concentration of 0.04 grams per mL. To administer 1 gram per hour, divide the desired dose (1 gram) by the concentration (0.04 grams/mL), which equals 25 mL. Therefore, the nurse should set the IV pump to deliver 25 mL per hour.
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Correct Answer is A
Explanation
A. Frequency of administration: The prescription does not specify how often the nystatin cream should be applied. This is a critical piece of information necessary for the safe and effective use of the medication, and the nurse should clarify it with the provider.
B. Concentration of the medication: The concentration of 100,000 units/g is a standard dosage for nystatin cream and does not require clarification.
C. Name of the medication: Nystatin cream is clearly identified in the prescription, so there is no ambiguity regarding the medication.
D. Route of administration: The prescription specifies that the cream should be applied to the affected area, indicating the topical route, which is clear and appropriate for nystatin cream.
Correct Answer is A
Explanation
A. Losartan is contraindicated in pregnancy due to its potential harmful effects on the fetus, and thus requires clarification with the provider in the postpartum period.
B. Ferrous fumarate is a standard supplement given postpartum to replenish iron stores and does not require clarification.
C. Prochlorperazine rectal suppositories are used PRN for nausea and do not typically require clarification unless there are specific concerns.
D. Docusate sodium is a stool softener commonly used postpartum and does not require clarification.
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