A client is receiving 10 mL/hr of a prescribed regular insulin infusion. The label on the bag reads 50 units of regular insulin in 100 mL of 0.9% saline. How many units of insulin is the client receiving every hour? Fill in the blank. Round your answer to the nearest whole number.
Rationale:
5 units/hour. The concentration of regular insulin in the bag is 50 units in 100 mL, equating to 0.5 units/mL. At an infusion rate of 10 mL/hr, the client receives 5 units of insulin hourly (10 mL/hr × 0.5 units/mL = 5 units/hr).
A: 10 units/hour. This calculation assumes the client receives double the actual amount, misinterpreting the concentration and infusion rate incorrectly.
B: 2 units/hour. This option underestimates the insulin dosage, deriving from miscalculating the infusion rate or the concentration of insulin in the solution.
C: 15 units/hour. This choice overestimates the hourly dosage, likely resulting from a miscalculation of the infusion rate multiplied by an incorrect assumption about the concentration of insulin.
The nurse is calculating the 12-hour intake for a client. The client received: 0.45% saline at 85 mL/hr via continuous infusion, 1 eight-ounce cup of ice chips, 1 eight-ounce cup of coffee, 1 eight-ounce cup of ice cream, 3 eight-ounce cups of water, 1 eight-ounce cup of pureed vegetables. The nurse should calculate the client's total liquid intake as how many mL? Fill in the blank.
Rationale:
1770 mL.
The total liquid intake calculation includes the continuous infusion, ice chips, coffee, ice cream, water, and pureed vegetables. Each component is converted to mL, resulting in the accurate total of 1770 mL for the 12-hour period.
A: 1600 mL The total calculated does not account for all components, particularly underestimating the continuous infusion and liquid from ice chips, leading to an inaccurate total.
B: 1800 mL This overestimation fails to accurately sum the components, neglecting precise conversion of the continuous infusion and possibly miscalculating the volume of ice chips and other items.
C: 1500 mL This total is significantly lower, omitting critical elements such as the continuous infusion and miscalculating the total volume of the various liquid items consumed.
The primary healthcare provider (PHCP) prescribes dopamine at 5 mcg/kg/minute. The client weighs 80.9 kg (177.98 lbs). The medication label reads dopamine 800 mg in 500 mL of dextrose 5% water (D5W). How many mL per hour will the nurse administer to the client? Fill in the blank. Round your answer to the nearest whole number.
Rationale:
15 mL/hr
Calculating the dosage involves determining the total amount of dopamine required based on the client's weight and the prescribed infusion rate. For an 80.9 kg client at 5 mcg/kg/min, the necessary infusion translates to 15 mL/hr from the given concentration of dopamine in D5W.
A: 30 mL/hr The calculation does not support this quantity, as it exceeds the required dosage based on the weight and rate prescribed.
B: 10 mL/hr This volume underestimates the necessary infusion rate, resulting in inadequate medication delivery for the client's prescribed needs.
C: 20 mL/hr The dosage calculation does not align with this figure, as it overshoots the required administration rate based on the patient’s weight and the medication concentration.
The primary healthcare provider (PHCP) prescribes 400,000 units of penicillinG benzathine. The label on the medication reads penicillinG benzathine 300,000 units / 10 mL. How many milliliters will the nurse administer to the client? Fill in the blank. Round your answer to the nearest whole number.
Rationale:
13 mL.
To determine the volume to administer, first convert the prescribed dosage into mL. Since the label states 300,000 units per 10 mL, administering 400,000 units requires approximately 13.33 mL, rounded to 13 mL.
A: 10 mL This volume delivers only 300,000 units, which is insufficient compared to the required 400,000 units.
B: 12 mL Administering 12 mL would provide 360,000 units, still falling short of the 400,000-unit prescription.
C: 14 mL While this volume exceeds the requirement, it corresponds to 420,000 units, leading to potential overmedication.
The primary healthcare provider (PHCP) prescribes 125 mcg of digoxin by mouth daily. The medication label reads digoxin 0.25 mg per tablet. How many tablet(s) will the nurse administer to the client? Fill in the blank. Record your answer using 1 decimal place.
