An infant weighing 16 pounds, 8 ounces is admitted to the pediatric unit with severe dehydration and requires intravenous (IV) fluid resuscitation. The nurse is preparing to administer a 0.9% normal saline IV fluid bolus of 6 mL/kg to infuse over 2 hours. The nurse should set the IV pump to deliver how many mL/hr?

Correct Answer: A

Rationale:
1. Calculate infant's weight in kg: 16 pounds 8 ounces = 16.5 pounds = 7.5 kg
2. Calculate total fluid volume needed: 6 mL/kg x 7.5 kg = 45 mL
3. Calculate infusion rate: 45 mL over 2 hours = 22.5 mL/hr
4. Set IV pump to deliver 22.5 mL/hr

Summary:
- Choice B: Incorrect, does not account for accurate weight-based calculation.
- Choice C: Incorrect, does not consider the total fluid volume needed and infusion rate.
- Choice D: Incorrect, lacks the necessary calculation steps for accurate infusion rate.
- Choice E: Incorrect, does not provide a logical approach to determining the IV pump setting.
- Choice F: Incorrect, lacks the calculation steps to deliver the correct mL/hr rate.
- Choice G: Incorrect, does not follow the weight-based calculation required for accurate IV fluid