EAQ Morris Chapter 21, Basic Intravenous Calculations - Intermediate Level

The nurse is reviewing the electronic medical record of a patient and sees an order for vancomycin 1,250 mg in 250 mL dextrose 5% in water (D5W) to infuse over 90 minutes. At what rate will the nurse set the infusion pump to administer this medication?

166.7 mL/min

The nurse is preparing digoxin 0.125 mg intravenous push. The digoxin available is 250 mcg/mL. How much will the nurse administer? Include a leading zero if applicable.

0.5 mL

A patient has an order for promethazine 35 mg intravenous push every 4 hours as needed for nausea. The medication is available in a vial with 50 mg/2 mL. How much will the nurse administer for one dose? Record your answer using one decimal place.

1.4 mL

The nurse has a medication to administer via intravenous push; the medication must be administered at 2 mg/min. The dose ordered for the patient is 3 mg. What would be considered the minimum safe administration time? Record your answer using one decimal place.

1.5 minutes

A patient has a prescription for regular insulin to run at a rate of 6 units/hr and the concentration of insulin available is 300 units in 500 mL of 0.9% normal saline (NS). At which rate in milliliters per hour is the pump to be programmed?

10 mL/hr

The nurse is setting up an infusion of 50 mL to be delivered over 30 minutes. At what rate would the nurse need to set the infusion device?

100 mL

A patient has a continuous insulin infusion at 6 mL/hr, and the insulin concentration is 500 units in 250 mL of 0.9% normal saline. How many units/hr of insulin is the patient receiving?

12 units/hr

How many milliliters per hour will an intravenous line be running if the health care provider ordered 500 mL of whole blood to be infused over 4 hours?

125 mL/hr

The nurse notes a new prescription for levofloxacin 200 mg to be given over 1 hour. The pharmacy provides a bag of levofloxacin 200mg/100 mL dextrose 5% in water (D5W). The tubing provides 10 gtt/min. How many drops per minute will the nurse set the infusion?

17 gtt/min

A patient has continuous insulin drip infusing at 18 mL/hr, and the concentration of insulin infusing is 250 units in 250 mL of 0.9% normal saline. How many units per hour of insulin is the patient receiving? Record answer as a whole number.

18 units/hr

The patient has an order for hydromorphone 4 mg, with each 1 mg to be given over 2 minutes. The nurse has available 2 mg/mL. Which option reflects the correct administration?

2 mL over 8 minutes

The health care provider ordered aminophylline 125 mg intravenous push. The aminophylline is to be diluted to 10 mL and administered over 5 minutes. How many milliliters per minute will the nurse administer?

2 mL/min

A nurse will give metoprolol intravenous (IV) push to the patient. The order is for metoprolol 2.5 mg IV push. The nurse has metoprolol 5 mg/5 mL available. How much will the nurse need to administer? Record your answer using one decimal place.

2.5 mL

The nurse finds an intravenous (IV) solution ordered to infuse over 8 hours fails to infuse at the intended rate. There is 240 mL of solution remaining, and only 2 hours are left to infuse the solution. There is a drop factor of 10 gtt/mL. What will the new rate be to complete the solution in time? Record your answer using a whole number.

20 gtt/min

The nurse needs to administer meperidine 100 mg intravenous (IV) push over 5 minutes for pain relief. At what rate will the nurse administer the IV push?

20 mg/min

A patient admitted after a car crash has an order for 1,000 mL of dextrose 5% in normal saline (D5NS) to be infused over the next 8 hours. If the intravenous (IV) tubing is calibrated to deliver 10 gtt/mL, what would the flow rate be?

21 gtt/min

A patient has a prescription for heparin to infuse at 12 units/hr and a nurse has available 250 units of heparin in 500 mL of 0.9% normal saline. How many mL/hr does the nurse program the pump for?

24 mL/hr

A patient has a prescription for heparin to infuse at a rate of 15 units/hr, and the concentration of insulin available is 250 units in 500 mL of 0.9% normal saline (NS). How many mL/hr is the pump to be programmed for? Record answer as a whole number.

30 mL/hr

A patient has a prescription for regular insulin to run at a rate of 14 units/hr, and the concentration of insulin available is 100 units in 250 mL of 0.9% normal saline (NS). At which rate in milliliters per hour is the pump to be programmed?

35 mL/hr

A patient has a continuous insulin infusion at 10 mL/hr, and the insulin concentration is 100 units in 250 mL of 0.9% normal saline. How many units/hr of insulin is the patient receiving? Record answer as a whole number.

4 units/hr

The nurse will administer a continuous infusion of pantoprazole 6.7 mg/h for a patient with a peptic ulcer disease. The pharmacy supplies a bag of pantoprazole 161 mg/100 mL 0.9% normal saline. At what rate will the nurse set the infusion pump to deliver the prescribed dose of medication? Record your answer using one decimal place.

4.2 mL/h

The health care provider orders a continuous intravenous infusion of 5 mg/h of diltiazem for a patient with tachycardia. The pharmacy supplies a bag of diltiazem 100 mg/100 mL 0.9% normal saline. At what rate will the nurse set the infusion pump?

5 mL/h

Which rate in milliliters per hour would a nurse set a pump if it observed at 0700 that the total parenteral nutrition for a client has 150 mL remaining in the bag and is ordered to be completed by 1000? Record your answer using a whole number.

50 mL

The nurse is preparing to document the total volume of normal saline (NS) infused for a patient during the shift. The NS has been infusing for the last 8 hours at 20 microgtt/min, with a drop factor of 15 gtt/mL. Which documented amount is accurate?

640 mL

A patient has a prescription for regular insulin to run at a rate of 16 units/hr, and the concentration of insulin available is 1,000 units in 500 mL of 0.9% normal saline (NS). At which rate in mL/hr is the pump to be programmed? Record answer as a whole number.

8 mL/hr

When administering intravenous fluid by gravity, which does the nurse plan to include in the preparation?

Calculate the drops per minute based on the tubing drop factor.

Which tubing does the nurse use to administer 1,000 mL of 0.9% normal saline at 125 mL/hr over 6 hours by gravity

Macrodrop set

Which rate will the nurse use when administering intravenous (IV) fluid by an IV pump?

Milliliters per hour

The nursing student is determining how many hours it will take for an intravenous (IV) of dextrose 5% in water (D5W) 0.9% normal saline (NS) to infuse if the volume is 120 mL regulated at 20 microgtt/min with a drop factor of 10 gtt/mL. Which nursing student statement indicates a correct calculation?

The IV would infuse in 1 hour

Which does the nurse consider when preparing to infuse an IVPB into the primary intravenous line when using an IV pump?

The IVPB will infuse in mL per hour.

Which situation does the nurse anticipate when programming the pump to administer intravenous fluid?

The pump can only be programmed to infuse the fluid by the hour.