A nurse will administer Zofran (ondansetron) 0.15 mg/kg over 15 minutes. The patient weighs 176 lb. The nurse receives the medication from the pharmacy mixed in 50 mL normal saline...
How should the nurse set the IV pump to deliver the correct dose?
100 mL/hr
150 mL/hr
200 mL/hr
400 mL/hr
The Correct Answer is C
The patient is ordered to receive 0.15 mg/kg of Zofran over 15 minutes. The patient weighs 176 lb, which is equivalent to 80 kg. To calculate the total amount of Zofran the patient should receive, multiply the weight by the dosage:
80 kg x 0.15 mg/kg = 12 mg
The Zofran arrives from the pharmacy mixed in 50 mL of normal saline, which means there is 12 mg of Zofran in 50 mL of solution. To calculate how many milliliters per hour the nurse should set the IV pump, we can use the following formula:
50 mL / 0.25 hour = X mL per hour X = 200 mL per hour
Therefore, the nurse should set the IV pump to deliver 200 mL of Zofran per hour to the patient.
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Related Questions
Correct Answer is C
Explanation
The Tylenol 3 medication contains codeine 30 mg and acetaminophen (APAP) 300 mg per tablet.
The physician has ordered Tylenol 3 30 mg every 4-6 hours as needed for pain. Therefore, the nurse should administer 1 tablet (containing 30 mg of codeine and 300 mg of APAP) every 4-6 hours as needed for pain..
It is important to note that the maximum daily dose of acetaminophen is 4,000 mg. Therefore, the nurse should monitor the total daily dose of acetaminophen the patient receives from all sources to ensure it does not exceed 4,000 mg.
Correct Answer is B
Explanation
To calculate the dose of digoxin in micrograms (mcg) that the child should receive, we need to first convert the weight of the child from pounds to kilograms:.
30 lb / 2.205 = 13.61 kg.
Next, we can calculate the dose of digoxin in mcg:. Dose (in mcg) = Weight (in kg) x Dose (in mcg/kg). Dose (in mcg) = 13.61 kg x 10 mcg/kg.
Dose (in mcg) = 136.1 mcg.
Now we need to calculate the volume of digoxin solution to administer. Since the concentration of the digoxin solution is 1 mg/mL, we can use proportion to calculate the volume:.
1 mg is to 1 mL as 136.1 mcg is to X mL. 1/1 = 136.1/X.
Cross-multiplying, we get:. 1X = 136.1 x 1.
X = 136.1 mL.
Therefore, the nurse should administer 0.1361 mL (136.1 mcg) of digoxin to the child.
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