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NABP NAPLEX Exam - Topic 4 Question 99 Discussion

Actual exam question for NABP's NAPLEX exam
Question #: 99
Topic #: 4
[All NAPLEX Questions]

If a patient is getting NS IVF at 120mls/hr, how much Sodium Chloride in grams is this patient getting in 24 hours? NS is 0.9% sodium chloride.

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Suggested Answer: C

Serum chloride levels should ideally fall between 96-106 mEq/L. For this reason, the patient's chloride level has come back as normal.


by Dianne at Jan 14, 2025, 02:44 PM

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Paris
3 months ago
25.92kg? That's just ridiculous!
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Erasmo
3 months ago
I thought it was 90mg, but I guess not.
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Celeste
3 months ago
Wait, is it really that much? Sounds high!
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Avery
4 months ago
Totally agree, 25.92gm makes sense.
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Theodora
4 months ago
It's 25.92gm, right? Simple math!
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Vernell
4 months ago
I feel like I might be overthinking this. Is it just a matter of multiplying the flow rate by the concentration?
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Dorcas
4 months ago
If NS is 0.9%, that means there are 9 grams of sodium chloride in 1 liter, right? So I need to figure out how much that is in 24 hours.
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Lezlie
4 months ago
I think we did a similar question in practice about IV fluids, but I can't recall the exact steps for this one.
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Louann
5 months ago
I remember we calculated the total volume first, but I'm not sure how to convert that to grams of sodium chloride.
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Jenelle
5 months ago
This seems straightforward enough. I'll just need to convert the volume to liters, multiply by the concentration, and that should give me the total grams of sodium chloride. I'm feeling pretty confident about this one.
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Angella
5 months ago
Okay, I think I've got this. If the patient is getting 120mL/hr, that's 2,880mL in 24 hours (120mL x 24 hours). Since NS is 0.9% sodium chloride, that means there are 9 grams of sodium chloride per liter. So the total amount of sodium chloride is 2.592 grams (2,880mL / 1000mL/L x 0.9g/L).
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Theron
5 months ago
I'm a little confused on how to approach this. Do I need to convert the volume to milliliters first, or can I just work in liters? And what formula should I use to calculate the total grams?
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Heike
5 months ago
Hmm, this seems straightforward, but I want to make sure I have the right approach. I'll need to convert the volume to liters, then multiply by the concentration to get the total amount of sodium chloride.
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Pansy
5 months ago
Okay, let's think this through step-by-step. We know the patient is getting NS IVF at 120mL/hr, and NS is 0.9% sodium chloride. We need to calculate the total amount of sodium chloride in grams over 24 hours.
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Kimberely
10 months ago
90mg? Really? That seems way too low for a 24-hour IV infusion. I'm sticking with A) on this one.
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Jani
8 months ago
Yeah, 90mg does seem too low for a 24-hour IV infusion.
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Karol
8 months ago
I agree, that seems like the most reasonable choice.
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Annmarie
9 months ago
I think A) 25.92gm is the correct answer.
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Reita
10 months ago
Haha, 25.92kg? That would be one heck of a sodium load! I'll go with A) to be safe.
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Sylvia
8 months ago
User 3: Yeah, I'll go with A) as well. Better to be safe.
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Billye
9 months ago
User 2: I agree, that would be way too much. I think A) 25.92gm sounds more reasonable.
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Fernanda
9 months ago
User 1: Haha, 25.92kg? That would be one heck of a sodium load!
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Mari
10 months ago
Hmm, I'm a bit confused. Is this really asking for the amount in grams? I'd better double-check the units.
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My
9 months ago
I think it's asking for the amount in grams, so A) 25.92gm seems correct.
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Ronnie
9 months ago
E) 90gm
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Elenore
10 months ago
A) 25.92gm
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Charlena
10 months ago
I think the answer is A) 25.92gm. That seems like the right amount of sodium chloride for a 24-hour IV infusion at 120mL/hr.
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Clarence
8 months ago
E) 90gm is not the correct answer. The correct calculation based on the infusion rate and concentration is 25.92gm.
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Telma
8 months ago
D) 90mg is not the correct answer. The concentration of the solution is 0.9% sodium chloride, so it should be higher than 90mg.
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Renea
8 months ago
C) 25.92mg is too low of a measurement. We are dealing with a larger quantity of sodium chloride in this case.
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Melodie
9 months ago
B) 25.92kg is too high of a measurement for this situation. We need to consider the concentration of the solution.
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Emerson
10 months ago
A) 25.92gm is correct. It's important to calculate the total amount of sodium chloride for the entire 24-hour period.
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Kip
10 months ago
I'm not sure, but I think it's important to calculate the total amount of sodium chloride the patient is receiving in 24 hours.
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Bette
11 months ago
I agree with Tambra, because NS IVF is 0.9% sodium chloride.
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Tambra
11 months ago
I think the answer is A) 25.92gm.
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