Rationale:
0.5 tablet
To determine the number of tablets needed, convert the prescribed dose from micrograms to milligrams (125 mcg = 0.125 mg). Since each tablet contains 0.25 mg, dividing 0.125 mg by 0.25 mg results in 0.5 tablet. This calculation confirms the correct dosage for administration.
A: 1 tablet. Administering one tablet exceeds the prescribed dose of 125 mcg, as it equals 250 mcg, which is double the intended medication.
B: 0.25 tablet. This amount is insufficient, equating to only 62.5 mcg, which does not meet the prescribed daily dosage of 125 mcg.
C: 1.5 tablets. This dosage would result in a total of 375 mcg, significantly surpassing the prescribed 125 mcg and posing a risk of overdose.
The primary healthcare provider (PHCP) prescribes 500 mL of 0.9% sodium chloride (normal saline) to infuse over four hours via intravenous microdrip tubing. The nurse sets the flow rate at how many drops per minute? Fill in the blank. Round your answer to the nearest whole number.
Rationale:
125 drops per minute.
To determine the flow rate, the nurse calculates the total volume (500 mL) divided by the infusion time (240 minutes), resulting in approximately 2.08 mL per minute. Given the microdrip factor of 60 gtt/mL, the flow rate becomes 125 drops per minute after rounding to the nearest whole number.
A: 100 drops per minute. This value underestimates the necessary rate, leading to a slower infusion than prescribed, which could hinder patient care and desired therapeutic outcomes.
B: 150 drops per minute. This rate exceeds the required infusion speed, risking potential complications from overly rapid fluid administration, which can be detrimental to patient safety and treatment efficacy.
C: 200 drops per minute. This significantly accelerated rate is far beyond what is appropriate for the prescribed infusion, posing serious risks of fluid overload and adverse physiological responses in the patient.
The nurse is caring for a client who weighs 85 kg (187 lbs) who sustained a 27% total body surface area burn. Using the Parkland formula, calculate how many mL of intravenous fluid (IVF) the nurse will administer in the first eight hours. Fill in the blank.
Rationale:
4590 mL. The Parkland formula dictates administering 4 mL of fluid per kilogram of body weight per percentage of burn. For an 85 kg client with a 27% burn, the calculation yields 4590 mL for the initial eight hours.
A: 3780 mL This volume reflects an underestimation, as it does not account for the full body weight and percentage of burn in the calculation.
B: 1020 mL This amount is significantly low and fails to represent the necessary fluid replacement for the extent of the burn sustained by the client.
C: 5400 mL This figure exceeds the calculated requirement, suggesting an overestimation that could lead to fluid overload and potential complications in management.
The nurse is preparing to administer a regular insulin IV bolus to a client who has hyperglycemic-hyperosmolar state (HHS). The primary health care provider (PHCP) has prescribed an initial bolus dose of 0.1 unit/kg. The client weighs 125.90 kg (276.98 lbs). How much regular insulin should the nurse administer to the client as an IV bolus? Fill in the blank. Round your answer to the nearest whole number.
Rationale:
13 units
The calculation for the initial bolus dose of regular insulin involves multiplying the client's weight (125.90 kg) by the prescribed dose (0.1 unit/kg), resulting in 12.59 units. Rounding this to the nearest whole number yields 13 units, which is the appropriate dosage for effective management in hyperglycemic-hyperosmolar state.
A: 12 units This option underestimates the calculated dosage, as it results from rounding down instead of correctly rounding to the nearest whole number from 12.59 units.
B: 14 units This option overestimates the necessary dosage, suggesting an inappropriate amount of insulin that could lead to adverse effects on the client’s condition management.
C: 15 units This choice grossly exceeds the required bolus, risking potential insulin overdose and detrimental consequences for a patient experiencing hyperglycemic-hyperosmolar state.
A nurse is preparing to administer gentamicin to a child. The order is for 3 mg/kg IV daily in three divided doses. The client weighs 44.1 kg (97.02 lbs). How many milligrams should the nurse administer per dose? Fill in the blank. Round your answer to the nearest whole number.
Rationale:
44 mg.
To calculate the dose per administration, first determine the total daily dose: 3 mg/kg multiplied by 44.1 kg equals 132.3 mg daily. Dividing this by three doses results in 44 mg per dose when rounded to the nearest whole number, confirming the dosage is appropriate for the child's weight and treatment plan.
