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
8900 units
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Dextrose 50%, add 1 mL to 4 mL injectable saline. To obtain 5 mL of 10% dextrose, 0.5 mL of the 50% dextrose should be diluted with 4.5 mL of sterile water or normal saline. Therefore, the nurse should add 1 mL of the 50% dextrose to 4 mL of injectable saline to get a final concentration of 10% dextrose in 5 mL. This will give the client the appropriate dose.
Choice B is incorrect because adding 2 mL of the 50% dextrose to 3 mL of saline would give a final concentration of 20%, which is higher than the prescribed concentration of 10%.
Choice C is incorrect because adding 3 mL of the 50% dextrose to 2 mL of saline would give a final concentration of 30%, which is significantly higher than the prescribed concentration of 10%.
Choice D is incorrect because adding 4 mL of the 50% dextrose to 1 mL of saline would give a final concentration of 40%, which is much higher than the prescribed concentration of 10%.
Correct Answer is D
Explanation
A. 0.04 mg
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This is far too small.
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It might come from a miscalculation involving the concentration (1 mg/mL) and volume (5 mL), but incorrectly dividing again by 100.
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Not clinically reasonable because the patient would barely receive any drug.
B. 0.25 mg
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This is also incorrect.
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It could result from mistakenly dividing 5 mg by 20 minutes instead of 2 minutes.
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Again, far below the actual ordered rate.
C. 3.75 mg
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This is incorrect but closer.
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It might come from a misstep like subtracting 1.25 mg from the correct answer (2.5 mg) or misusing the concentration.
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Still not the right calculation.
D. 2.5 mg
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Correct answer.
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Direct calculation: 5 mg ÷ 2 minutes = 2.5 mg/min.
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Matches the ordered dose and administration time.
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