# Fundamental Skills - Medication/IV Calculations

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 Author: nursedaisy98 ID: 256724 Filename: Fundamental Skills - Medication/IV Calculations Updated: 2014-04-20 10:19:50 Tags: NCLEX RN Folders: Fundamental Skills Description: Medication/IV Calculations Show Answers:

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1. The nurse is completing a time tape for a 1000-mL IV bag that is scheduled to infuse over 8 hours. The nurse has just placed the 11:00 am marking at the 500-mL level. The nurse would place the mark for noon at which numerical level (mL) on the time tape?
375 mL
2. A health care provider's prescription reads 1000 mL of normal saline (NS) to infuse over 12 hours. The drop factor is 15 drops (gtt)/1 mL. The nurse prepares to set the flow rate at how many drops per minute? Record your answer to the nearest whole number.
21 drops
3. A health care provider's prescription reads to administer an intravenous (IV) dose of 400,000 units of penicillin G benzathine (Bicillin). The label on the 10-mL ampule sent from the pharmacy reads penicillin G benzathine (Bicillin), 300,000 units/mL. The nurse prepares how much medication to administer the correct dose? Record your answer using one decimal place.
1.3 mL
4. A health care provider's prescription reads potassium chloride 30 mEq to be added to 1000 mL normal saline (NS) and to be administered over a 10-hour period. The label on the medication bottle reads 40 mEq/20 mL. The nurse prepares how many milliliters of potassium chloride to administer the correct dose of medication?
15 mL
5. A health care provider's prescription reads clindamycin phosphate (Cleocin Phosphate) 0.3 g in 50 mL normal saline (NS) to be administered intravenously over 30 minutes. The medication label reads clindamycin phosphate (Cleocin Phosphate) 900 mg in 6 mL. The nurse prepares how many milliliters of the medication to administer the correct dose? Round your answer to the nearest whole number.
2 mL
6. A health care provider's prescription reads phenytoin (Dilantin) 0.2 g orally twice daily. The medication label states that each capsule is 100 mg. The nurse prepares how many capsule(s) to administer one dose?
2 capsule(s)
7. A health care provider prescribes 1000 mL of normal saline 0.9% to infuse over 8 hours. The drop factor is 15 drops (gtt)/1 mL. The nurse sets the flow rate at how many drops per minute? Record your answer to the nearest whole number.
31 drops
8. A health care provider prescribes heparin sodium, 1300 units/hour by continuous intravenous (IV) infusion. The pharmacy prepares the medication and delivers an IV bag labeled heparin sodium 20,000 units/250 mL D5W. An infusion pump must be used to administer the medication. The nurse sets the infusion pump at how many milliliters per hour to deliver 1300 units/hour? Record your answer to the nearest whole number.
16 mL
9. A health care provider prescribes 3000 mL of D5W to be administered over a 24-hour period. The nurse determines that how many milliliters per hour will be administered to the client?
125 mL
10. Gentamicin sulfate, 80 mg in 100 mL normal saline (NS), is to be administered over 30 minutes. The drop factor is 10 drops (gtt)/mL. The nurse sets the flow rate at how many drops per minute? Record your answer to the nearest whole number.
33 drops
11. A health care provider's prescription reads levothyroxine (Synthroid), 150 mcg orally daily. The medication label reads Synthroid, 0.1 mg/tablet. The nurse administers how many tablet(s) to the client?
1.5 tablets
12. Cefuroxime sodium, 1 g in 50 mL normal saline (NS), is to be administered over 30 minutes. The drop factor is 15 drops (gtt)/mL. The nurse sets the flow rate at how many drops per minute?
25 drops
13. A health care provider prescribes 1000 mL D5W to infuse at a rate of 125 mL/hour. The nurse determines that it will take how many hours for 1 L to infuse?
8 hours
14. A health care provider prescribes 1 unit of packed red blood cells to infuse over 4 hours. The unit of blood contains 250 mL. The drop factor is 10 drops (gtt)/1 mL. The nurse prepares to set the flow rate at how many drops per minute? Record your answer to the nearest whole number.
10 drops
15. A health care provider's prescription reads morphine sulfate, 8 mg stat. The medication ampule reads morphine sulfate, 10 mg/mL. The nurse prepares how many milliliters to administer the correct dose?
0.8 mL
16. A health care provider prescribes regular insulin, 8 units/hour by continuous intravenous (IV) infusion. The pharmacy prepares the medication and then delivers an IV bag labeled 100 units of regular insulin in 100 mL normal saline (NS). An infusion pump must be used to administer the medication. The nurse sets the infusion pump at how many milliliters per hour to deliver 8 units/hour?
8 mL
17. The nurse is providing medication instructions to a parent. Which statement by the parent indicates a need for further instruction?
1."I should cuddle my child after giving the medication."
2."I can give my child a frozen juice bar after he swallows the medication."
3."I should mix the medication in the baby food and give it when I feed my child."
4."If my child does not like the taste of the medicine, I should encourage him to pinch his nose and drink the medication through a straw.
3."I should mix the medication in the baby food and give it when I feed my child."
18. A health care provider's prescription reads "ampicillin sodium 125 mg IV every 6 hours." The medication label reads "1 g and reconstitute with 7.4 mL of bacteriostatic water." The nurse prepares to draw up how many milliliters to administer one dose?
