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The health-care provider prescribes the adjustment of the IV hourly rate based on the nasogastric tube (NGT) output every 4 hour for a client who had abdominal surgery yesterday. From 1200 to 1600, the NGT output was 240 ml, and the IV of Dextrose 5% in 0.45% Sodium chloride (D, 1/2 NS) was infused at a rate of 100 ml/hour. At 1600 the nurse should regulate the IV to deliver how many ml/hour to replace this fluid loss? (Enter numeric value only, using a whole number.)

Answer and Explanation

The Correct Answer is ["160"]

Calculate the average hourly NGT output:

Average Hourly NGT Output = Total NGT Output / Number of Hours

Average Hourly NGT Output = 240 mL / 4 hours

Average Hourly NGT Output = 60 mL/hour

Adjust the IV rate:

New IV Rate = Current IV Rate + Average Hourly NGT Output

New IV Rate = 100 mL/hour + 60 mL/hour

New IV Rate = 160 mL/hour

Therefore, the nurse should regulate the IV to deliver 160 mL/hour to replace the fluid loss.

Nursing Test Bank

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Naxlex Comprehensive Predictor Exams

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Correct Answer is ["2"]

Explanation

To calculate the number of tablets needed, we can set up a proportion:

x tablets / 30 mg = 1 tablet / 20 mg

Cross-multiplying:

20x = 30

Solving for x:

x = 30 / 20

x = 1.5

Since we cannot administer a fraction of a tablet, we round up to the nearest whole number.

Therefore, the nurse should administer 2 tablets of baclofen.

Correct Answer is ["1.4"]

Explanation

To calculate the volume of penicillin to be administered, we can use the following formula:

Volume (mL) = Desired Dose (Units) / Concentration (Units/mL)

Plugging in the given values:

Volume (mL) = 700,000 Units / 500,000 Units/mL

Calculating the result:

Volume (mL) = 1.4 mL

Therefore, the nurse should administer 1.4 mL of penicillin.

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Naxlex Comprehensive Predictor Exams

Correct Answer is ["2"]

Explanation

The health-care provider prescribes penicillin 700,000 Units IM daily. The available vial is labeled, Penicillin 500,000 Units/ml. How many milliliters should the nurse administer? (Enter numerical value only. If rounding is required, round to the nearest tenth.)

Correct Answer is ["1.4"]

Explanation

A client who has a sinus infection is receiving a prescription for amoxicillin/clavulanate potassium (Augmentin) 500 mg PO every 8 hours. The available form is 250 mg amoxicillin/125mg clavulanate tablets. How many tablets should the nurse administer for each dose? (Enter numeric value only.)

A client receives a prescription for tobramycin sulfate (Nebcin) 0.128 grams IV every 8 hours. Tobramycin is available in liquid concentration of 40 mg/ml. How many ml should the nurse administer? (Enter numeric value only. If rounding is required, round to the nearest tenth.)

A client with a gastrostomy tube (GT) receives a prescription for Osmolite® 1/2 strength enteral formula at 80 ml/hour. To prepare a 4 hour solution, the nurse should dilute the full-strength formula with how many ml of water? (Enter numeric value only.)

An adult client with myasthenia gravis is receiving pyridostigmine (Mestinon) 126 mg PO every 4 hours. The drug is available as 60 mg in 5 ml syrup. How many ml should the nurse administer? (If rounding is required, round to the nearest tenth.)

A client returning from surgery has a prescription for an IV of 0.9% sodium chloride to be infused at 250 ml over 3 hours. 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 whole number.)

The health-care provider prescribes a continuous feeding of half strength Osmolite® 240 ml to be infused every 4 hours for a client with a gastrostomy tube (GT). The nurse should program the enteral pump to deliver how many ml/hour? (Enter numeric value only).

The nurse is preparing to administer vancomycin (Vancocin) 750 mg in 250 ml of Dextrose 5% in Water (D,W) over 75 minutes. The secondary infusion pump should be programmed to administer how many ml/hour? (Enter numeric value only. If rounding is required, round to the nearest whole number.)