Tüm alıştırma soruları

An adult client is being treated for a pulmonary embolism and is currently receiving a continuous intravenous heparin infusion at $15 \text{ units/kg/hr}$. The client weighs $198 \text{ lbs}$. The infusion bag supplied by the pharmacy contains $25,000 \text{ units}$ of heparin in $500 \text{ mL}$ of $5\%$ Dextrose in Water (D5W). The client's most recent activated partial thromboplastin time (aPTT) result is $41 \text{ seconds}$.

The facility's heparin adjustment protocol states:

Based on the protocol, at what rate in $\text{mL/hr}$ should the nurse set the infusion pump for the continuous maintenance drip? (Record your answer to the nearest tenth.)

During a shift in the cardiac intensive care unit, a nurse receives an order to titrate a continuous dobutamine infusion for a client in cardiogenic shock. The client's documented weight is $92\text{ kg}$. The medication is infusing from a $250\text{ mL}$ bag of 5% dextrose in water (D5W) containing $500\text{ mg}$ of dobutamine. The current pump rate is displayed as $18\text{ mL/hr}$.

The prescribed titration parameter dictates: "Increase dobutamine dose by $2.5\text{ mcg/kg/min}$ every 15 minutes to maintain a mean arterial pressure (MAP) $> 65\text{ mmHg}$."

The last titration was 20 minutes ago, and the client's current MAP is $58\text{ mmHg}$. What new rate, in $\text{mL/hr}$, must the nurse program into the infusion pump? Record your answer using one decimal place.

A client admitted with a pulmonary embolism has a new prescription for a continuous intravenous heparin infusion at $18\text{ units/kg/hr}$. The client weighs $187\text{ lbs}$. The pharmacy dispenses a premixed bag containing $25,000\text{ units}$ of heparin in $500\text{ mL}$ of $0.9\%$ sodium chloride. At what rate in $\text{mL/hr}$ should the nurse program the infusion pump? (Round the final answer to the nearest whole number.)

The healthcare provider prescribes a $100\text{ mL}$ intravenous piggyback infusion of ceftriaxone to run over $30\text{ minutes}$. At what rate, in $\text{mL/hr}$, will the nurse set the electronic infusion pump? (Record your answer as a whole number).

A client with a deep vein thrombosis has a prescription for a continuous heparin infusion at $1,200\text{ units/hr}$. The pharmacy dispenses an intravenous bag containing $25,000\text{ units}$ of heparin mixed in $250\text{ mL}$ of $5\%$ dextrose in water (D5W). At what rate should the nurse set the infusion pump? Record your answer as a whole number.

A client weighing $78\text{ kg}$ is admitted to the progressive care unit with a hypertensive crisis. The healthcare provider prescribes a continuous intravenous infusion of sodium nitroprusside at a rate of $3\text{ mcg/kg/min}$. The medication is supplied as sodium nitroprusside $50\text{ mg}$ mixed in $250\text{ mL}$ of $5\%$ dextrose in water (D5W). At what rate should the nurse set the infusion pump in $\text{mL/hr}$? Round your answer to the nearest tenth.

A critically ill client weighing $154\text{ lbs}$ is prescribed a continuous intravenous (IV) infusion of milrinone at $0.55\text{ mcg/kg/min}$ for the management of severe heart failure. The pharmacy supplies a premixed IV bag containing $20\text{ mg}$ of milrinone in $100\text{ mL}$ of $5\%$ dextrose in water ($D_5W$). The client's current heart rate is $118\text{ beats/min}$ and blood pressure is $96/58\text{ mmHg}$. What should the nurse set the infusion pump rate to in $\text{mL/hr}$? Record your answer to the nearest tenth.

A postoperative client has an order for intravenous pantoprazole. The medication is prepared in a $100\text{ mL}$ bag of $0.9\%$ sodium chloride and needs to be infused over $15\text{ minutes}$. At what rate, in $\text{mL/hr}$, will the nurse set the infusion pump?

