CH 15 - Intravenous Flow Rates

How many milliliters per hour should an intravenous line be running if the health care provider ordered 500 mL of whole blood to be infused over 4 hours? Record your answer using a whole number. _____ mL/hr

125 mL/hr

5% The nurse receives an order to infuse labetalol 50 mg in 100 mL dextrose 5% in water (D5W) at 10 mg/hr. What is the rate of the infusion in milliliters per hour? _____ mL/hr

20 mL/hr

A patient has the following enteral feeding order: ⅓ Ensure 900 mL by orogastric tube. Using the formula method, how much solute in milliliters must the nurse prepare to administer this feeding prescription accurately? Record your answer using a whole number. ______ mL

300 mL

How many milliliters of solution has a patient received if the intravenous fluid has been running for 36 hours at 100 mL per hour? Record your answer using a whole number. _______ mL

3600 mL

Which rate in mL per hour should the nurse set a pump after an order of 300 mL infusion of Ensure over 6 hours is given? Record your answer using a whole number. ______ mL/hr

50 mL/hr

How many milliliters per hour will be administered to a patient who has been prescribed 1000 mL of Ringer lactate to be infused over 12 hours? Record your answer using one decimal place. _______ mL/hr

83.3 mL/hr

When administering intravenous fluid by gravity, which does the nurse plan to include in the preparation? a. Calculate the drops per minute based on the tubing drop factor. b. Calculate the drops per hour based on the size of the drip chamber. c. Count the drops per minute watching the drip chamber for 3 minutes. d. Use the roller clamp to control the size of the drops entering the tubing.

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

Which is an accurate statement about central venous catheters? a. They are the best choice to meet the need for short-term intravenous (IV) access. b. Management of the central venous catheter can be delegated to nonnursing personnel. c. Continuous fluids administered through a central venous catheter must be regulated via an infusion pump. d. The catheter should be flushed with 5 to 10 mL of water when catheter access is routinely capped or clamped after blood draws.

c. Continuous fluids administered through a central venous catheter must be regulated via an infusion pump.

Which is the main advantage of administering intravenous (IV) fluid using an infusion pump? a. The intravenous pumps are self programming. b. The drip rate does not have to be calculated. c. The IV pump is safer to use when administering an infusion. d. The patient requires less monitoring when administering intravenous fluid.

c. The IV pump is safer to use when administering an infusion.

The health care provider has prescribed a continuous infusion of hydromorphone 0.5 mg per hour. The pharmacy has provided a bag of hydromorphone 25 mg/50 mL normal saline. At what rate will the nurse set the infusion pump? _______ mL/hr

1 mL/hr

How many milliliters per hour will be administered to a patient who has been prescribed 1000 mL of 0.9% normal saline to be infused over 8 hours? Record your answer using a whole number. ______ mL/hr

125 mL/hr

How many milliliters per hour will be administered to a patient who has been prescribed 3000 mL of dextrose 5% in water (D5W) to be infused over 24 hours? Record your answer using a whole number. ________mL/hr

125 mL/hr

The nurse receives an order to infuse morphine 200 mg in 250 mL dextrose 5% in water (D5W) at 16 mL/hr. What is the dosage in milligrams per hour? Record your answer as a whole number. ______ mg/h

13 mg/hr

The nurse has an order to administer Ensure 1200 mL by nasogastric tube over 8 hours. In milliliters per hour, what is the rate the nurse should set? Record your answer using a whole number. ______ mL/hr

150 mL/hr

What is the rate of infusion in milliliters per hour if a nurse is administering 1200 mL of an intravenous drug over 8 hours? Record your answer as a whole number. ______ mL/hr

150 mL/hr

How many milliliters of an intravenous fluid will a patient receive if the fluid is administered for 12 hours at a rate of 125 mL/hr? Record your answer as a whole number. ______ mL

1500 mL

The intravenous bag of 250 mL dextrose 5% in water (D5W) is labeled as having 400 mg of morphine. The pump is infusing at 10 mL/hr. How much morphine in milligrams per hour is the patient receiving per hour? _____ mg/hr

16 mg/hr

A patient is ordered labetalol to infuse at 20 mg/hr. The labetalol is mixed as 100 mg in 100 mL of dextrose 5% in water (D5W). At what rate in milliliters per hour will the nurse set the electronic infusion pump? _____ mL/hr

20 mL/hr

How many gtt/min will be administered to a patient who has been prescribed Ringer lactate to be infused at 150 mL/hr when the drop factor is 15? Record your answer using one decimal place. _______ gtt/min

38 gtt/min

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

50 mL/hr

The intravenous bag of 500 mL dextrose 5% in water (D5W) is labeled as having 600 mg of dopamine. The pump is infusing at 52 mL/hr. How much dopamine in milligrams per hour is the patient receiving per hour? Record your answer using one decimal place. ________mg/hr

