# Dosage & Calc

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### An adult has a prescription for: Epogen (epoetin alfa) 15,000 units subcut q day. The vial strength is: Epogen 10,000 units/mL. Which is the best method to teach him to administer these injections to himself? 1. Use two syringes, draw up 0.75 mL in each syringe, and administer in two different abdominal sites. 2. Draw up 15 mL of the medication and administer it through his intravenous site. 3. Draw up 1.5 mL of the medication in a syringe and administer it into the upper arm adipose tissue. 4. Draw up 1.5 mL of the medication in one syringe and administer it in one vastus lateralis site.

1. Use two syringes, draw up 0.75 mL in each syringe, and administer in two different abdominal sites.

1 5/16

500

2 3/4

### How do you convert from Celsius to Fahrenheit?

Multiply by 1.8 and add 32

1 1/2

2 1/2

2.5

3 : 5

1 : 10 mL

### The student nurse is learning how to write decimals to prevent medication errors. According to national health care standards, which of the following examples is expressed correctly? 1. 00.0125 milligrams 2. .0125 milligrams 3. 0.01250 milligrams 4. 0.0125 milligrams

4. 0.0125 milligrams

### The nurse is comparing a medication that is available in different amounts. Which of the following medications has the most medication? 1. 0.08 milligrams 2. 0.206 milligrams 3. 0.5 milligrams 4. 0.35 milligrams

3. 0.5 milligrams

1000

1.2 grams

15mL

1.16 kg

0.05 mg

0.7 milliliters

18%

XI

5%

10

### There are 4 patients receiving dextrose in their intravenous fluids. Which patient is receiving the most dextrose? 1. 10% dextrose solution 2. 1% dextrose solution 3. 5% dextrose solution 4. 50% dextrose solution

4. 50% dextrose solution

3 mL

3 tsp

5

4 oz

3. 50 mcg

4.3 kg

60mL

45 mg

40 degrees C

4 inches

59.1 kg

2100

### A patient has an order for: Regular Insulin 6 units subcutaneous before each meal. Which of the following includes the correct abbreviations for this order? 1. Regular Insulin 6 units SC pc 2. Regular Insulin 6 U subcutaneous ac 3. Regular Insulin 6 units subcut ac 4. Regular Insulin 6 units SQ pc

3. Regular Insulin 6 units subcut ac

### A patient reports applying Hydrocortisone 1% ointment to their skin twice a day. Which of the following is the correct documentation by the nurse for this medication? 1. Hydrocortisone 1% ointment topical tid 2. Hydrocortisone 1% oint sl bid 3. Hydrocortisone 1% oint supp qid 4. Hydrocortisone 1% oint topically bid

4. Hydrocortisone 1% oint topically bid

### A provider gives the nurse a phone order for: Tylenol 1,000 milligrams by mouth every 6 hours as needed for pain. Which of the following is the correct documentation of this order? 1. Tylenol 1,000 milligrams IM q 6 hr p.r. pain 2. Tylenol 1,000 mg p.o. every 6 h prn pain 3. Tylenol 1,000 mL by mouth q 6 hours ad lib 4. Tylenol 1,000 mg p.r. every 6 hours per pain

2. Tylenol 1,000 mg p.o. every 6 h prn pain

2. mcg

### An order is typed for: Normal saline intravenous at 100 milliliters every hour. Which of the following would be the correct transcription for this order? 1. NS IV at 100 mL per hr 2. N/S ID at 100 mg per h 3. NAS IVPB at 100 mL an hour 4. NG IV at 100 min per hr

1. NS IV at 100 mL per hr

### The student nurse notices that there are different methods to express a medication order. Which source is the most reliable for the nurse to follow? 1. A nurse practitioner's written order 2. The typed electronic medication administration record 3. A verbal order from a physician 4. The handwritten medication administration record

1. A nurse practitioner's written order

### The nurse is comparing computerized and handwritten medication systems. Which is the most important advantage of computerized systems for medication delivery? 1. Decreased time to administer medications 2. Increased ability to make a profit. 3. Decreased number of medication errors 4. Increased ease of use for medication administration

3. Decreased number of medication errors

### The label of a medication reads: NDC 0173-0363-00 Glaxo Pharmaceuticals Zantac TM (ranitidine hydrochloride) Which is the generic name?

