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. Conversion of the PPD test from negative to positive indicates exposure to tuberculosis but does not contraindicate the administration of isoniazid. It may actually indicate the need for prophylactic treatment.
B. A history of intravenous drug abuse is not directly related to the administration of isoniazid. However, it may be important for assessing risk factors for tuberculosis transmission and adherence to treatment.
C. Isoniazid can cause hepatotoxicity, so it is essential to assess for pre-existing liver conditions such as hepatitis B before administering the medication. Hepatitis B may increase the risk of liver damage associated with isoniazid.
D. The length of time of exposure to tuberculosis is important for assessing the risk of infection and determining the need for prophylactic treatment but does not impact the administration of isoniazid.
Correct Answer is ["A","B","C","D"]
Explanation
Insufficient sleep, particularly due to nightmares, can exacerbate depression and should be addressed promptly.
Feeling "jumpy" or experiencing heightened anxiety, especially in situations reminiscent of the trauma, indicates a possible post-traumatic stress disorder (PTSD symptom.
A profound sense of sadness and numbness can be indicative of severe depression, requiring immediate attention.
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