A physician ordered 5 mL 10% dextrose stat. The only dextrose available is a vial of 5 mL 50% dextrose.
How can the nurse provide the appropriate dose?
Dextrose 50%, add 1 mL to 4 mL injectable saline
Dextrose 50%, add 2 mL to 3 mL injectable saline
Dextrose 50%, add 3 mL to 2 mL injectable saline
Dextrose 50%, add 4 mL to 1 mL injectable saline
Dextrose 50%, add 4 mL to 1 mL injectable saline
The Correct Answer is A
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%.
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Related Questions
Correct Answer is C
Explanation
The patient is ordered to receive 5 mg of Lopressor over 60 seconds, which is equivalent to 1 minute. The concentration of Lopressor is 1 mg/1 mL, which means there is 1 mg of Lopressor in 1 mL of solution. To calculate how many milliliters per minute the nurse should administer, we can use the following formula:
5 mg / 1 mg per 1 mL = X mL X = 5 mL per minute.
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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