A nurse will administer Nubain (nalbuphine) 0.3 mg/kg IV over 10 minutes. The Nubain is available in 10 mg/mL. The patient weighs 148 lb.
How many milliliters per minute of Nubain should the nurse administer?
0.2 mL/min
0.4 mL/min
1 mL/min
2 mL/min
2 mL/min
The Correct Answer is A
The patient is ordered to receive 0.3 mg/kg of Nubain IV over 10 minutes. The patient weighs 148 lb, which is equivalent to 67.3 kg. To calculate the total amount of Nubain the patient should receive, multiply the weight by the dosage:
67.3 kg x 0.3 mg/kg = 20.19 mg
The Nubain is available in 10 mg/mL, which means there is 10 mg of Nubain in 1 mL of solution. To calculate how many milliliters of Nubain the patient should receive, divide the total amount of Nubain by the concentration:
20.19 mg / 10 mg per mL = 2.019 mL
To calculate how many milliliters per minute the nurse should administer, divide the total volume of Nubain by the infusion time:
2.019 mL / 10 minutes = 0.2019 mL per minute
Rounding to one decimal place, the nurse should administer 0.2 mL of Nubain per minute to the patient.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
First, we need to calculate the total dose of esmolol required per minute: Total dose = Weight x Dose x 60 minutes
Total dose = 65 kg x 200 mcg/kg/min x 60 minutes Total dose = 780,000 mcg/min
Next, we need to convert the dose to milligrams (mg):
780,000 mcg/min = 780 mg/min
The concentration of the esmolol solution is 2,500 mg in 250 mL or 10 mg/mL. To deliver 780 mg/min at a concentration of 10 mg/mL, we need to infuse: Infusion rate = Total dose / Concentration
Infusion rate = 780 mg/min / 10 mg/mL Infusion rate = 78 mL/min
Rounding to the nearest whole number, the answer is D. 78 mL/hr.
Therefore, the nurse should calculate an infusion rate of 78 mL/hr to deliver the required dose of esmolol to the patient.
Correct Answer is C
Explanation
The correct answer is choice C, 3 tablets. To calculate the number of tablets, divide the ordered dose by the available dose:
75 mg ÷ 25 mg = 3
The nurse should administer 3 tablets of Coumadin 25 mg to the patient to give a total dose of 75 mg.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today