A: 42 mg. This value miscalculates the total daily dose, failing to accurately reflect the child's weight and the prescribed gentamicin dosage requirements.
B: 45 mg. This choice overestimates the dosage per administration, as it improperly divides the total daily dose, leading to an incorrect amount for the child's weight.
C: 40 mg. This option significantly underestimates the dosage, resulting from a miscalculation that does not consider the full weight-based requirement of the gentamicin administration.
The primary healthcare provider (PHCP) prescribes 250 mL of 0.9% saline to infuse over 75 minutes. How many mL per hour will be administered to the client? Fill in the blank.
Rationale:
200 mL/hr
To determine the infusion rate in mL per hour, divide the total volume (250 mL) by the infusion time in hours (1.25 hours). This calculation yields an infusion rate of 200 mL/hr, aligning with the prescribed parameters for administering 0.9% saline.
A: 100 mL/hr Infusing at 100 mL/hr would result in administering only 125 mL over 75 minutes, which is insufficient to meet the prescribed 250 mL requirement.
B: 150 mL/hr Administering at 150 mL/hr would provide 187.5 mL over 75 minutes, falling short of the necessary 250 mL volume for the client’s treatment.
C: 250 mL/hr This rate would exceed the prescribed volume, delivering 312.5 mL over 75 minutes, which is not aligned with the intended treatment plan for the client.
The nurse is preparing to administer penicillin V potassium to a child with pneumonia. The child weighs 18.5 kg (40.7 lbs). The prescription is for 50 mg/kg/day PO in divided doses every six hours. How many milligrams should the child receive with each dose? Fill in the blank. Round your answer to the nearest whole number.
Rationale:
231 mg. The calculation involves multiplying the child's weight (18.5 kg) by the prescribed dosage (50 mg/kg/day), resulting in 925 mg per day. Dividing this by the four doses given every six hours yields 231 mg per dose when rounded to the nearest whole number.
A: 200 mg Underestimating the child's weight-based dosage leads to an insufficient amount of medication, failing to meet the treatment requirements for pneumonia effectively.
B: 250 mg Overcalculating the dosage disregards the precise weight factor and recommended dosage per kilogram, potentially causing an overdose and increased risk of adverse effects.
C: 275 mg This figure significantly exceeds the calculated requirement, which could jeopardize the child's safety and compromise effective treatment. Accurate dosing is crucial for optimal care.
The nurse is caring for a client receiving a continuous infusion of heparin. The label reads 25,000 units of heparin in 500 mL of Dextrose 5% in water (D5W). The client is receiving 1,250 units per hour. How many milliliters (mL) did the client receive in an eight-hour shift? Fill in the blank.
Rationale:
400 mL
The client receives 1,250 units per hour from a solution containing 25,000 units in 500 mL. Over eight hours, the total units administered is 10,000, which corresponds to 400 mL of the heparin solution.
A: 200 mL This volume represents only half the amount required for the total units given over eight hours and does not match the calculations based on the hourly rate.
B: 300 mL This option underestimates the total volume needed, as the calculations indicate that 10,000 units would yield a larger volume than suggested here.
C: 500 mL This choice exceeds the necessary volume for the units administered, contradicting the established heparin concentration and the calculated hourly infusion rate.
The primary healthcare provider (PHCP) prescribed ibuprofen 600 mg PO q 6 hours PRN pain. The medication label reads ibuprofen 200 mg tablets. How many tablets will be administered to achieve the correct dose?
Rationale:
C: Three tablets will be administered to achieve the correct dose. The prescribed dose of ibuprofen is 600 mg, and since each tablet contains 200 mg, three tablets are necessary to reach the required total dosage.
A: One tablet provides only 200 mg, which is insufficient to meet the prescribed 600 mg dosage needed for effective pain management.
B: Five tablets would yield 1000 mg, exceeding the required 600 mg, which may lead to unnecessary side effects and complications.
D: Two tablets deliver 400 mg, falling short of the necessary 600 mg and failing to adequately address the patient's pain management needs.
The nurse cares for a client receiving 1300 units/hr of heparin. The bag is labeled 25,000 units in 500 mL of dextrose 5% in water. How many mL should the nurse record that the client received in eight hours? Fill in the blank.
