A provider has written an order for a medication drip to be started at 12 units/kg/hour. Your client weighs 297 Ibs.
The medication is supplied as 25,000 units in 500 ml. At what rate would you set your pump?

26.7 ml/hour.

28.3 ml/hour.

30.5 ml/hour.

32.4 ml/hour.

Answer and Explanation

The Correct Answer is B

To find the rate of the pump in ml/hour, you need to first convert the client’s weight from pounds to kilograms. You can do this by dividing the weight by 2.2046 or multiplying it by 0.454.

For example:

297 lbs / 2.2046 = 134.72 kg or 297 lbs x 0.454 = 134.72 kg

Then, you need to multiply the client’s weight in kilograms by the ordered dose in units/kg/hour to get the total units per hour.

For example:

134.72 kg x 12 units/kg/hour = 1616.64 units/hour

Next, you need to set up a proportion to find the rate of the pump in ml/hour using the supplied medication concentration.

For example:

25,000 units / 500 ml = 1616.64 units / X ml Cross-multiply and solve for X:

25,000 x X = 808320 X = 808320 / 25000 X = 32.33 ml/hour

Finally, you need to round your answer to the nearest tenth of a ml/hour as per the medication administration guidelines.

For example:

32.33 ml/hour ≈ 32.3 ml/hour

Therefore, the rate of the pump is 32.3 ml/hour.

Choice A is wrong because it uses a different conversion factor for pounds to kilograms (1 lb = 0.5 kg) which is not accurate.

Choice C is wrong because it uses a different ordered dose (10 units/kg/hour) which is not what the provider has written.

Choice D is wrong because it uses a different supplied medication concentration (20,000 units in 500 ml) which is not what is available.

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Correct Answer is D

Explanation

Independent. An independent nursing intervention is an action that a nurse can perform by themselves, without any management from a doctor or another discipline.

Taking the client’s temperature again is an example of an independent nursing intervention because it does not require a physician’s order or collaboration with other health care professionals.

Choice A is wrong because an interdependent nursing intervention is an action that requires collaboration or consultation with other health care professionals.

Taking the client’s temperature again does not involve working with other disciplines.

Choice B is wrong because a dependent nursing intervention is an action that requires an order from a physician or another health care provider.

Taking the client’s temperature again does not require a physician’s order.

Choice C is wrong because a collaborative nursing intervention is an action that involves working with other health care professionals to provide patient care.

Taking the client’s temperature again does not require collaboration with other disciplines.

A. Increased heart rate. B. Decreased blood pressure. C. Increased temperature. D. Hypoactive muscle responses. E. Alert and oriented.

Correct Answer is ["A","B"]

Explanation

Increased heart rate and decreased blood pressure are common signs of dehydration, as the body tries to compensate for the fluid loss by increasing the heart rate and lowering the blood pressure.

Choice C is wrong because increased temperature is not a typical symptom of dehydration, although it can be a cause of it.

Choice D is wrong because hypoactive muscle responses are not related to dehydration, but rather to neurological or muscular disorders.

Choice E is wrong because alert and oriented is the normal mental status for most people, and dehydration can cause confusion and disorientation in severe cases.

Normal ranges for heart rate and blood pressure vary depending on age, gender, physical activity, and other factors, but generally they are:

Heart rate: 60 to 100 beats per minute for adults
Blood pressure: less than 120/80 mmHg for adults

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A provider has written an order for a medication drip to be started at 12 units/kg/hour. Your client weighs 297 Ibs. The medication is supplied as 25,000 units in 500 ml. At what rate would you set your pump?

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Explanation

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A provider has written an order for a medication drip to be started at 12 units/kg/hour. Your client weighs 297 Ibs.
The medication is supplied as 25,000 units in 500 ml. At what rate would you set your pump?