(ranitidine hydrochloride)

### The label on a medication includes: Bumex (bumetanide) 0.5 mg/2 mL 2 mL Single Use Vials Which is the correct interpretation of the dosage and form? 1. Each vial contains 0.5 milligrams of medication mixed in 2 milliliters of fluid. 2. This vial contains 0.5 milligrams of medication that can be shared with 2 patients. 3. Each milliliter of fluid in the vial contains one half milligram of medication. 4. The medication can only be administered to patients who are not married.

1. Each vial contains 0.5 milligrams of medication mixed in 2 milliliters of fluid.

### A medication label has: LORTAB 5/500 HYDROCODONE BITARATE AND ACETAMINOPHEN TABLETS 5 mg/500 mg Which is the correct interpretation of this label? 1. The generic name of Lortab is sold under two different trade names. 2. Lortab contains a total of 505 milligrams of the acetaminophen medication. 3. The bottle contains 5 tablets of hydrocodone bitarate and 500 tablets of acetaminophen. 4. Lortab is a combination of hydrocodone bitarate and acetaminophen.

4. Lortab is a combination of hydrocodone bitarate and acetaminophen.

2 tablets

1/2 tabs

200 mg

5cm by 7.5cm

2 tbs

20 doses

3 L

15 mg

3 mL

0.4 mL

### A patient would like their medications crushed to swallow them easier. Which of the following types of medications would be the safest to crush? 1. A scored medication in a tablet form. scored to be split, then it is usually OK to crush it. 2. A medication ordered for sublingual administration. 3. A medication with an enteric coating. 4. A gelatin capsule containing a colored powder.

1. A scored medication in a tablet form. If it is scored to be split, then it is usually OK to crush it.

### A patient at risk for blood clots is supposed to take: Aspirin 81 mg po every am with food. However, the nurse finds Aspirin tablets with grains 1 1/4 from the pharmacy. What should the nurse do?

2. Administer the tablet from the pharmacy. Because grains and milligrams are not exact conversions, up to a 10% leeway is acceptable.

1/2 tablet

2 tablets

### How do you convert from Fahrenheit to Celsius?

Subtract 32 and divide by 1.8

10 mg

14 capsules

30 tablets

120 mL

62.5 mL

12 mL

Barrel

### The nurse plans to draw up 0.53 milliliters of a medication. Which is the best syringe for the nurse to select?

1 Ml hypodermic syringe

1.7 mL

1.2 mL

4 mL

1 mL

0.45 mL

### Before surgery, an adult patient needs: Atropine 0.5 mg IM now. If the nurse finds Atropine 0.4 mg / mL, how many milliliter(s) should be administered of the following choices? 1. 1.3 mL in one injection using a 3 mL syringe. 2. 1.2 mL in one injection using a 10 mL syringe. 3. Two separate injections of 0.65 ml each. 4. Two separate injections of 1 ml and 0.25 mL.

1. 1.3 mL in one injection using a 3 mL syringe.

7.5 mL

### The order is for Normal Saline with 15 mEq KCl/L to run at 100 ml/hr. The available multidose vial has KCl 10 mEq/mL. Which of the following would be the most appropriate nursing action? 1. Draw up 1.5 mL of KCl solution and administer it directly into the patient's IV catheter. 2. Draw up 15 mL of the KCl solution and add it into the liter of normal saline IV solution. 3. Draw up 1.5 mL of KCl solution and inject it into the IV bag with one liter of normal saline. 4. Draw up 1.5 mL of the KCl solution and administer it into a large muscle.

3. Draw up 1.5 mL of KCl solution and inject it into the IV bag with one liter of normal saline. Potassium should always be diluted when given by IV.

8

### The nurse has reconstituted a medication in a multidose vial. Which includes the best information to add to the vial? 1. 10-20-11 2330 500 mg/mL concentration Good for one week LAV 2. 10-20-11 2330 Added 5 mL of sterile saline Expires at 2330 10-27-11 3. 10-20-11 2330 500 mg/mL Expires at 2330 10-27-11 LAV 4. 10-20-11 dosage strength is 500 mg/mL It expires on 10-27-11 LAV

3. 10-20-11 2330 500 mg/mL Expires at 2330 10-27-11 LAV 100% It includes the date, time, and dosage strength as well as the expiration date/time and initials of the nurse.

