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)

Answer and Explanation

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

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Correct Answer is B

Explanation

A. Support stockings may help with peripheral edema, but they do not address the underlying issue of hypoalbuminemia and its consequences.
B. Adequate protein intake is crucial for increasing serum albumin levels, which can help reduce edema and improve the client's nutritional status. This intervention addresses the root cause of
the client's symptoms.

C. Evaluating the patency of the AV graft is important for long-term planning of hemodialysis access, but it is not the immediate priority given the client's current nutritional status and symptoms.
D. Fluid restriction is important in managing peritoneal dialysis patients, but it does not address the immediate concern of hypoalbuminemia and its effects on the client's health.

A. Strain all urine. B. Maintain contact isolation. C. Avoid urinary catheterization. D. Restrict oral fluid intake.

Correct Answer is C

Explanation

A. Straining all urine is not a standard intervention for prostatitis. This is typically done for conditions like urinary stones, where fragments may need to be collected. Prostatitis does not require this intervention.

B. Maintaining contact isolation is unnecessary for prostatitis unless the client has an active infection with a multidrug-resistant organism requiring isolation precautions. Prostatitis alone does not warrant contact isolation.

C. Avoiding urinary catheterization is an essential instruction for a client with prostatitis. Catheterization can exacerbate inflammation and increase the risk of further infection in the prostate gland. Alternative methods for managing urinary retention, such as suprapubic catheterization if necessary, should be considered.

D. Restricting oral fluid intake is not recommended. Adequate hydration is important for clients with prostatitis to help flush the urinary tract, reduce irritation, and promote healing. Restricting fluids could worsen symptoms and delay recovery.

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Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

The nurse is assigning care of a client with prostatitis to a practical nurse (PN). Which instruction should the nurse provide the PN regarding the care of this client?

Correct Answer is C

Explanation

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