Order: Metoprolol 3.5 mg IV push
On hand: 1 mg/mL vials
How many milliliters will the nurse draw up to administer this dose?
No answer is provided
No answer is too low
No answer is too high
3.5
The Correct Answer is D
Choice A reason: This choice is incorrect because it does not provide a numerical answer to the question.
Choice B reason: This choice is incorrect because it does not provide a specific answer to the question. It also implies that there is an answer that is lower than the correct one, which is not true.
Choice C reason: This choice is incorrect because it does not provide a specific answer to the question. It also implies that there is an answer that is higher than the correct one, which is not true.
Choice D reason: This choice is correct because it is the result of dividing the ordered dose (3.5 mg) by the concentration of the vial (1 mg/mL). The formula for calculating the volume to be drawn up is:
Volume = Dose/Concentration
Therefore, the volume to be drawn up is:
Volume = 3.5 mg/(1 mg/mL) = 3.5 mL
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: This choice is incorrect because it does not provide a numerical answer to the question.
Choice B reason: This choice is incorrect because it does not provide a specific answer to the question. It also implies that there is an answer that is lower than the correct one, which is not true.
Choice C reason: This choice is incorrect because it does not provide a specific answer to the question. It also implies that there is an answer that is higher than the correct one, which is not true.
Choice D reason: This choice is correct because it is the result of dividing the ordered dose (3.5 mg) by the concentration of the vial (1 mg/mL). The formula for calculating the volume to be drawn up is:
Volume = Dose/Concentration
Therefore, the volume to be drawn up is:
Volume = 3.5 mg/(1 mg/mL) = 3.5 mL
Correct Answer is C
Explanation
Choice A reason: This is incorrect. INR level is a measure of blood clotting time and is not directly affected by digoxin. It is more relevant for patients who are taking anticoagulants, such as warfarin.
Choice B reason: This is incorrect. Temperature is not a priority assessment for a patient receiving digoxin. It may indicate an infection or inflammation, but it is not related to the action or toxicity of digoxin.
Choice C reason: This is correct. Apical heart rate is the priority assessment for a patient receiving digoxin. Digoxin is a cardiac glycoside that increases the force and efficiency of the heart contractions, but also slows down the heart rate. The nurse should monitor the apical pulse for one full minute before administering digoxin and withhold the dose if the pulse is below 60 beats per minute for adults or below the age-specific normal range for children. A low or irregular pulse may indicate digoxin toxicity, which can be life-threatening.
Choice D reason: This is incorrect. Blood pressure is not a priority assessment for a patient receiving digoxin. Digoxin does not have a direct effect on blood pressure, although it may improve the cardiac output and reduce the fluid retention in patients with heart failure. Blood pressure should be monitored regularly, but it is not as critical as the apical heart rate.
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