2 mL

1 mL

240 mL

200 mL

133 mL/ ph

Regular insulin

### The student nurse is comparing insulins. Which of the following insulins would provide medication to the client for 24 hours after just one subcutaneous injection? 1. Lantus (glargine) 2. Humalog (insulin lispro) 3. Humulin R (Regular Insulin) 4. Novulin N (NPH insulin)

1. Lantus (glargine)

### A patient has an order for: Humulin N 100 units/mL 42 units subcut Q am. Assuming that the following syringes are available, which syringe should the nurse select? 1. 30 unit insulin syringe 2. 1 mL TB syringe 3. 50 unit insulin syringe 4. 100 unit insulin syringe

3. 50 unit insulin syringe

2. Humulin NPH

6 units

28 units

3 units

### A patient has the following orders: Lantus 24 units subcut Q hs Humulin R 4 units subcut Q hs Which is the best method to administer these orders?

Draw up each insulin in a separate syringe and give two injections.

### The nurse picks up a vial of insulin, which has separated into clear fluid at the top and cloudy fluid at the bottom of the vial. What should the nurse do?

Gently roll the insulin vial between the palms of hands

### The student nurse has accidentally injected 8 units of regular insulin into the vial of NPH insulin. What should the student nurse do?

Discard the vial of NPH insulin and obtain a new vial.

10mL

20 units

### The student nurse is confused because a patient's medication is different on a variety of sources. Which source should the student nurse follow as the most reliable? 1. The most recent written statement on the physician's order sheet. 2. The electronic medication administration record typed in by the pharmacy. 3. The student's clinical form with medication information obtained from the internet. 4. The list of home medications provided from home by the patient's spouse.

1. The most recent written statement on the physician's order sheet.

4. 25 mg/mL

5 mL

500 mm

30 units

120mL

3mL

2/3

20grams

### The student nurse is reviewing the differences between primary and secondary intravenous infusions. Which of the following statements is true? 1. The secondary IV line is flushed with heparin before the primary IV is flushed. 2. The secondary IV bag is placed higher than the primary IV bag. 3. The primary IV is for patient controlled analgesia and the secondary IV is for saline. 4. The primary IV line is a central line and the secondary IV line is a peripheral line.

2. The secondary IV bag is placed higher than the primary IV bag.

83mL/hr

### A patient's IV has been infusing at 125 mL per hour by IV pump, but the IV needs to be removed from the pump for a procedure. The drop factor of the facility's standard tubing is 20 gtts/mL. How many drops per minute should the nurse count to administer this amount? (round to nearest whole drop)

42 gtts per minute

2200

150 mL/hr

21 gtts/min

200 mL/hr

2 minutes

50mL/hr

### The nurse is preparing to administer a dose of heparin subcutaneously. Which syringe would be the most appropriate to select? 1. An insulin syringe. 2. A 3 milliliter hypodermic syringe. 3. An irrigation syringe. http://quizlet.com/8069766/edit/ 4. A tuberculin syringe.

4. A tuberculin syringe.

### To help ensure safety, what policy do most facilities have for heparin administration? Heparin is checked by...

two nurses prior to administration.

### A facility has a policy to flush certain intravenous lines with a heparinized saline solution twice a day. The following solutions are available. Which strength of heparin would be appropriate for flushing an IV line? 1. Heparin 100 units per mL 2. Heparin 1,000 units per mL 3. Heparin 10,000 units per mL 4. Heparin 100,000 units per mL

1. Heparin 100 units per mL

0.5 mL

240 mL

0.45 mL

100 units/hr

3 mL/hr

6,000 units

### The nurse is reviewing the laboratory results for a patient who is receiving heparin. Which lab result should the nurse monitor closely?

Activated parital thromboplastin time (APTT)

### A patient has an order for a heparin loading dose and then a heparin infusion titrated to the patient. The patient asks the nurse what this means. Which is the best response by the nurse?

"The initial dosage is based on your weight, then it is based on your lab values."

### A patient has an order for: Dobutamine 1 mcg/kg/min to 10 mcg/kg/min titrated to keep systolic blood pressure below 140 mmHg. The student nurse asks the nurse what this order means. Which is the best response by the nurse?

"The initial dosage is based on your weight, then it is based on your lab values."

87.7 kg

219 mcg/min

13 mL/hr

320 mg/hr

5.3 mg/min

240 mg/hr

24 mL/hr

1200 mg/hr

4.4 kg

2 mL

1.5mL

1.3 mL

14.5 kg

2.2

50 mL/hr

290 mg

580 mg

within range

Above range

62.5 lbs

1 tablet

### How do you calculate the flow rate at which an IV is to infuse?

Find:
1. The vol. or number of mL to infuse
2. The drop factor (gtt/mL) of the tubing
3. The time element in minutes or hours
x gtt/min = (Amount of solution (mL) x drop factor) / time

2 cm

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