Administer a continuous Dopamine infusion at 3 mcg/kg/min. The drug is available as 600 mg in 1000 ml of fluid. The client's weight is 110 pounds. Calculate mcg/min, mcg/hr, and ml/hr. (Include unit of measure with each answer)
The Correct Answer is ["0.25"]
Dopamine infusion calculation based on weight and concentration.
- Dopamine dose ordered: 3 mcg/kg/min
- Dopamine concentration: 600 mg in 1000 mL (or 600 mcg/mL)
- Client's weight: 110 pounds (converted to kg: 110 lbs / 2.2 = 50 kg)
Calculations:
- mcg/min = 3 mcg/kg/min × 50 kg = 150 mcg/min
- mcg/hr = 150 mcg/min × 60 min/hr = 9000 mcg/hr
- mL/hr = 150 mcg/min / 600 mcg/mL = 0.25 mL/hr
Answers:
- mcg/min = 150 mcg/min
- mcg/hr = 9000 mcg/hr
- mL/hr = 0.25 mL/hr
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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Correct Answer is B
Explanation
A. Hypotension: Hyperthyroidism typically causes increased cardiac output and can lead to normal or elevated blood pressure, not hypotension.
B. Tachycardia. Elevated thyroid hormones increase metabolic rate and sympathetic nervous system activity, leading to tachycardia.
C. Slow respiratory rate: There is no direct effect of hyperthyroidism on respiratory rate.
D. Decreased body temperature: Hyperthyroidism is associated with increased metabolism, which can lead to heat intolerance and increased body temperature, not decreased.
Correct Answer is B
Explanation
A. Hyperextend the client's neck: Incorrect; this can strain the surgical site. Neck should be supported in a neutral position.
B. Instruct the client to deep breathe every 4 hr: Deep breathing exercises prevent respiratory complications and promote lung expansion postoperatively. Helps prevent atelectasis and pneumonia.
C. Place the head of the client's bed in the flat position: Incorrect; semi-Fowler's position is preferred to reduce risk of airway compromise and edema.
D. Check the client's voice every 2 hr: Monitoring voice changes helps detect recurrent laryngeal nerve injury, a complication of thyroidectomy. Changes in voice quality can indicate vocal cord paralysis or injury.
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