Rationale:
416 mL. To determine the volume administered in eight hours, first calculate the total heparin units: 1300 units/hr x 8 hours = 10,400 units. With 25,000 units in 500 mL, the volume for 10,400 units is (10,400 units / 25,000 units) x 500 mL = 416 mL.
A: 500 mL. This volume corresponds to the total bag amount, not the specific dosage administered over the eight-hour period, thus failing to account for the hourly rate.
B: 320 mL. This calculation represents a miscalculation of the total units administered; it does not accurately reflect the required dosage for the specified time frame.
C: 800 mL. This figure overestimates the administration by considering a dosing rate that exceeds the actual heparin requirement over an eight-hour duration, leading to incorrect conclusions.
The nurse is calculating intake for a client for the previous twelve-hour shift. The client received: ,¢ One 150 mL intravenous antibiotic ,¢ One eight-ounce cup of coffee ,¢ One eight-ounce cup of ice cream ,¢ Three eight-ounce cups of water ,¢ Two 10 mL sodium chloride (normal saline) flushes. The nurse should calculate the client's total intake as how many mL? Fill in the blank.
Rationale:
1130 mL
The total intake is calculated by converting all quantities to milliliters: 150 mL (intravenous) + 240 mL (coffee) + 240 mL (ice cream) + 720 mL (water) + 20 mL (flushes), totaling 1130 mL.
A: 1130 mL This option accurately sums the total intake based on the provided quantities and conversions.
B: 1130 mL This option duplicates the correct answer without offering additional context or value.
C: 1200 mL This value miscalculates the total by incorrectly estimating one or more of the individual contributions.
D: 1000 mL This figure undercounts total intake, failing to account for specific measurements provided in the scenario.
The primary healthcare provider (PHCP) prescribes 500 mg of intravenous (IV) metronidazole to be administered over thirty minutes. The pharmacy supplies the medication in a bag labeled 500 mg of metronidazole in 100 mL of 0.9% saline. How many mL/hour should the nurse administer to the client? Fill in the blank.
Rationale:
200 mL/hr
To administer 500 mg of metronidazole in 100 mL over 30 minutes, the infusion rate must be calculated. Since 100 mL is needed in half an hour, the hourly rate is 200 mL/hr, ensuring the medication is delivered within the specified time frame.
A: 100 mL/hr This rate would prolong the infusion time to one hour instead of the prescribed thirty minutes, potentially delaying treatment effectiveness for the patient.
B: 150 mL/hr Administering at this rate would also extend the infusion time beyond thirty minutes, failing to meet the required dosage time outlined in the prescription.
C: 250 mL/hr This rate would accelerate the infusion, leading to a potential overdose of metronidazole, which could result in adverse effects for the patient.
The nurse is reviewing a primary healthcare provider's prescription for 20 mEq of potassium chloride to be administered to a client with hypokalemia. The nurse has 20 mEq of potassium chloride in 250 mL of sodium chloride (normal saline) on hand. How many milliliters per hour (mL/hr) should the nurse set the infusion pump to when administering the medication over two hours? Fill in the blank. Round your answer to the nearest whole number.
Rationale:
125 mL/hr.
To administer 20 mEq of potassium chloride over two hours, the total volume of 250 mL needs to be infused. Dividing 250 mL by 2 hours results in an infusion rate of 125 mL/hr, ensuring the prescribed dosage is correctly delivered within the specified timeframe.
A: 100 mL/hr. This rate would not deliver the full 250 mL over the required two hours, leading to insufficient medication administration.
B: 150 mL/hr. Infusing at this rate would exceed the volume needed, resulting in an incorrect total administration and potential complications for the patient.
C: 75 mL/hr. This rate would significantly under-deliver the 250 mL required over two hours, failing to meet the prescribed dosage and putting the patient at risk.
The primary healthcare provider (PHCP) prescribes 0.5 g of acetaminophen by mouth every six hours. The nurse has administered 3 doses. How many total milligrams has the client received? Fill in the blank.
Rationale:
1500 mg
The client has received three doses of 0.5 g acetaminophen. Converting grams to milligrams, 0.5 g equals 500 mg. Multiplying 500 mg by 3 doses results in a total of 1500 mg administered.
A: 1000 mg 1000 mg represents only two doses of acetaminophen, not accounting for the total administered after three doses, thus underestimating the actual medication given.
B: 2000 mg 2000 mg suggests four doses were given, which does not align with the three doses actually administered to the client.
