A nurse is preparing to administer vancomycin 1 g in 250 ml 0.9% sodium chloride by intermittent IV bolus over 90 min. 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 ["167"]
To calculate the infusion rate for the IV pump, we need to divide the total volume of the solution (250 mL) by the infusion time (90 min). This gives us:
250 mL / 90 min = 2.778 mL/min
To convert this to mL/hr, we need to multiply by 60 min/hr. This gives us: 2.778 mL/min x 60 min/hr = 166.667 mL/hr
To round this to the nearest whole number, we look at the tenths place and see that it is 6, which is equal to or greater than 5, so we round up and drop the rest of the digits. This gives us:
167 mL/hr
Therefore, the nurse should set the IV pump to deliver 167 mL/hr.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["3.5"]
Explanation
To convert pounds to kilograms, divide by 2.2: 154 lb / 2.2 = 70 kg. Then multiply by the dosage per kilogram: 70 kg x 50 mcg/kg = 3500 mcg. Next, convert micrograms to milligrams by dividing by 1000: 3500 mcg / 1000 = 3.5 mg. Finally, use the formula D/H x Q to find the volume to administer, where D is the dose, H is the strength of the solution, and Q is the quantity of the solution. Plug in the values: 3.5 mg / 1 mg/mL x 1mL = 3.5 mL. Round to the nearest tenth: 3.5 mL. Therefore, the nurse should administer 3.5 mL of milrinone.
Correct Answer is ["15"]
Explanation
To answer this question, we need to calculate the dose of esmolol in mcg/kg/min, then convert it to mg/hr, and then use the formula:
mL/hr = (dose in mg/hr) x (volume in mL) / (concentration in mg)
First, we convert the client's weight from pounds to kilograms:
110 lb x 1 kg / 2.2 lb = 50 kg
Next, we multiply the client's weight by the prescribed dose to get the dose in mcg/min: 50 kg x 50 mcg/kg/min = 2500 mcg/min
Then, we divide the dose in mcg/min by 1000 to get the dose in mg/min: 2500 mcg/min / 1000 = 2.5 mg/min
Finally, we multiply the dose in mg/min by 60 to get the dose in mg/hr: 2.5 mg/min x 60 = 150 mg/hr
Now, we can use the formula to find the infusion rate in mL/hr:
mL/hr = (150 mg/hr) x (250 mL) / (2500 mg)
mL/hr = 15
Therefore, the nurse should set the IV pump to deliver 15 mL/hr.
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