161 terms

# Dosage & Calc

###### PLAY
The nurse is teaching a patient how to take their own medications. Reduce this fraction to the simplest form: 60/100.
3/5
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.
A patient is having trouble determining the total amount of medication taken in one day. The patient took: 3/16, 7/16, and 11/16 of a medication. Add the fractions and reduce to the simplest form.
1 5/16
how many mL in a pint?
500
A patient had a side effect to a medication, so only took part of it. What is 3 1/2 minus 3/4? (Reduce to simplest form.)
2 3/4
How do you convert from Celsius to Fahrenheit?
Multiply by 1.8 and add 32
A patient took 2 doses of a medication that is 3/4 of an ounce. How much total medication did the patient take? (Reduce to the simplest form.)
1 1/2
What is 5/6 divided by 1/3? (Reduce to the simplest form.)
2 1/2
How many centimeters in an inch?
2.5
A hospital unit has a total 40 patients. 15 of these patients have diabetes and 25 have heart disease. What is the ratio of patients with diabetes to the patients with heart disease? (Reduce to the simplest form.)
3 : 5
The nurse wants to select the most potent solution available to clean a wound. Which of the following solutions is the most potent?
1. 5:100 millitlers
2. 1:20 millitlers
3. 1:100 millitlers
4. 1:10 millitlers
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
How many milliliters in a liter?
1000
A medication is available in 0.4 gram tablets. If a patient takes 3 tablets, how many grams of medication has the patient taken?
1.2 grams
How many mL in a tablespoon?
15mL
A newborn baby weighed 3.96 kilograms at birth. At the baby's check up, the baby now weighs 5.12 kilograms. How much weight has the baby gained?
1.16 kg
A patient has a prescription for a total of 0.5 milligrams of a medication, which is to be taken once a day in equal doses for 10 days. How many milligrams is the patient taking each day?
0.05 mg
The nurse is preparing to administer 2/3 milliliter of a medication. The available syringe is marked in tenths of a milliliter. Which would be the correct amount to draw up in the syringe?
0.7 milliliters
An adult had the following areas of their body burned: 4.5% for anterior right arm, 4.5% for anterior left arm, 4.5% for posterior right arm, and 4.5% for posterior left arm. Which is the total percentage of this person's skin that was burned?
18%
11 milligrams of a medication are ordered for a patient. Which would be the correct Roman numeral for this amount of medication?
XI
A medicated skin lotion is available in the following dosage percents. Which is the strongest lotion?
1. 0.05%
2. 0.5%
3. 5%
4. 0.25%
5%
How many millimeters in a centimeter?
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
The recommended daily allowance (RDA) of a mineral is 12 milligrams. A food contains 25% of the RDA for this mineral. How many milligrams of the mineral does the food contain?
3 mL
A patient needs to take 1 tablespoon of cough syrup. However, the patient only has a reliable teaspoon. How many teaspoons of cough syrup should the patient take for one dose?
3 tsp
A patient took Tylenol V grains by mouth for a headache. How many grains did the patient take?
5
A patient reports drinking 1/2 cup of tea. How many ounces is this equivalent to?
4 oz
The nursing student is reviewing rules of the metric system. Which of the following notations is acceptable?
1. 400 cc
2. 6 mg.
3. 50 mcg
4. 3000 mcg
3. 50 mcg
An infant weighs 4,300 grams. How many kilograms is this equivalent to?
4.3 kg
The nurse irrigates a wound with 2 ounces of fluid. How many milliliters should the nurse record?
60mL
An order is for 3/4 grains of a medication. How many milligrams is this amount closest to?
45 mg
A patient has a temperature of 104 degrees F. How many degrees of Celsius would the nurse record
40 degrees C
The nurse measures a wound as 10 centimeters in length. How many inch(es) should the nurse convert this measurement to explain to the patient?
4 inches
A client at a health fair weighs 130 pounds. How many kilograms is this weight equivalent to?
59.1 kg
A medication is ordered to be given at bedtime and the facility's routine bedtime is 9 pm. Which is the international time equivalent?
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
The nurse manager is reviewing medication abbreviations being used at an agency. Which of the following abbreviations is consistent with national standards?
1. cc
2. mcg
3. U
4. mL.
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.
Order: Cipro 500 mg by mouth three times a day
Available: Cipro 250 mg tablets
How many tablet(s) should the nurse administer?
2 tablets
Order: Amoxicillin 500 mg by mouth every day
Available: Amoxicillin in 1 gram tablets
How many tablet(s) should the nurse administer today?
1/2 tabs
A patient weighs 44 pounds. The medication reference specifies that 10 mg of Acetaminophen should be given for each kilogram of body weight. How many milligrams should this patient receive for one dose?
200 mg
A patient's wound measures 50 mm long and 75 mm wide. How many centimeters should the nurse report to the physician?
5cm by 7.5cm
A patient wants to take one ounce of a liquid medication, Mylanta. However the patient only has a tablespoon available to measure it at home. How many tablespoons should the patient take for one dose of Mylanta?