C: 2500 mg 2500 mg implies an erroneous calculation of five doses, significantly exceeding the prescribed amount and misrepresenting the total received by the client.
The primary healthcare provider (PHCP) prescribes 0.5 grams of cefaclor by mouth, twice a day. The nurse has cefaclor 500 mg capsules on hand. How many capsule(s) should the nurse administer per dose? Fill in the blank.
Rationale:
1 capsule
The prescription calls for 0.5 grams (500 mg) of cefaclor per dose, and since the nurse has 500 mg capsules available, administering one capsule meets the required dosage precisely.
A: 0 capsules. Administering no capsules fails to provide any medication, which does not fulfill the prescribed treatment plan and would leave the patient without necessary care.
B: 2 capsules. Giving two capsules would exceed the required dosage, resulting in a total of 1000 mg, which is not what the healthcare provider prescribed.
C: 3 capsules. Administering three capsules would deliver 1500 mg, significantly surpassing the prescribed dose of 500 mg, leading to potential overdosing and adverse effects.
The primary healthcare provider orders methylprednisolone 1.6 mg/kg for a child weighing 30.4 kg (66.8 lbs). The label on the medication reads 500 mg/4 mL. How many milliliters (mL) should the nurse administer? Fill in the blank. Round your answer using 1 decimal place.
Rationale:
0.4 mL
To calculate the dosage, first determine the total mg needed by multiplying the child's weight (30.4 kg) by the dosage (1.6 mg/kg), resulting in 48.64 mg. The concentration of the medication is 125 mg/mL (500 mg/4 mL), so dividing 48.64 mg by 125 mg/mL equals 0.389 mL, which rounds to 0.4 mL.
A: 0.8 mL This volume exceeds the required dosage, as calculated from the child's weight and the prescribed mg/kg, leading to an overestimation of the medication needed.
B: 0.2 mL Administering this amount would be insufficient, as it does not meet the calculated requirement based on the child's weight and the prescribed dosage.
C: 1.0 mL This amount significantly overshoots the calculated dose, resulting in an excessive volume that does not align with the proper medication dosage for the child's weight.
The primary healthcare provider (PHCP) prescribes 4 mg of morphine intramuscular (IM). The medication vial reads morphine sulfate, 10 mg/mL. How many mL should the nurse administer? Fill in the blank. Record your answer using 1 decimal place.
Rationale:
0.4 mL
To determine the correct volume to administer, divide the prescribed dose (4 mg) by the concentration (10 mg/mL). This calculation yields 0.4 mL, which is the precise amount required for administration.
A: 0.1 mL This volume corresponds to only 1 mg of morphine, significantly less than the prescribed 4 mg, making it inadequate for effective pain relief.
B: 0.2 mL This amount equates to 2 mg of morphine, still insufficient to meet the 4 mg dose prescribed by the primary healthcare provider.
C: 0.5 mL This volume would deliver 5 mg of morphine, exceeding the required dose and potentially leading to adverse effects from overmedication.
The primary healthcare provider (PHCP) prescribes a regular insulin infusion. The prescription is for 4.5 units/hr. The label on the medication reads 250 mL of 0.9% saline containing 100 units of regular insulin. How many mL/hr should the client receive? Fill in the blank. Round your answer using 1 decimal place.
Rationale:
11.3 mL/hr
To determine the infusion rate, we calculate the total insulin in the solution. With 100 units in 250 mL, 4.5 units/hr equates to an infusion rate of 11.3 mL/hr, ensuring the patient receives the correct dosage consistently.
A: 18.0 mL/hr This option suggests a higher infusion rate, which exceeds the prescribed dosage and could lead to potential complications for the patient.
B: 9.0 mL/hr This rate underestimates the required dosage, resulting in inadequate insulin delivery and failing to meet the patient’s therapeutic needs.
C: 13.5 mL/hr This choice implies an excessive rate that does not align with the prescribed units per hour, risking overdosing the patient on insulin.
The primary healthcare provider (PHCP) prescribes 1.5 grams of vancomycin to be infused over 90 minutes. The pharmacy supplies the medication in a bag labeled 1500 mg of Vancomycin in 250 mL of 0.9% saline. How many mL/hour should the nurse administer? Fill in the blank. Round your answer to the nearest whole number.
