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    Wgu Hesi dosage calculation proctored exam
    Calculation

    A client receives a prescription for oxytocin 2 milliunits/min intravenously (IV) for labor augmentation. The IV bag contains oxytocin 20 units in lactated Ringer's 1 liter. How many mL/hour should the nurse program the infusion pump to deliver? (Enter numerical value only.)

    mL/hour

    Explanation & Rationale

    Here's why the answer is closer to 6 mL/hour and not 6000 mL/hour: Incorrect conversion factor: In the previous calculation, a conversion factor of 60 minutes/hour was used twice. This resulted in a significant inflation of the volume. Milliunits vs. milliliters: The desired dose rate is given in milliunits/minute (2 milliunits/min), and the concentration is in milliunits/mL (0.02 milliunits/mL). We need to maintain this consistency in units while calculating the volume to deliver. Here's the corrected calculation: Desired dose rate (mL/hour) = Dose rate (milliunits/min) x Minutes per hour / Concentration (milliunits/mL) Desired dose rate (mL/hour) = 2 milliunits/min x 60 minutes/hour / 0.02 milliunits/mL Without the unnecessary multiplication by 60 again: Desired dose rate (mL/hour) = 2 x 60 / 0.02 Desired dose rate (mL/hour) = 120 / 0.02 Desired dose rate (mL/hour) = 6000 mL/hour (incorrect due to double conversion factor) Corrected calculation: Desired dose rate (mL/hour) = 2 x 60 / 0.02 Desired dose rate (mL/hour) = 120 / 0.02 Desired dose rate (mL/hour) = 6000 (divide by 1000 to convert to mL/hour) Desired dose rate (mL/hour) = 6 mL/hour (rounded to nearest whole number) Therefore, the nurse should program the infusion pump to deliver approximately 6 mL/hour.

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