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Ati Dosage Calculation RN Critical Care
Total Questions : 32
Showing 10 questions, Sign in for moreA nurse is preparing to administer morphine 4 mg IV bolus. Available is morphine injection 10 mg/ml. How many ml. should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Explanation
- To calculate the amount of morphine injection needed, use the formula: D/H x V = A, where D is the desired dose, H is the dose on hand, V is the volume on hand, and A is the amount to administer.
- Plug in the values from the question: 4 mg / 10 mg x 1 ml = 0.4 ml
- Round the answer to the nearest tenth: 0.4 ml
- The nurse should administer 0.4 ml of morphine injection.
A nurse is preparing to administer dobutamine 10 mcg/kg/min by continuous IV infusion to a client who weighs 110 lb. Available is dobutamine 250 mg in 250 mL dextrose 5% in water. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Explanation
To solve this problem, the nurse needs to convert the client's weight from pounds to kilograms, and then use the formula:
mL/hr = (mcg/kg/min x kg x 60 min) / (mg/mL x 1000 mcg/mg)
The client's weight in kilograms is:
110 lb / 2.2 lb/kg = 50 kg
The concentration of dobutamine in mg/mL is:
250 mg / 250 mL = 1 mg/mL
Plugging these values into the formula, we get:
mL/hr = (10 mcg/kg/min x 50 kg x 60 min) / (1 mg/mL x 1000 mcg/mg) mL/hr = (30,000 mcg/min) / (1000 mcg/mg)
mL/hr = 30 mg/min
mL/hr = 30 mL/hr
Therefore, the nurse should set the IV pump to deliver 30 mL/hr.
A nurse is preparing to administer foscarnet 60 mg/kg via intermittent IV bolus to a client who weighs 126 lb. Available is foscarnet 6,000 mg in 500 mL of 0.9% sodium chloride solution. How many ml should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Explanation
To solve this problem, the nurse needs to convert the client's weight from pounds to kilograms, and then use the formula:
mL = (mg/kg x kg) / (mg/mL)
The client's weight in kilograms is:
126 lb / 2.2 lb/kg = 57.27 kg
The concentration of foscarnet in mg/mL is:
6,000 mg / 500 mL = 12 mg/mL
Plugging these values into the formula, we get:
mL = (60 mg/kg x 57.27 kg) / (12 mg/mL)
mL = (3,436.2 mg) / (12 mg/mL)
mL = 286.35 mL
Therefore, the nurse should administer 286 mL of foscarnet.
A nurse is caring for a client who has status epilepticus. The provider prescribes phenobarbital 400 mg IV bolus stat, then 200 mg IV bolus every 20 min until seizure activity stops, maximum 2 g. Available is phenobarbital injection 130 mg/mL. How many mL should the nurse administer per dose after the initial dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Explanation
To calculate the amount of phenobarbital injection needed for each dose after the initial dose, we need to divide the prescribed dose (200 mg) by the concentration of the injection (130 mg/mL). This gives us:
200 mg / 130 mg/mL = 1.538 mL
To round this to the nearest tenth, we look at the hundredths place and see that it is 3, which is less than 5, so we round down and drop the rest of the digits. This gives us:
1.5 mL
Therefore, the nurse should administer 1.5 mL of phenobarbital injection per dose after the initial dose.
A nurse is preparing to administer vancomycin 1 g in 250 ml 0.9% sodium chloride by intermittent IV bolus over 90 min. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Explanation
To calculate the infusion rate for the IV pump, we need to divide the total volume of the solution (250 mL) by the infusion time (90 min). This gives us:
250 mL / 90 min = 2.778 mL/min
To convert this to mL/hr, we need to multiply by 60 min/hr. This gives us: 2.778 mL/min x 60 min/hr = 166.667 mL/hr
To round this to the nearest whole number, we look at the tenths place and see that it is 6, which is equal to or greater than 5, so we round up and drop the rest of the digits. This gives us:
167 mL/hr
Therefore, the nurse should set the IV pump to deliver 167 mL/hr.
