NCLEX-PN

Category - Pharmacological Therapies

A client is admitted for diabetic ketoacidosis. The physician orders insulin at 15 units per hour, to be administered through the IV infusion pump. The IV infusion bag available is labeled 100 units of regular insulin in 1000 mL of 5% dextrose in water. The nurse determines that the right dose is administered to the client if the infusion pump is set at how many milliliters per hour?
  1. 150 mL
  2. 75 mL
  3. 50 mL
  4. 25 mL
Explanation
Answer: A - The first step is to determine the number of insulin units per mL. Compute next for the infusion rate.

Amount of insulin in solution = amount of insulin per mL
Total volume of diluent

100 units = 0.1 unit/mL
1000 mL

Dose per hour desired = milliliters per hour
Concentration per mL

15 units/hour = 150 mL per hour
unit/mL
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