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%.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The Joint Commission has a list of approved medical abbreviations that should be used to prevent miscommunication and errors in healthcare settings.
Out of the abbreviations listed in the
Question , only "IV" (for intravenous) is on the Joint Commission's list of approved abbreviations.
"IU" (for international unit) is not on the list because it can be misinterpreted as "IV" (intravenous) or "10" (the Roman numeral for 10).
"QD" (for once daily) is also not on the list because it can be misinterpreted as "QID" (four times daily) or "QOD" (every other day).
"QOD" (for every other day) is also not on the list because it can be misinterpreted as "QD" (once daily) or "QID" (four times daily).
Therefore, the correct answer is A. IV.
Correct Answer is B
Explanation
To calculate the flow rate in mL/hr for a continuous infusion, we need to divide the total volume to be infused by the total time of infusion, and then convert the units as necessary.
In this case, the total volume is 2.5 L, which is equivalent to 2500 mL (1 L = 1000 mL), and the total time is 15 hours.
Flow rate = Total volume to be infused / Total time of infusion Flow rate = 2500 mL / 15 hours
Flow rate = 166.67 mL/hr
Therefore, the flow rate for continuous infusion of 0.9% sodium chloride solution in this case is 166.67 mL/hr.
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