62.4 mg/hr

How many milliliters per hour will be administered to a patient who has been prescribed 250 mL of dextrose 5% in water (D5W) to be infused over 4 hours? Record your answer using one decimal place. ______ mL/hr

62.5 mL/hr

An order is given to administer a tube feeding of Isovue 450 mL over 6 hours. At what rate does the nurse set the feeding pump? Record your answer using a whole number. ______ mL/hr

75 mL/hr

The patient has an order for enteral administration of Juven 800 mL followed by 100 mL of water over 12 hours. What does the nurse calculate the rate of administration to be in mL/hr? Record your answer using a whole number. _____ mL/hr

75 mL/hr

Fill in the blank How many gtt/min will be administered to a patient who has been prescribed 0.9% normal saline to be infused at 45 mL/hr when the drop factor is 10? Round to the nearest whole number. _______ gtt/min

8 gtt/min

As the nurse is setting up a new tube feeding, the nurse places two cans of 240 mL each in the bag. The feeding is to be infused over 6 hours. At what rate does the nurse set the feeding pump? Record your answer using a whole number. _____ mL/hr

80 mL/hr

Which concentration of heparin in units per mL would a nurse administer as a routine heparin flush for a patient's heparin lock? a. 10 b. 100 c. 250 d. 500

a. 10

Which term would a nurse share with a student that represents the abbreviation "gtt"? a. Drops b. Milliliters c. Ounces d. Tablespoons

a. drops

If medication is calculated in micrograms per minute, which units will be used to deliver it by the pump? a. mL/hr b. mcg/min c. mL/min d. mg/hr

a. mL/hr

Which infusion set does the nurse obtain that has a drop factor of 60 drops/mL? a. Microdrip set b. Macrodrip set c. Intravenous (IV) piggyback set d. Infusion pump set

a. microdrip set

Which statement is accurate about dextrose 5% injection? a. The solution contains 0.5 g of dextrose in each 100 mL of water. b. The solution has 5 g of dextrose in each 100 mL of water. c. The solution contains 50 g of dextrose in each 100 mL of water. d. The solution has 500 g of dextrose in each 100 mL of water.

b. The solution has 5 g of dextrose in each 100 mL of water.

When preparing to infuse an intravenous (IV) piggyback by gravity, where does the nurse place the intravenous bag relative to the existing intravenous solution? a. Below b. above c. Lateral d. Behind

b. above

Which position accurately describes where a nurse should hang a piggyback medication with an existing intravenous solution running through a primary line? a. Lower than the primary solution b. Higher than the primary solution c. At the same level as the primary solution d. Does not matter with a piggyback solution

b. higher than the primary solution

Following education for the use of an intravenous (IV) pump, which statement indicates the need for further instruction? a. "The IV pump will improve the accuracy of the infusion." b. "The IV pump will deliver the fluid in milliliters per hour." c. "Using the IV pump may be more time consuming to monitor." d. "I will still calculate the rate of fluid per before I program the pump."

c. "Using the IV pump may be more time consuming to monitor."

How many milliliters of normal saline should a central venous catheter be flushed with when the catheter is routinely capped or clamped following blood draws? a. 0.5 to 1 b. 2 to 3 c. 5 to 10 d. 15 to 20

c. 5 to 10

When calculating the rate of intravenous fluid administered by gravity, which affects the size of the drop of fluid? a. Calculated drip rate b. Length of the tubing used to administer the fluid c. Diameter of the tubing entering the drip chamber d. Diameter of the drip chamber used to administer the fluid

c. diameter of the tubing entering the drip chamber

Which tubing does the nurse use to administer 1000 mL of 0.9% normal saline at 125 mL/hr over 6 hours by gravity? a. Microdrip set b. Macrodrip set c. IV pump tubing d. IV piggyback tubing

b. macrodrip set

Which does the nurse anticipate when programming the pump to administer intravenous fluid? a. The pump rate will be programmed to run per minute. b. The pump can only be programmed to infuse the fluid by the hour. c. The type of tubing will affect the rate that can be programmed on the pump. d. The drip rate of the tubing will need to be calculated prior to the infusion.

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

Which quantity of sodium in milligrams does 100 mL contain if the label reads "0.9% sodium chloride in 1000 mL"? a. 0.9 b. 9 c. 90 d. 900

d. 900

Which does the nurse calculate when administering intravenous (IV) fluid by an IV pump? a. Drops per hour b. Drops per minute c. Milliliters per hour d. Milliliters per minute

c. milliliters per hour

Which type of intravenous (IV) catheter is inserted peripherally? a. Broviac b. Hickman c. Saline lock d. Triple lumen

c. saline lock

Which does the nurse consider when preparing to infuse an IVPB into the primary intravenous line using an IV pump? a. No fluid calculation is needed. b. IVPB pump tubing is required. c. The IVPB will infuse in mL per hour. d. The IVPB is placed lower than the primary infusion.

c. the IVPB will infuse in mL per hour