Dopamine 5 mcg/kg/minute IV is prescribed for a client who weighs 132 pounds. The pharmacy dispenses a 500 mL IV solution of 0.9% normal saline with dopamine 1600 mg. The nurse should program the infusion pump to deliver how many ml/hour? (Enter numeric value only. If rounding is required, round to the nearest tenth)
The Correct Answer is ["5.6"]
Convert pounds to kg 1kg= 2.2 pounds 132pounds= 132/2.2=60kg
Desired dose per minute= 5 mcg/kg= 560=300mcg/min Desired dose per hour= 300mcg60mins= 18000mcg Available dose= 1600mg/500ml
1mg=1000mcg
Available dose = 1600000mcg/500ml Infusion rate:
1600000mcg=500ml 18000mcg=18000500/1600000
= 5.625 mL/hour
Rounded to the nearest tenth: 5.6 ml/hour
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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Correct Answer is C
Explanation
A. Thinking about the reasons behind the anxiety episodes can be helpful for long-term management, but it may not provide immediate relief during acute episodes of anxiety.
B. While music can be a form of relaxation for some individuals, it may not be as universally effective as muscle relaxation techniques for managing anxiety.
C. Muscle relaxation techniques, such as deep breathing and progressive muscle relaxation, are evidence-based strategies for reducing anxiety levels. They promote relaxation and decrease muscle tension, providing immediate relief during episodes of anxiety.
D. Social interaction can be beneficial for overall well-being, but it may not directly address the symptoms of anxiety in the moment.
Correct Answer is C
Explanation
A. Providing pain medication to increase the client's tolerance of labor pains: Pain management is important throughout labor, but in the second stage, the focus shifts to pushing efforts and fetal expulsion. Pain medication may affect the client's ability to push effectively and may not be
indicated at this stage.
B. Assessing the fetal heart rate and pattern for signs of fetal distress: Fetal monitoring is essential throughout labor, including the second stage, to assess fetal well-being and detect signs of
distress. However, the specific intervention indicated for the second stage is assisting the client with pushing.
C. Assisting the client to push effectively so that expulsion of the fetus can be achieveD Correct!
In the second stage of labor, the cervix is fully dilated, and the focus is on pushing efforts to
facilitate the birth of the baby. The nurse plays a crucial role in supporting the client during this stage by providing guidance on effective pushing techniques and encouragement.
D. Monitoring effects of oxytocin administration to help achieve cervical dilation: Oxytocin administration is typically used in the first stage of labor to induce or augment contractions and facilitate cervical dilation. Monitoring its effects is important, but it is not a specific intervention for the second stage of labor, where the focus is on pushing and fetal expulsion.
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