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Exam Review

Ati Math Quiz n133

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Total Questions : 13

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Question 1:

The order from a provider is: Vancomycin 2 g in 500 mL of d5W IV daily to be  administered over 2 hours. What is the rate on the infusion pump?

Answer and Explanation
Correct Answer: "250" mL/hr

Explanation

To calculate the rate for an infusion pump, you would use the formula: rate (mL/hr) = volume to be infused (mL) / time for infusion (hr). In this case, the volume to be infused is 500 mL and the time for infusion is 2 hours. Therefore, the infusion pump rate would be calculated as 500 mL divided by 2 hours, resulting in a rate of 250 mL/hr.


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Question 2:

The order from a provider is: Infuse 1L of NS over 12 hours. What will be the rate on the  infusion pump?

Answer and Explanation
Correct Answer: "83" mL/hour

Explanation

To calculate the rate for an infusion pump, you would divide the total volume of fluid to be infused by the number of hours over which the infusion is to run. In this case, you have 1 liter (1,000 milliliters) of Normal Saline (NS) to be infused over 12 hours. Therefore, the rate would be 1,000 milliliters divided by 12 hours, which equals approximately 83.33 milliliters per hour. So, you would set the infusion pump to deliver at a rate of 83 milliliters per hour to ensure the 1L of NS is infused over the prescribed 12-hour period.


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Question 3:

The order from the provider is: start a maintenance dose of magnesium sulfate of 4 g per  hour. The pharmacy provides you with a 1 liter bag with 30 g of magnesium sulfate  added. What is the rate on the infusion pump of the maintenance dose?

Answer and Explanation
Correct Answer: "133" mL/hr

Explanation

To calculate the infusion pump rate for a maintenance dose of magnesium sulfate, you need to determine how many milliliters per hour (mL/hr) will provide 4 grams (g) of magnesium sulfate per hour. Given that the pharmacy provides a 1-liter bag with 30 g of magnesium sulfate, this means there are 30,000 milligrams (mg) in 1,000 milliliters (mL) of solution. Since 1 g equals 1,000 mg, you need to administer 4,000 mg of magnesium sulfate per hour. To find the rate, divide the total amount of magnesium sulfate in the bag by the desired hourly dose: 30,000 mg divided by 4,000 mg per hour equals 7.5 hours of infusion time. Therefore, to administer the maintenance dose over one hour, you would set the infusion pump to 1,000 mL divided by 7.5 hours, which equals approximately 133.33 mL/hr = 133 mL/hr rounded off to the nearest whole number.


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Question 4:

A nurse is preparing to administer Ringer's lactate 500 mL IV bolus to infuse over 3 hr.  The drip factor of the manual IV tubing is 20 gtt/mL. The nurse should set the manual IV  infusion to deliver how many gtt/min?

Answer and Explanation
Correct Answer: "56" gtt/min

Explanation

To calculate the flow rate for an IV infusion, you can use the formula: (Volume in mL x Drip factor) / Time in minutes. In this case, the nurse has 500 mL of Ringer's lactate to infuse over 3 hours. First, convert the hours into minutes: 3 hours x 60 minutes/hour = 180 minutes. Next, multiply the volume by the drip factor: 500 mL x 20 gtt/mL = 10,000 gtt. Finally, divide by the total time in minutes: 10,000 gtt / 180 minutes = approximately 55.56 gtt/min. Therefore, the nurse should set the manual IV infusion to deliver around 56 gtt/min.


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Question 5:

The order from a provider is: Start Pitocin at 5 milliunits/min to induce labor. The  pharmacy provides you with a 500 mL bag with 15 units of Pitocin added. What is the  rate that would be set on the infusion pump?

Answer and Explanation
Correct Answer: "0.17" mL/min

Explanation

To calculate the infusion pump rate for Pitocin, you need to determine the concentration of Pitocin in the IV bag and then set the pump to deliver the desired dose rate. The pharmacy has added 15 units of Pitocin to a 500 mL bag. To start at 5 milliunits/min, you first convert the units of Pitocin to milliunits (15 units = 15,000 milliunits). Then, divide the total milliunits in the bag by the volume of the bag to find the concentration per mL (15,000 milliunits / 500 mL = 30 milliunits/mL). Now, to find the rate at which the pump should be set to deliver 5 milliunits/min, divide the desired dose rate by the concentration (5 milliunits/min / 30 milliunits/mL = 0.1667 mL/min). Therefore, the infusion pump should be set to approximately 0.17 mL/min.


