Administer Dopamine at 10 mcg/kg/min. The pharmacy provides dopamine 800 mg in 250 mL of D5W. Your client weights 85.3 kg. How many mL/hr are you to set the infusion pump? (Round answer to nearest whole number)
The Correct Answer is ["16"]
Step 1: Determine client’s dose in mcg/min
10 mcg/kg/min×85.3 kg=853 mcg/min
Step 2: Convert mcg/min to mg/hr
-
853 mcg/min=0.853 mg/min
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Per hour:
0.853 mg/min×60 min/hr=51.18 mg/hr
Step 3: Determine concentration of dopamine solution
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800 mg in 250 mL → 800 mg250 mL=3.2 mg/mL
Step 4: Calculate infusion rate in mL/hr
51.18 mg/hr3.2 mg/mL=15.99 mL/hr
Step 5: Round to nearest whole number
≈16 mL/hr
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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Correct Answer is D
Explanation
A. Purple striations are more commonly associated with Cushing's syndrome, not Addison's disease.
B. Intention tremors are not a characteristic of Addison's disease.
C. Hirsutism is associated with excessive androgen production, not Addison's disease.
D. Hyperpigmentation, especially in areas exposed to friction, is a classic sign of Addison's disease due to increased production of melanocyte-stimulating hormone along with adrenocorticotropic hormone.
Correct Answer is A
Explanation
A. 3% sodium chloride is a hypertonic solution used to treat severe hyponatremia by raising the serum sodium levels rapidly.
B. 0.9% sodium chloride is isotonic and would not be sufficient to correct severe hyponatremia as quickly.
C. Dextrose 5% in 0.9% sodium chloride is not typically used for severe hyponatremia treatment.
D. Dextrose 5% in 0.45% sodium chloride is hypotonic and not suitable for treating severe hyponatremia.
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