Med-Surg Math Verified Answers 2024

Med-Surg Math Verified Answers 2024 A client is prescribed 1000 mL of normal saline to infuse over 24 hours. At what rate should the nurse set the pump (mL/hr) to deliver this infusion? (Record your answer using a whole number.) ____ mL/hr 42 XmL/hr= 1000 mL ÷ 24 hours = 41.6 rounded to 42 mL/hr A client is prescribed 250 mL of normal saline to infuse over 4 hours via gravity. The facility supplies gravity tubing with a drip factor of 15 drops/mL. At what rate (drops/min) should the nurse set the infusion to deliver? (Record your answer using a whole number.) _____ drops/min 16 Xdrops/min= 4 hours x 60 mins = 240 mins 250 mL ÷ 240 mins = 1. x 15 drops=15.625 rounded to 16 drops/min A nurse assesses a 66-year-old client who is attempting to quit smoking. The client states, "I started smoking at age 16, and smoked one pack each day until 10 years ago. Then I decreased to a half of a pack per day." How many pack-years should the nurse document for this client? (Record your answer using a whole number.) ___ pack-years 45 66 (current age) - 16 (year started smoking) = 50 years of smoking.(40 years ´ 1 pack per day) + (10 years ´ 0.5 pack per day) = 45 pack-years A nurse prepares a client with acute renal insufficiency for a cardiac catheterization. The provider prescribes 0.9% normal saline to infuse at 125 mL/hr for renal protection. The nurse obtains gravity tubing with a drip rate of 15 drops/mL. At what rate (drops/min) should the nurse infuse the fluids? (Record your answer using a whole number, and rounding to the nearest drop.) _____ drops/min 31 Xdrops/min= 125 mL ÷ 60 mins = 2. x 15 = 31.25 rounded to 31 A nurse is caring for a client who weighs 220 pounds and is started on enoxaparin (Lovenox). How much enoxaparin does the nurse anticipate administering? (Record your answer using a whole number.) _____ mg 90 The dose of enoxaparin is 1 mg/kg body weight, not to exceed 90 mg. This client weighs 220 pounds (110 kg), and so will get the maximal dose A nurse prepares to administer 12 mg/kg of 5-fluorouracil chemotherapy intravenously to a client who has colon cancer. The client weights 132 lb. How many milligrams should the nurse administer? (Record your answer using a whole number.) _____ mg 720 Xmg= 132 lb ÷ 2.2 lb = 60 kg 12 mg/kg x 60 kg = 720 mg A nurse cares for a client who is prescribed 5 mg/kg of infliximab (Remicade) intravenously. The client weighs 110 lbs and the pharmacy supplies infliximab 100 mg/10 mL solution. How many milliliters should the nurse administer to this client? (Record your answer using a whole number.) ____ mL 25 X mL= 10 mL ÷ 100 mg x 1 kg ÷ 2.2 lb x 110 lb10 mL x 5 mg x 110= 5500 mL100 mg x 2.2 lb= 2205500 mL ÷ 220= 25 mL A nurse cares for a client with acute pancreatitis who is prescribed gentamicin (Garamycin) 3 mg/kg/day in 3 divided doses. The client weighs 264 lb. How many milligrams should the nurse administer for each dose? (Record your answer using a whole number.) ____ mg/dose 120 X mg/dose= 3 mg ÷ 1 kg/day x 1 kg ÷ 2.2 lb x 264 lb3 mg/day x 264 lb= 792 ÷ 2.2 lb= 360360 mg/day ÷ 3 divided doses= 120 mg/dose A nurse cares for a client who is prescribed 4 mg of calcium gluconate to infuse over 5 hours. The pharmacy provides 2 premixed infusion bags with 2 mg of calcium gluconate in 100 mL of D5W. At what rate should the nurse administer this medication? (Record your answer using a whole number.) ____ mL/hr 40 X mL/hr= 100 mL ÷ 2 mg x 4 mg ÷ 5 hr100 mL x 4 mg= 400 mL2 mg x 5 hr= 10400 mL ÷ 10 hr= 40 mL/hr