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Question 6:

The order from a provider is: Administer Penicillin 3 gm IV on call to OR over 1 hour.  The pharmacy provides Penicillin 3 gm diluted in 150 mL of NS. The drop factor is 10  gtt/mL. What is the gtt/min

Answer and Explanation
Correct Answer: "25" gtt/min

Explanation

Total Penicillin dose: 3 gm (as given in the order)

Available volume: The pharmacy provides 150 mL of NS with the Penicillin already diluted.

Infusion time: 1 hour.

Rate (mL/min) = Total volume (mL) / Total time (minutes)

1 hour = 60 minutes

Rate (mL/min) = 150 mL / 60 minutes = 2.5 mL/min

Drop factor: The drip factor is 10 gtt/mL, meaning 10 drops deliver 1 mL of solution. Rate (gtt/min): To find the rate in gtt/min, multiply the rate (mL/min) by the drip factor (gtt/mL).

Rate (gtt/min) = Rate (mL/min) x Drip factor (gtt/mL)

Rate (gtt/min) = 2.5 mL/min x 10 gtt/mL = 25 gtt/min


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Question 7:

The order from a provider is: Start a heparin drip at 1200 units per hour The pharmacy  provides you a 250 mL NS with 25,000 units of heparin. What will be the rate on the  infusion pump?

Answer and Explanation
Correct Answer: "12" mL/hr

Explanation

To calculate the rate for the infusion pump, you need to determine how many milliliters per hour (mL/hr) will deliver 1200 units of heparin. First, find the concentration of the heparin solution by dividing the total units of heparin by the total volume of the solution. In this case, 25,000 units divided by 250 mL equals 100 units/mL. Next, divide the ordered amount of heparin units per hour by the concentration to find the rate in mL/hr. So, 1200 units per hour divided by 100 units/mL equals 12 mL/hr.


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Question 8:

The order from a provider is: cefazolin (Ancef) 2 g diluted in 100 mL of NS to be infused  over 30 minutes. What is the rate on the infusion pump?

Answer and Explanation
Correct Answer: "200" mL/hr

Explanation

To calculate the rate for an infusion pump, one can use the formula: rate (mL/hr) = volume to be infused (mL) / time for infusion (hr). In this case, the volume to be infused is 100 mL and the time for infusion is 0.5 hours (30 minutes). Therefore, the rate would be 100 mL divided by 0.5 hours, resulting in an infusion rate of 200 mL/hr.


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Question 9:

A client is prescribed 1 g potassium phosphate IV to be infused continuously over 10 hr.  Available is 1 g potassium phosphate in 250 mL dextrose 5% water (DSW). The nurse  should set the IV pump to run at how many mL/hr?

Answer and Explanation
Correct Answer: "25" mL/hr

Explanation

To calculate the infusion rate for the IV pump, you would use the formula: (Total Volume in mL / Time in hours = mL/hr). For the client prescribed 1 g of potassium phosphate to be infused over 10 hours, with the available solution being 1 g in 250 mL of D5W, the calculation would be 250 mL / 10 hr = 25 mL/hr.


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Question 10:

A nurse is preparing to administer clindamycin 300 mg by intermittent IV bolus over 30  min to a client who has a staphylococci infection. Available is clindamycin premixed in  50 mL 0.90% sodium chloride (NaCl). The nurse should set the IV pump to deliver how  many mL/hr?

Answer and Explanation
Correct Answer: "100" mL/hr

Explanation

To calculate the IV pump rate, you'll need to use the formula: (Volume in mL) / (Time in hours) = Rate in mL/hr. For clindamycin 300 mg premixed in 50 mL to be administered over 30 minutes, you would convert the minutes into hours (which is 0.5 hours), and then divide the total volume of the IV solution by this time. So, the calculation would be 50 mL / 0.5 hours = 100 mL/hr.


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