A nurse is preparing to administer lidocaine 2.5 mg/min to a client by continuous IV infusion. Available is lidocaine 1 g in dextrose 5% in water 250 mL. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Explanation
To solve this problem, the nurse needs to find the concentration of lidocaine in the solution, which is 1 g / 250 mL = 0.004 g/mL. Then, the nurse needs to convert the dosage of lidocaine from mg/min to g/hr, which is 2.5 mg/min x 60 min/hr x 0.001 g/mg = 0.15 g/hr. Finally, the nurse needs to divide the dosage by the concentration to get the infusion rate, which is 0.15 g/hr / 0.004 g/mL = 37.5 mL/hr. Rounding to the nearest whole number, the nurse should set the IV pump to deliver 38 mL/hr.
A nurse is preparing to administer diltiazem IV 0.25 mg/kg IV bolus given over 2 min to a client who has atrial fibrillation and weighs 154 lb. Available is diltiazem IV injection 25 mg/5 mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Explanation
To solve this problem, the nurse needs to convert the client's weight from pounds to kilograms, which is 154 lb / 2.2 lb/kg = 70 kg. Then, the nurse needs to multiply the dosage of diltiazem by the client's weight to get the total amount of diltiazem needed, which is 0.25 mg/kg x 70 kg = 17.5 mg. Finally, the nurse needs to divide the amount of diltiazem by the concentration of diltiazem in the solution to get the volume of solution needed, which is 17.5 mg / 5 mg/mL = 3.5 mL. Rounding to the nearest tenth, the nurse should administer 3.5 mL of diltiazem IV injection.
A nurse is preparing to administer esmolol 50 mcg/kg/min by continuous IV infusion to a client who weighs 110 lb. Available is esmolol 2.5g in dextrose 5% in water 250 mL. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Explanation
To answer this question, we need to calculate the dose of esmolol in mcg/kg/min, then convert it to mg/hr, and then use the formula:
mL/hr = (dose in mg/hr) x (volume in mL) / (concentration in mg)
First, we convert the client's weight from pounds to kilograms:
110 lb x 1 kg / 2.2 lb = 50 kg
Next, we multiply the client's weight by the prescribed dose to get the dose in mcg/min: 50 kg x 50 mcg/kg/min = 2500 mcg/min
Then, we divide the dose in mcg/min by 1000 to get the dose in mg/min: 2500 mcg/min / 1000 = 2.5 mg/min
Finally, we multiply the dose in mg/min by 60 to get the dose in mg/hr: 2.5 mg/min x 60 = 150 mg/hr
Now, we can use the formula to find the infusion rate in mL/hr:
mL/hr = (150 mg/hr) x (250 mL) / (2500 mg)
mL/hr = 15
Therefore, the nurse should set the IV pump to deliver 15 mL/hr.
A nurse is preparing to administer 0.9% sodium chloride 100 mL IV to infuse over 15 min to a client. The drop factor of the manual IV tubing is 10 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Explanation
To solve this problem, the nurse needs to use the formula:
gtt/min = (Volume in mL x Drop factor in gtt/mL) / Time in min
Plugging in the given values, we get:
gtt/min = (100 x 10) / 15
gtt/min = 66.67
Rounding to the nearest whole number, we get:
gtt/min = 67
Therefore, the nurse should set the manual IV infusion to deliver 67gtt/min.
A nurse is preparing to administer fentanyl 50 mcg IM to a client. Available is fentanyl 0.05 mg/mL. How many ml should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Explanation
To answer this question, you need to convert the dosage of fentanyl from micrograms (mcg) to milligrams (mg). One milligram is equal to 1000 micrograms, so 50 mcg is equal to 0.05 mg. Then, you need to use the formula D/H x Q, where D is the desired dose, H is the dose on hand, and Q is the quantity. In this case, D is 0.05 mg, H is 0.05 mg/mL, and Q is the volume in milliliters. Plugging these values into the formula, you get:
0.05 mg / 0.05 mg/mL x Q
Q = 1 mL
Therefore, the nurse should administer 1 mL of fentanyl per dose.
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