A neonate born at 32 weeks gestation had a birth weight of $1800\text{ g}$. On day 3 of life, the neonate's current weight is $1650\text{ g}$. The healthcare provider prescribes a total daily fluid intake of $120\text{ mL/kg/day}$ based on the neonate's current weight. The neonate is receiving the following therapies:

- Enteral formula feedings of $13\text{ mL}$ every 3 hours via orogastric tube.
- Intravenous (IV) ampicillin every 12 hours. Each antibiotic dose is diluted in $5\text{ mL}$ of normal saline.

The remaining fluid requirement will be administered as a continuous IV infusion of 10% dextrose in water (D10W). The antibiotic volume is included in the total daily fluid intake. What is the required infusion rate for the continuous D10W, in $\text{mL/hr}$, to ensure the neonate receives exactly the prescribed total daily fluid intake? Record your answer using one decimal place.

A nurse in the intensive care unit is caring for a client who weighs $187\text{ lbs}$ and is receiving a continuous intravenous infusion of norepinephrine for septic shock. The medication is supplied as $4\text{ mg}$ of norepinephrine in $250\text{ mL}$ of $5\%$ dextrose in water ($D_5W$). The infusion is currently running at $17\text{ mL/hr}$.

The client's current vital signs include a heart rate of $112\text{ bpm}$ and a blood pressure of $82/46\text{ mmHg}$ (mean arterial pressure [MAP] $58\text{ mmHg}$).

The provider's prescribed titration parameters state: "Titrate norepinephrine infusion by $0.02\text{ mcg/kg/min}$ every 5 minutes to maintain a MAP $\geq 65\text{ mmHg}$."

Based on the client's current MAP, the nurse performs one titration increase. What should the nurse set the new infusion pump rate to in $\text{mL/hr}$? (Record answer to the nearest tenth.)

A nurse is preparing to administer a prescribed dose of cefepime 1 gram in $50\text{ mL}$ of $0.9\%$ sodium chloride intravenously over $30\text{ minutes}$ to a client with a respiratory tract infection. At what rate in $\text{mL/hr}$ should the nurse set the intravenous infusion pump? Record your answer as a whole number.

A client weighing $198\text{ lb}$ is receiving a continuous intravenous (IV) heparin infusion for the treatment of a deep vein thrombosis. The client's morning activated partial thromboplastin time (aPTT) is reported as $42\text{ seconds}$. According to the facility's weight-based heparin protocol, for this aPTT result, the nurse must administer an IV push bolus of $40\text{ units/kg}$ and increase the continuous infusion rate by $2\text{ units/kg/hr}$. The continuous IV infusion is currently running at $14\text{ units/kg/hr}$. The pharmacy provides a premixed heparin bag containing $25,000\text{ units}$ in $250\text{ mL}$ of $0.9\%$ sodium chloride, and a separate heparin vial containing $1,000\text{ units/mL}$ for the bolus dose.

After administering the required bolus, at what rate in $\text{mL/hr}$ should the nurse set the IV pump for the new continuous infusion? (Record your answer to the nearest tenth.)

A registered nurse in the cardiovascular intensive care unit is caring for a client with severe decompensated heart failure.

Client data:
- Weight: $176\text{ lb}$
- Current cardiac index (CI): $1.8\text{ L/min/m}^2$
- Current dobutamine infusion rate: $12\text{ mL/hr}$
- Intravenous fluid bag: Dobutamine $500\text{ mg}$ in $250\text{ mL}$ of $5\%\text{ Dextrose in Water (D5W)}$

The unit's hemodynamic titration protocol states: "If CI is $< 2.0\text{ L/min/m}^2$, increase dobutamine infusion by $2.5\text{ mcg/kg/min}$ every 30 minutes until CI is $\geq 2.0\text{ L/min/m}^2$. Maximum dose: $20\text{ mcg/kg/min}$."