Rationale:
167 mL/hr
To administer 1.5 grams of vancomycin over 90 minutes, the nurse calculates the infusion rate by converting grams to milliliters. Given the concentration of 1500 mg in 250 mL, the resulting rate is 167 mL/hr to ensure the medication is delivered correctly within the designated time frame.
A: 200 mL/hr This option exceeds the required rate, leading to a faster infusion than prescribed, which could potentially increase the risk of adverse effects and complications.
B: 150 mL/hr This rate is insufficient for administering 1.5 grams over the specified 90 minutes, potentially delaying the medication's therapeutic effects and affecting patient outcomes.
C: 120 mL/hr This infusion rate falls short of the necessary dosage delivery, risking inadequate therapeutic levels of vancomycin in the patient’s system within the allocated time.
The primary health care provider (PHCP) prescribes ondansetron 0.15 mg/kg IV to a pediatric client who weighs 18.18 kg (39.99 lbs). The medication label reads 2 mg/mL. How many milliliters will the nurse administer to the client? Fill in the blank. Round your answer using 1 decimal place.
Rationale:
2.7 mL
To calculate the required dose, multiply the child's weight (18.18 kg) by the prescribed dosage (0.15 mg/kg), resulting in 2.727 mg. Dividing this by the concentration (2 mg/mL) yields 1.3635 mL, which rounds to 2.7 mL for administration.
A: 3.0 mL Administration of 3.0 mL exceeds the calculated dose of 2.7 mL, leading to an incorrect overdosage that may pose safety concerns for the pediatric client.
B: 1.5 mL Administering 1.5 mL falls short of the required 2.7 mL, resulting in insufficient medication that could compromise the effectiveness of the treatment for the pediatric client.
C: 2.0 mL Giving 2.0 mL is also inadequate, as it does not meet the calculated dose of 2.7 mL, potentially leaving the client under-treated for their condition.
The nurse is calculating intake for a client. The client received: 0.9% saline at 125 mL/hr for six hours three 8-ounce cups of cranberry juice,one 8-ounce cup of coffee,¢ one 8-ounce cup of water. How many mL should the nurse document as the client's total intake? Fill in the blank.
Rationale:
1680 mL
The total intake is calculated by converting all fluid volumes to milliliters. The saline totals 750 mL, cranberry juice is 720 mL, coffee is 240 mL, and water is 240 mL, summing to 1680 mL.
A: 1800 mL This figure overestimates the total by incorrectly adding fluid volumes beyond the actual intake recorded.
B: 1500 mL This amount underrepresents the saline and beverage intake, failing to account for all fluids accurately.
C: 1200 mL This total neglects significant contributions from both the saline and various beverages consumed, leading to a substantial undercalculation.
The nurse is calculating intake for a client. The client received two 100 mL intravenous antibiotics, two eight-ounce cups of ice, one eight-ounce cup of coffee, and three eight-ounce cups of water. The nurse should document the client's total intake as how many mL? Fill in the blank.
Rationale:
1160 mL. The total intake is calculated by adding the volumes of the intravenous antibiotics (200 mL), ice (480 mL), coffee (240 mL), and water (720 mL). The summation yields 1160 mL.
A: 1200 mL. This figure miscalculates the total by incorrectly summing the individual components, failing to account for the specific volumes of each item provided.
B: 800 mL. This option significantly underestimates the total intake, neglecting the measured amounts of intravenous antibiotics and miscalculating the overall fluid contributions from all sources.
C: 1000 mL. This choice inaccurately represents the total by omitting contributions from both the ice and the intravenous antibiotics, leading to a substantial undercount of the fluid intake.
The primary healthcare provider (PHCP) prescribes 150 mL of sterile water to be administered over one hour. The drop factor is 15 gtts/mL. How many drops per minute will the nurse set the flow rate at? Fill in the blank. Round your answer to the nearest whole number.
Rationale:
38 gtts/minute.
To calculate the flow rate, divide the total volume (150 mL) by the time in minutes (60 minutes) to find 2.5 mL/min. Multiplying by the drop factor (15 gtts/mL) yields a flow rate of 37.5 gtts/min, which rounds to 38 gtts/min, confirming the accuracy of the prescribed rate.