2 tbs
A client purchases a bottle of liquid medication that contains 10 ounces. If each dose of the medication requires 15 mL, how many doses does the total bottle contain?
20 doses
A patient has an order to receive 3,000 milliliters of intravenous fluids every day. How many Liters of fluid is this amount equivalent to?
3 L
A patient has a prescription for Lortab 2 tablets po every 6 hours prn pain. Each tablet of Lortab contains 7.5 mg of hydrocodone and 500 mg of acetaminophen. How many milligram(s) of hydrocodone will the patient take with one administration? http://quizlet.com/8069766/edit/
15 mg
There is an order for: Morphine sulfate 6 mg IV every 4 hours prn moderate pain. The available form has a concentration of: 2 mg of Morphine sulfate per mL. How many mL should the nurse draw up for one dose?
3 mL
The patient's order is for 4,000 Units subcut every 12 hours. The available form has: 10,000 Units per mL. How many milliliters should the nurse draw up for one dose?
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.
There is a prescription for: Zantac 300 mg po at hs. The available form is: Zantac 0.6 gram scored tablets. How many tablet(s) should the patient take every night?
1/2 tablet
An order is for: Synthroid 0.3 mg po Q am. If the available form is: Synthroid 0.15 mg scored tablets, how many tablet(s) should the nurse administer?
2 tablets
How do you convert from Fahrenheit to Celsius?
Subtract 32 and divide by 1.8
A patient has a prescription for: Lortab 1 tablet po every 4 to 6 hours prn pain and reports taking two tablets today. The nurse reads the Lortab label which states, "oxycodone/APAP 5 mg/325 mg." How many milligrams of oxycodone has the patient had today?
10 mg
A patient received a prescription for: Ceftin 500 mg po every 12 hours x one week. The pharmacy carries 500 mg capsules. How many capsules should be in the container purchased at the pharmacy to complete the medication regimen?
14 capsules
A visiting grandchild accidentally opened a medication bottle and swallowed the contents. The nurse asks the grandparent to check the label for the prescription: Cardura 8 mg po Q day, the total: 90 tablets with 8 mg per tablet, and the date of purchase: two months ago. Approximately how many tablets did the child ingest?
30 tablets
A patient has an order for: Mylanta one ounce po pc and hs. How many milliliter(s) will be needed for each 24 hours?
120 mL
An order is for: Benazipril 50 mg po every 12 hours. The label reads: Benazipril 20 mg per 25 mL of solution. How many milliliter(s) should the nurse administer for one dose?
62.5 mL
Diazepam 4 mg via NG tube tid is ordered for a patient. The available solution is: Diazepam 5 mg/5 mL. How many milliliters will be needed for each day?
12 mL
Diazepam 4 mg via NG tube tid is ordered for a patient. The available solution is: Diazepam 5 mg/5 mL. How many milliliters will be needed for each day?
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
A nurse calculates that 1 and 2/3 milliliters of a medication needs to be drawn up. Which is the correct answer for rounding to the nearest tenth of a milliliter?
1.7 mL
Phenobarbitol 60 mg IM at HS is ordered for a patient. Injectable Phenobarbitol 50 mg per mL is the available form. How many milliliter(s) will the nurse administer for one dose?
1.2 mL
A patient has an order for: Morphine sulfate 8 mg IV every 2 hours prn pain. The available form is a 5 mL container of Morphine sulfate labeled 2 mg / mL. How many milliliter(s) should the nurse draw up for one dose?
4 mL
Lovenox 50 mg subcutaneous bid is ordered and the vial contains Lovenox in a concentration of 60 mg / 0.6 mL. How many milliliter(s) wil the patient need every 24 hours?
1 mL
Heparin 4,500 units subcut every day is prescribed. The vial contains Heparin 10,000 units / mL. How many milliter(s) should the nurse administer for one dose?
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.
Levothyroxine 0.3 mg IV is ordered each am. The pharmacy has a large multiuse vial with a concentration of 200 mcg/5 mL. How many milliliter(s) will the nurse administer for one dose?
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.
How many ounces in a cup?
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.
The nurse has prepared the concentrated form of Morphine sulfate: 6 mg in 3 mL of fluid. Before administering it intravenously, the medication reference recommends that each dose should be diluted in a total of 5 mL. How many milliliter(s) of fluid should the nurse add to this syringe?
2 mL
The patient has an order for 100 mg of medication that needs to be reconstituted. The nurse has already added 2.8 mL to the vial for a resulting concentration of 100 mg/mL. How many milliliter(s) should the nurse draw out of this vial for one dose?
1 mL
The patient has an order for: Give one 8 ounce can of Ensure 1/2 strength every 4 hours via gastric tube. How much water should the nurse add to one can of nutritional formula?
240 mL
The tube feeding order for a patient is: Sustacal 3/4 str 800 mL over 6 hours. How much water will be added to the nutritional formula every 6 hours?
200 mL
The tube feeding order for a patient is: Sustacal 3/4 str 800 mL over 6 hours. How many milliliters per hour will the nurse set the feeding pump to administer this amount?
133 mL/ ph
The label on an insulin vial says:

Humulin R
Regular
Insulin human
injection, USP
(rDNA origin)

What does the capital "R" after Humulin refer to?
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
The nurse is comparing the appearance of insulins. Which of the following insulin preparations should appear cloudy?

1. Levemir (Demetir)
2. Humulin NPH
3. Aspart (Novolog)
4. Lantus (Glargine)
2. Humulin NPH
A client is on a sliding scale for insulin dosages q6h. The order is for Humulin Regular U-100 subcut q6h as follows:

Blood Glucose Level
Less than 70 Call MD
201-250 4 units
251-300 6 units
301-350 8 units
351-400 10 units
Greater than 400 Call MD

At 0800 the client's blood sugar is 284 mg/dL. How many units of insulin should the nurse administer?
6 units
The order is: Humulin Regular U-100 10 units subcut and Humulin NPH U-100 18 units subcut at 7:00 AM

The available vials contain: Humulin Regular U-100 and Humulin NPH U-100

How many units of insulin should the nurse administer at 0700?
28 units
The patient has an order for: Humulin 70/30 U-100 10 units subcut bid. How many units of regular insulin is the patient receiving with each injection?
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.
A parent gave their child 2 teaspoons of a liquid medication. How many milliliters should the nurse record for this amount?
10mL
A client has an order for: Regular Insulin 5 units subcutaneous ac and hs. The available vial has: Regular Insulin 100 units/mL. How many total units of insulin will the client receive every 24 hours?
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.
A patient with chronic renal disease needs to drink the smallest amount of fluid possible. The patient has an order for Amoxil (amoxicillin) PO. Which reconstitution should this patient select?
1. 5 mg/mL
2. 10 mg/mL
3. 20 mg/mL
4. 25 mg/mL
4. 25 mg/mL
A patient has an order for an intravenous solution with 10 mEq of potassium chloride. The Potassium vial has a dosage strength of 2 mEq/mL. How many milliliter(s) should the nurse draw from the vial to make this solution?
5 mL
The nurse determines that 50 centimeters of a nasogastric tube should be inserted into a patient. Since the tube is marked in millimeters, how many millimeters should the nurse insert?
500 mm
A patient has an order for: Humulin 75/25 Insulin 40 units subcut every am and pm. How many units of intermediate acting insulin is the patient receiving in one injection?
30 units
The nurse irrigated a wound with 4 ounces of 0.9% saline. How many milliliters will the nurse record for this irrigation?
120mL
A medication order is Penicillin 3,000,000 units IM now. The available form is penicillin G potassium 5 million units of powder per vial with reconstitution instructions:

3.2 ml diluent added = 1,000,000 Units per mL of solution

Once it is mixed, how many milliliters will the nurse draw up for this dose?
3mL
A patient is trying to decide between a medication that is available in different doses. Which of the following contains the highest amount of medication?
1. 1/50
2. 1/10
3. 1/3
4. 2/3
2/3
A patient received 10% Dextrose in Water (D10W) intravenously at 100 mL per hour for two hours. How many grams of dextrose did the patient receive?
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.
The physician's order is: D5NS 1,000 mL IV over 12 hours. How many milliliters per hour should the nurse set the IV pump to deliver this amount? (round to the nearest whole milliliter)
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
At 1700, the nurse hangs an IV bag containing 500 milliliters and sets the IV pump at 100 mL/hr as prescribed. What time will the nurse expect the IV bag to run out?
2200
A patient has an order for an IV infusion of one unit of red blood cells over 2 hours. The blood bank mixes up one unit of blood containing a total of 300 mL. How many milliliters per hour should the nurse set the IV pump?
150 mL/hr
A patient has an order for Plasmanate IV 500 mL over 4 hours. The IV tubing has 10 drops per milliliter. How many drops per minute should the nurse count for this infusion? (round to nearest whole drop)
21 gtts/min
Tagamet 300 mg IVPB every 8 hours is prescribed for a patient. The pharmacy has provided Tagamet 300 mg added to 100 mL of D5W to infuse over 30 minutes. How many milliliters per hour will the nurse set the IV pump?
200 mL/hr
Valium 10 mg IV push now is ordered for a seizing patient. The drug reference recommends administering Valium at a rate of 5 mg per minute. How many minute(s) will it take for the nurse to administer this dose?
2 minutes
There is an order for Humulin regular U-100 at 10 units per hour. The IV solution of 500 mL NS contains 100 units of Humulin Regular. How many milliliters per hour should the IV infuse?
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...
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
The order is: 2,500 units subcut every day. The available vial contains 5,000 units per milliliter. How many milliliter(s) will the nurse teach the patient to draw up?
0.5 mL
A patient has an order for one packet of Metamucil by mouth every am. The directions on the packet recommend to mix each packet with 8 ounces of water or juice. How many milliliters will the nurse record for his fluid intake?
240 mL
A patient has an order for Heparin 4,500 units subcut bid. The available heparin vial has 10,000 units per milliliter. How many milliliters should the nurse draw up for one dose?
0.45 mL
A patient has an IV infusion of heparin running at 10 milliliters per hour. The IV bag contains 500 mL of D5W with 5,000 units of heparin. How many units per hour is this patient receiving?
100 units/hr
There is an order for: Heparin IV at 300 units per hour. The available bag from the pharmacy contains: 250 mL NS with 25,000 units of heparin added. How many milliliters per hour should the nurse set the IV pump?
3 mL/hr
A patient, who weighs 176 pounds, has an IV bolus of heparin ordered at 75 units per kilogram. How many units should this patient receive in the bolus?
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."
Order: Dobutamine 2.5 mcg/kg/min for a client who weighs 193 lb
Available: Dobutamine 250 mg in 250 mL D5W