The nurse evaluates the client's current status and determines a titration is required. Based on the protocol, what should the nurse set the new infusion rate to in $\text{mL/hr}$? Record your answer to the nearest whole number.

A gravid client at $37$ weeks gestation is admitted with severe preeclampsia and requires magnesium sulfate therapy to prevent eclampsia, along with oxytocin for labor induction. The healthcare provider's orders include:

- Strict total intravenous fluid restriction of $125\text{ mL/hour}$.
- Magnesium sulfate maintenance infusion at $2\text{ grams/hour}$ (supplied as $20\text{ grams}$ in $500\text{ mL}$ of $0.9\%$ sodium chloride).
- Oxytocin continuous infusion at $12\text{ milliunits/minute}$ (supplied as $30\text{ units}$ in $500\text{ mL}$ of Lactated Ringer's).
- A primary intravenous line of Lactated Ringer's to run at a rate that maintains the exact total hourly fluid restriction.

What should the nurse set the infusion rate for the primary line of Lactated Ringer's to, in $\text{mL/hour}$? Record your answer as a whole number.

The healthcare provider prescribes a continuous intravenous infusion of sodium nitroprusside at a rate of $3 \text{ mcg/kg/min}$ for a client experiencing a hypertensive crisis. The client weighs $198 \text{ lbs}$. The medication is supplied as $50 \text{ mg}$ of sodium nitroprusside mixed in $250 \text{ mL}$ of 5% dextrose in water (D5W). What is the appropriate infusion rate in $\text{mL/hr}$? (Record your answer as a whole number.)

A healthcare provider prescribes ceftriaxone $1 \text{ gram}$ in $50 \text{ mL}$ of $0.9\%$ sodium chloride to be infused intravenously over $30 \text{ minutes}$. The nurse will use an electronic infusion pump. At what rate, in $\text{mL/hr}$, should the nurse set the infusion pump? Record your answer as a whole number.

A nurse is preparing to administer a primary intravenous infusion of $1,000$ mL of $0.9\%$ sodium chloride over $8$ hours. At what rate should the nurse program the electronic infusion pump in mL/hr? (Record your answer as a whole number.)

The healthcare provider prescribes a continuous intravenous (IV) infusion of sodium nitroprusside at $2 \text{ mcg/kg/min}$ for a client experiencing a hypertensive emergency. The client's documented weight is $78 \text{ kg}$. The available medication is a $250 \text{ mL}$ bag of $5\% \text{ dextrose in water}$ containing $50 \text{ mg}$ of sodium nitroprusside. At what rate, in $\text{mL/hr}$, should the nurse set the infusion pump? Record your answer rounded to the nearest whole number.

A pediatric client with neuroblastoma is scheduled to receive a cyclophosphamide infusion. The client's height is $144 \text{ cm}$ and weight is $36 \text{ kg}$. The provider prescribes cyclophosphamide $825 \text{ mg/m}^2$ IV to infuse continuously over $4 \text{ hours}$. The Mosteller formula for calculating Body Surface Area (BSA) is provided: $\text{BSA (m}^2) = \sqrt{\frac{\text{Height (cm)} \times \text{Weight (kg)}}{3600}}$. The pharmacy dispenses reconstituted cyclophosphamide with a concentration of $20 \text{ mg/mL}$. The nurse must draw up the prescribed dose and inject it into a $150 \text{ mL}$ bag of $0.9\%$ sodium chloride for administration.

What should the nurse set the intravenous infusion pump rate to in mL/hr? (Round the final answer to the nearest tenth.)

A nurse is caring for a client with acute decompensated heart failure who weighs $198 \text{ lbs}$. The healthcare provider prescribes a continuous intravenous (IV) infusion of milrinone at $0.375 \text{ mcg/kg/min}$. The pharmacy supplies milrinone as $20 \text{ mg}$ in $100 \text{ mL}$ of $5\% \text{ Dextrose}$ in water (D5W). At what rate, in $\text{mL/hr}$, should the nurse set the IV infusion pump? (Record answer to the nearest tenth.)