A: 25 gtts/minute. This rate is significantly lower than the calculated flow rate, leading to an inadequate volume being administered over the designated time period.
B: 45 gtts/minute. This value exceeds the necessary flow rate, resulting in a faster delivery of sterile water than prescribed, which could be harmful to the patient.
C: 30 gtts/minute. This flow rate does not meet the required volume per minute, causing an insufficient administration of sterile water over the one-hour span.
The nurse is calculating the total intake for a client diagnosed with acute kidney injury. The client's urinary output for the shift is 820 mL. The client received: ,¢ 650 mL of intravenous fluid ,¢ 6 ounces of water ,¢ 8 ounces of chicken broth. What is the total intake the nurse will document for this client? Fill in the blank.
Rationale:
1030 mL. The total intake is calculated by converting all fluid measurements to milliliters and summing them: 650 mL (intravenous fluid) + 180 mL (6 ounces of water) + 240 mL (8 ounces of chicken broth) equals 1070 mL. Subtracting the urinary output of 820 mL provides a total documented intake of 1030 mL.
A: 840 mL. This figure mistakenly considers only the intravenous fluid and fails to include the additional fluid intake from water and broth, leading to an incomplete calculation.
B: 1000 mL. This option omits the proper conversion of ounces to milliliters for both water and broth, resulting in an inaccurate total that does not reflect the client's actual intake.
C: 1200 mL. This total inaccurately accounts for all fluids, possibly adding extra fluid or miscalculating the conversions, thus exceeding the actual intake the nurse should document for the client.
The primary healthcare provider (PHCP) prescribes 100 mL of 0.9% saline to infuse over 45 minutes. How many mL per hour will the nurse administer to the client? Fill in the blank. Round your answer to the nearest whole number.
Rationale:
133 mL/hr
To calculate the infusion rate, divide the total volume (100 mL) by the infusion time in hours (0.75 hours). This results in approximately 133.33 mL/hr, which rounds to 133 mL/hr.
A: 150 mL/hr Infusing at this rate would exceed the prescribed 100 mL over 45 minutes, leading to a potentially dangerous over-infusion.
B: 120 mL/hr This rate is insufficient, as it would not complete the 100 mL infusion in the allotted 45 minutes, extending the duration unnecessarily.
C: 100 mL/hr Administering at this rate would take a full hour to infuse 100 mL, far exceeding the required 45-minute timeframe for the infusion.
The primary healthcare provider (PHCP) prescribes 100 mg of amoxicillin oral suspension by mouth, four times a day. The nurse has amoxicillin 250 mg per 5 mL on hand. How many milliliters in a single dose should the nurse administer to the client? Fill in the blank.
Rationale:
2 mL
To determine the dosage, the nurse must convert 100 mg of amoxicillin to milliliters using the concentration on hand. Since 250 mg is contained in 5 mL, 100 mg corresponds to 2 mL, ensuring the client receives the correct dose.
A: 5 mL The volume of 5 mL would provide 250 mg, which exceeds the prescribed dosage of 100 mg, creating a risk of overmedication.
B: 10 mL Administering 10 mL would deliver 500 mg, far surpassing the required dosage and potentially leading to serious adverse effects on the patient’s health.
C: 1 mL A 1 mL dose only supplies 50 mg, which is insufficient to meet the prescribed requirement of 100 mg, thereby failing to provide adequate treatment.
The primary healthcare provider (PHCP) prescribes 1 mg/kg of enoxaparin for a client weighing 60 kg (132 lbs). How many mL should the nurse administer to the client when the prefilled syringe reads 60mg/0.6mL? Fill in the blank. Round your answer using 1 decimal place.
Rationale:
0.6 mL
The calculation for enoxaparin dosage involves determining the total required dose for a 60 kg client, which is 60 mg. Since the prefilled syringe contains 60 mg in 0.6 mL, the nurse should administer 0.6 mL to deliver the correct amount.
A: 0.5 mL A volume of 0.5 mL would equate to 50 mg, which is insufficient for the required dosage of 60 mg needed for the client.
B: 0.7 mL An administration of 0.7 mL would deliver 70 mg, exceeding the prescribed dose and potentially leading to an overdose for the client.
C: 1.0 mL A volume of 1.0 mL corresponds to 100 mg, which significantly overshoots the necessary dosage and poses a risk of harmful side effects.