What is the client's weight in kilograms? (round to the nearest tenth)
87.7 kg
Order: Dobutamine 2.5 mcg/kg/min IV for a client who weighs 193 lb
Available: Dobutamine 250 mg in 250 mL D5W
How many micrograms per minute is this patient receiving?
219 mcg/min
Order: Dobutamine 2.5 mcg/kg/min IV for a client who weighs 193 lb
Available: Dobutamine 250 mg in 250 mL D5W
How many milliliters per hour should the nurse set the IV pump? (round to the nearest whole milliliter)
13 mL/hr
Esmolol is ordered for a client to infuse at 32 mL/hr. The solution available is 2.5g in 250 mL D5W. How many milligrams per hour is the client receiving?
320 mg/hr
Esmolol is ordered for a client to infuse 32 mL/hr. The solution available is 2.5 g in 250 mL D5W. How many milligrams per minute is the client receiving?
5.3 mg/min
A client is receiving procainamide 1 g in 500 mL D5W at 120 mL/hr. How many milligrams is the client receiving every hour?
240 mg/hr
A client weighing 80 kg has an order for Intropin to infuse at 8 mcg/kg/min. The solution available is 800 mg Intropin in 500 mL D5W. How many milliliters per hour will the nurse set the IV pump?
24 mL/hr
A patient has Lidocaine IV infusing at 60 mL/hr for an abnormal heart rhythm. The IV bag contains 5 grams in 250 milliliters. How many milligrams per hour is the patient receiving?
1200 mg/hr
An infant weighs 9 pounds and 10 ounces. How many kilograms does this infant weigh? (round to the nearest tenth)
4.4 kg
Order for an infant: Lanoxin (digoxin) elixir 0.1 mg p.o. daily
Available: Lanoxin 50 mcg per mL
How many milliliters will the nurse administer for one dose?
2 mL
Order for an ill newborn: Garamycin 15 mg IV q 12 h
Available: Garamycin 10 mg/mL
How many milliliters will the nurse draw up from the vial for one dose?
1.5mL
An order for a child is: Kantrex 65 mg IV every 8 h
Available: Kantrex 50 mg per mL
How many milliliters will the nurse draw up from the vial for one dose?
1.3 mL
Ceclor (cefaclor) 100 mg p.o. q8h is ordered for a child weighing 32 lb. The recommended dosage is 20 to 40 mg/kg/day divided q8h. What is the child's weight in kilograms? (round to nearest tenth)
14.5 kg
How many lbs in a kg?
2.2
A patient has an order to infuse Pitocin at 1 unit per hour for uterine contractions. The available IV bag has 20 units of Pitocin in one liter of LR. How many milliliters per hour should the nurse set the IV pump?
50 mL/hr
Ceclor (cefaclor) 100 mg p.o. q8h is ordered for a child weighing 32 lb. The recommended dosage is 20 to 40 mg/kg/day divided q8h. What is the lowest daily dosage recommended for this child?
290 mg
Ceclor (cefaclor) 100 mg p.o. q8h is ordered for a child weighing 32 lb. The recommended dosage is 20 to 40 mg/kg/day divided q8h. What is the highest daily dosage recommended for this child?
580 mg
Ceclor (cefaclor) 100 mg p.o. q8h is ordered for a child weighing 32 lb. The recommended dosage is 20 to 40 mg/kg/day divided q8h. Is the ordered dosage above, within, or below the recommended range?
within range
An IV medication of 25 mcg in 100 mL is ordered to infuse over an hour. The normal dosage range is 1.5 to 3 mcg/kg/hr. The child weighs 5.7 kg. Is the ordered dose above, within, or below the recommended range?
Above range
The nurse is reviewing the body surface areas of children who are receiving the same chemotherapeutic medication. The 4 different children have normal height for weight. Which child has a body surface area of one square meter? (Refer to the Nonogram in your text.)
62.5 lbs
An order is for Iron grain 5 p.o. once a day. The available tablets contain 325 mg. How many tablet(s) should the nurse teach the patient to take each day?
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
The nurse measures a patient's laceration as 20 millimeters in length. How many centimeter(s) is this length equivalent to?
2 cm
A patient has a prescription for L-thyroxine (Synthroid) 50 mcg po once a day in the am. The patient has already taken a 30 day supply. How many total milligrams has the patient consumed the past month?
1.5mL
The provider wrote an order for: Meperidine (Demerol) 50 mg IM q 4 hours prn for moderate pain. The locked floor stock contains one strength: Meperidine 100 mg/mL. How many milliliter(s) will the nurse draw up for one dose?
0.5 mL
There is an order for Regular insulin U-100 8 units ac and hs. How many units will the patient receive every 24 hours?
32 units
A patient has an order for Heparin 6,500 units subcut twice a day to prevent blood clots. The available vial has heparin 10,000 units per milliliter. How many milliliter(s) will the nurse draw up for one dose?
0.65 mL
A patient has an order for: Ancef 2 grams IV every 12 hours. The pharmacy delivers Ancef 2 grams in 100 mL D5W and recommends that it is given over 30 minutes. How many milliliters per hour will the nurse set the IV pump to administer one dose?
200 mL/hr
How many mL in a teaspoon?
5
How many grams in a kilogram?
1000
A critically ill patient weighs 180 pounds. The order is: Isuprel IV 1 mcg per kilogram per minute. The available solution is: Isuprel 100 mg in 500 mL of 0.9% saline. How many milliliters per hour should the nurse set the IV pump? (round answer to the nearest whole mL/hr.)
25 mL/hr
How many centimeters in a meter?
100
How many mL in an ounce?
30
How many milligrams in a grain?
60
A child weighing 16.4 kg is to receive a medication IV with a dosage range of 100 to 150 mg/kg/day. The order is for 600 mg in 75 mL D5W q6h. Is the ordered dosage above, within, or below the recommended range?
within range