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)

Answer and Explanation

The Correct Answer is ["15","994"]

To calculate the infusion rate in mL/hr for administering dopamine at 10 mcg/kg/min for a client weighing 85.3 kg, you would first convert the weight to micrograms by multiplying by 1,000,000 (since there are 1,000,000 micrograms in a kilogram). This gives you 85,300,000 mcg. Then, you multiply this by the dosage rate, which is 10 mcg/kg/min, resulting in 853,000 mcg/min. Since the pharmacy provides dopamine 800 mg in 250 mL, you convert 800 mg to micrograms (800,000 mcg) to find out how many micrograms are in each mL. This is done by dividing 800,000 mcg by 250 mL, giving you 3200 mcg/mL. Finally, to find out the mL/hr, you divide the required micrograms per minute (853,000 mcg/min) by the concentration of the solution (3200 mcg/mL), which equals approximately 266.56 mL/min. To convert this to mL/hr, multiply by 60, resulting in approximately 15,994 mL/hr. Rounding to the nearest whole number, you would set the infusion pump to 15,994 mL/hr.

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Correct Answer is C

Explanation

A. Weight loss is not a typical manifestation; weight gain due to fluid retention is more likely in SIADH.
B. Hypernatremia is not seen in SIADH; hyponatremia is more common.
C. Oliguria, or decreased urine output, is a characteristic manifestation of SIADH due to excessive antidiuretic hormone.
D. Increased thirst is not a primary symptom of SIADH; fluid retention and dilutional hyponatremia are more significant concerns.

A. Maintain the prescribed daily fluid restriction. B. Position the client's head of bed with no more than 10 degrees of elevation. C. Turn and reposition the client every 2 hours while on bedrest. D. Provide frequent oral hygiene every 2 hours for the client.

Correct Answer is A

Explanation

A. Maintaining the prescribed daily fluid restriction is crucial to manage hyponatremia and prevent further complications.
B. Head elevation is important but not the primary priority in SIADH management.
C. Turning and repositioning is necessary for bedrest patients but not specific to SIADH.
D. Providing oral hygiene is important for overall care but not the primary intervention for SIADH.

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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)

Nursing Test Bank

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Explanation

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Correct Answer is A

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