A patient with deep vein thrombosis has heparin ordered. Heparin 25,000 units in 250 mL D5W infuses at a rate of 12 mL/hr from 9:00 a.m. to 11:00 a.m. and 10 mL/hr from 11:00 a.m. to 2:00 p.m.
What is the total amount of heparin, in units, that the patient received from 9:00 a.m. to 2:00 p.m.?

5400 units

6800 units

7200 units

8900 units

Answer and Explanation

The Correct Answer is A

To calculate the total amount of heparin, we need to multiply the infusion rate by the time and then by the concentration of heparin in the IV bag. From 9:00 a.m. to 11:00 a.m., the infusion rate was 12 mL/hr, so the amount of heparin infused in this period was 12 mL/hr x 2 hours x 100 units/mL = 2400 units.

From 11:00 a.m. to 2:00 p.m., the infusion rate was 10 mL/hr, so the amount of heparin infused in this period was 10 mL/hr x 3 hours x 100 units/mL = 3000 units. The total amount of heparin infused from 9:00 a.m. to 2:00 p.m. was 2400 units + 3000 units = 5400 units.

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Correct Answer is C

Explanation

To calculate the dose that the child receives, we need to first convert the volume of the suspension from teaspoons to milliliters. One teaspoon is equal to 5 milliliters, so 2 teaspoons is equal to 10 milliliters. Then, we can use the concentration of the suspension to find the amount of cefuroxime in 10 milliliters. The concentration is 25 mg in 2 mL, or 12.5 mg in 1 mL. Therefore, the amount of cefuroxime in 10 mL is:

10 mL × 12.5 mg/mL = 125 mg

Therefore, the child receives 125 mg of cefuroxime once a day orally.

A. 0.65 mL/hr B. 9.6 mL/hr C. 10.1 mL/hr D. 14.8 mL/hr

Correct Answer is C

Explanation

We can use the following formula to calculate the infusion rate:

Infusion rate (mL/hr) = (Dose ordered in mcg/min x Volume to be infused in mL) / Dose available in mg

First, we need to convert the dose ordered from mg/min to mcg/min: 125 mg = 125,000 mcg

125,000 mcg/500 mL = 250 mcg/mL

Now we can plug in the values we have into the formula:

Infusion rate (mL/hr) = (42 mcg/min x 60 min x 24 hours) / (250 mcg/mL) Infusion rate (mL/hr) = 10.08 mL/hr

Rounding to the nearest tenth, the answer is C. 10.1 mL/hr.

Therefore, the nurse should program the IV pump to deliver the nitroglycerin at a rate of 10.1 mL/hr to achieve the ordered dose of 42 mcg/minute.

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A patient with deep vein thrombosis has heparin ordered. Heparin 25,000 units in 250 mL D5W infuses at a rate of 12 mL/hr from 9:00 a.m. to 11:00 a.m. and 10 mL/hr from 11:00 a.m. to 2:00 p.m. What is the total amount of heparin, in units, that the patient received from 9:00 a.m. to 2:00 p.m.?

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Naxlex Comprehensive Predictor Exams

Cefuroxime is available as a suspension of 25 mg in 2 mL. A mother informs a nurse that she gives her child 2 tsp of the suspension once a day orally. What is the dose that the child receives?

Correct Answer is C

Explanation

Nitroglycerin 125 mg diluted in 500 mL D5W (dextrose 5% in water) is infusing at a rate of 42 mcg/minute for a patient with chest pain. What rate (in mL/hr) should the nurse program into the IV pump to deliver this dose? Round your answer to the nearest tenth.

Correct Answer is C

Explanation

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A patient with deep vein thrombosis has heparin ordered. Heparin 25,000 units in 250 mL D5W infuses at a rate of 12 mL/hr from 9:00 a.m. to 11:00 a.m. and 10 mL/hr from 11:00 a.m. to 2:00 p.m.
What is the total amount of heparin, in units, that the patient received from 9:00 a.m. to 2:00 p.m.?