The pharmacy sends a bag of 150 mLs of D5W/0.456 normal saline with 25 units of Regular Insulin.
The patient is ordered to receive an insulin drip at a rate of 9 units/hour.
What rate will you set the IV pump to deliver? Numeric values only.
The Correct Answer is ["20"]
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Calculate the total units of insulin in the IV bag:
- The bag contains 150 mL of solution.
- The concentration is 0.456 units/mL.
- Total insulin = 150 mL × 0.456 units/mL = 68.4 units.
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Determine how long the IV bag will last:
- The ordered rate is 9 units/hour.
- Total duration = 68.4 units ÷ 9 units/hour = 7.6 hours.
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Calculate the IV pump rate:
- The total volume of the bag is 150 mL.
- Pump rate = 150 mL ÷ 7.6 hours = 19.74 mL/hr.
- Rounded to the nearest whole number: 20 mL/hr.
So the nurse should set the IV pump to 20 mL/hr.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["mLs\/hr."]
Explanation
Step 1 is to convert the order from milliunits/minute to units/hour. So, 12 milliunits/minute is equal to 0.72 units/hour. Step 2 is to calculate the total units in the IV bag, which is 20 units. Step 3 is to calculate the total volume of the IV bag, which is 500 mL. Step 4 is to calculate the flow rate. So, (0.72 units/hour ÷ 20 units) × 500 mL = 18 mL/hr. So, the correct flow rate to set on the IV pump is 18 mL/hr.
Correct Answer is B
Explanation
Choice A rationale:
Perinatal transmission is a way HIV can be transmitted, but it’s not the primary means for adolescents.
Choice B rationale:
Sexual intercourse is the primary means by which adolescents are exposed to HIV.
Choice C rationale:
Sharing needles for IV drug use is a risk factor, but not the primary means for adolescents.
Choice D rationale:
Blood transfusion was a common means of transmission in the past, but it’s rare now due to rigorous screening.
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