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
Related Questions
Correct Answer is A
Explanation
A. A moderate amount of foul-smelling lochia can indicate an infection, especially if accompanied by other signs such as fever or abdominal pain.
B. Blood pressure within normal range is not indicative of postpartum infection.
C. While an elevated temperature can be a sign of infection, it's not specific enough on its own.
D. A high white blood count can indicate infection, but it's not as specific as the presence of foul-smelling lochia in the postpartum period.
Correct Answer is A
Explanation
A. Reposition the infant every 2 hours: This ensures that all areas of the infant's skin receive equal exposure to the phototherapy light, which is important for the effective treatment of jaundice.
B. Cover with a receiving blanket: This is incorrect because the phototherapy light needs to reach the infant's skin directly. Covering the infant with a blanket would block the light and reduce the effectiveness of the treatment.
C. Perform diaper changes under the light: While it is important to minimize the time the infant is away from the phototherapy light, diaper changes should be done quickly and efficiently, not necessarily under the light, to ensure cleanliness and to prevent any potential discomfort or safety issues.
D. Feed the infant every 4 hours: Feeding the infant is important, but the frequency of feeding should be based on the infant's needs and not specifically tied to the phototherapy schedule. Additionally, frequent feeding can help promote bowel movements, which can aid in the excretion of bilirubin.
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