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    Rn Hesi Dosage Calculations III Proctored Exam
    Calculation

    An adolescent with meningococcal meningitis is receiving a continuous IV infusion of penicillin G, which is prescribed as 20 million units in a total volume of 2 liters of normal saline every 24 hours. The pharmacy delivers 10 million units/liter of normal saline. How many mL/hour should the nurse program the infusion pump? (Enter numeric value only. If rounding is required, round to the nearest whole number.)

    mL/hr

    Explanation & Rationale

    The nurse should set the infusion pump to deliver the entire 2 liters (2000 mL) over the course of 24 hours. Therefore, the IV pump should be set to deliver: Rate (mL/hr) = Total volume (mL) / Time (hr) ​= 2000 mL ​/ 24 hr After performing the calculation, we find that the rate equals 83.33 mL/hr. So, the nurse should set the infusion pump to deliver 83 mL/hr (rounded to the nearest whole number). This is because 83 mL of the solution contains the prescribed dose of penicillin G every hour.

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