Nurs 4th Sem Mce A-fall 2025 Dosage Calculation Proctored Exam (Montgomery College)Question 1010 / 25
Nurs 4th Sem Mce A-fall 2025 Dosage Calculation Proctored Exam (Montgomery College)
Calculation
The nurse is preparing a heparin drip for a client who weighs 175 lb. The available heparin is infusion 20.000 units in 000 ml 0.9% sodium chloride. The order is to deliver a bolus then initiate a drip at 18 units/kg/hr. What will the nurse program the infusion pump to deliver? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
mL/hr
Explanation & Rationale
Rationale: Step 1: Convert weight from pounds to kilograms: 175 lb ÷ 2.2 = 79.55 kg ≈ 79.5 kg Step 2: Calculate the dose in units/hr: 18 units/kg/hr × 79.5 kg ≈ 1431 units/hr Step 3: Determine the concentration of heparin: 20,000 units ÷ 1,000 mL = 20 units/mL Step 4: Calculate mL/hr to deliver the ordered units: 1431 units/hr ÷ 20 units/mL ≈ 71.55 mL/hr ≈ 71.4 mL/hr Final Answer: 71.4 mL/hr
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