1. 1.1 mL
2. 0.54 mL
3. 7.425 mL
4. 0.925 mL
4. 0.925 mL
19. A pediatric client with ventricular septal defect repair is placed on a maintenance dosage of digoxin (Lanoxin). The dosage is 0.07 mg/kg/day, and the client's weight is 7.2 kg. The health care provider (HCP) prescribes the digoxin to be given twice daily. The nurse prepares how much digoxin to administer to the client at each dose?
1. 0.5 mg
2. 2.5 mg
3. 0.25 mg
4. 0.37 mg
3. 0.25 mg
20. Sulfisoxazole (Gantrisin), 1 g orally four times daily, is prescribed for an adolescent with a urinary tract infection. The medication label reads "500-mg tablets." The nurse has determined that the dosage prescribed is safe. The nurse administers how many tablets per dose to the adolescent?
1. ½ tablet
2. 1 tablet
3. 2 tablets
4. 3 tablets
3. 2 tablets
21. Penicillin G procaine (Wycillin), 1,000,000 units IM (intramuscularly), is prescribed for a child with an infection. The medication label reads "1,200,000 units per 2 mL." The nurse has determined that the dose prescribed is safe. The nurse administers how many milliliters per dose to the child?
1. 0.8 mL
2. 1.2 mL
3. 1.44 mL
4. 1.66 mL
4. 1.66 mL
22. The nurse prepares to administer an intramuscular injection to a 4-month-old infant. The nurse selects which best site to administer the injection
1.Ventrogluteal
2.Dorsal gluteal
3.Rectus femoris
4.Vastus lateralis
4.Vastus lateralis
23. Atropine sulfate, 0.6 mg intramuscularly, is prescribed for a child preoperatively. The nurse has determined that the dose prescribed is safe and prepares to administer how many milliliters to the child?
1.5 mL
24. The health care provider's prescription reads levothyroxine (Synthroid), 100 mcg orally daily. The medication label reads Synthroid, 0.1 mg per tablet. The nurse should administer how many tablet(s) to the client?
1 tablet
25. The health care provider prescribes 2000 mL of 5% dextrose and half-normal saline to infuse over 24 hours. The drop factor is 15 drops (gtt)/1 mL. The nurse should set the flow rate at how many drops per minute? Record your answer to the nearest whole number.
21 gtt/minute
26. The health care provider prescribes erythromycin suspension (erythromycin ethylsuccinate), 800 mg by mouth twice daily. After reconstitution, how many milliliters should the nurse pour into the medicine cup to deliver the prescribed dose?
20 mL
27. The health care provider's (HCP's) prescription reads levothyroxine (Synthroid), 100 mcg orally daily. The medication label reads Synthroid, 0.1 mg per tablet. The nurse should administer how many tablets to the client?
1 tablet
28. A nurse is preparing to administer a Mantoux tuberculin skin test to a client via the intradermal route. Which action should the nurse perform when administering this test to the client?
1.Inject the medication and place a pressure dressing over the medication site.
2.Make a circular mark around the injection site after administration of the tuberculin test.
3.Administer the injection with the needle bevel facing downward at a 10- to 15-degree angle.
4.Massage the area with an alcohol swab after injection to ensure that the medication is absorbed.
2.Make a circular mark around the injection site after administration of the tuberculin test.
29. The nurse is reviewing the medication record and notes that a client is to receive heparin 6000 units subcutaneously. The medication label states heparin 10,000 units/mL. How much heparin will the nurse prepare to administer to the client? Record your answer using one decimal place.
0.6
30. The health care provider prescribes meperidine hydrochloride (Demerol) 40 mg for a client in pain. The medication label states meperidine hydrochloride 50 mg/mL. The nurse should administer how many milliliters to the client?
0.8 mL
31. The health care provider prescribes theophylline (Theo-24) 0.2 g orally two times daily. The medication label states 100-mg capsules. The nurse should administer how many capsule(s) to the client at the morning dose?
2 capsules
32. A health care provider prescribes atenolol (Tenormin) 0.025 g orally daily for a client with hypertension. The label on the medication bottle states atenolol 50-mg tablets. The nurse administers how many tablets to the client?
1. 0.5
2. 1
3. 2
4. 3
1. 0.5
33. The health care provider prescribes digoxin (Lanoxin) 0.25 mg orally daily for a client with heart failure. The medication label states 0.125 mg per tablet. The nurse should administer how many tablet(s) to the client?
2 tablets
34. The health care provider prescribes levothyroxine (Synthroid) 0.15 mg orally daily for a client with hypothyroidism. The medication label states 150 mcg per tablet. The home care nurse should instruct the client to take how many tablet(s)?
1 tablet
35. The health care provider prescribes regular insulin, 6 units per hour by continuous intravenous (IV) infusion. The pharmacy prepares the medication and then delivers an IV bag labeled 50 units of regular insulin in 100 mL of normal saline. An infusion pump must be used to administer the medication. The nurse should set the infusion pump at how many milliliters per hour to deliver the correct dose?
12 mL
36. The health care provider prescribes heparin sodium 800 units per hour, to be given by continuous intravenous (IV) infusion. The pharmacy prepares the medication and then delivers an IV bag labeled heparin 25,000 units in 500 mL of normal saline. An infusion pump must be used to administer the medication. The nurse should set the infusion pump at how many milliliters per hour to deliver the correct dose?
16 mL
37. Ampicillin sodium 500 mg in 100 mL of normal saline (NS) is to be administered over a period of 45 minutes. The delivery rate (drop factor) is 10 drops (gtt) per mL. The nurse should set the flow rate at how many drops per minute? Round your answer to the nearest whole number.
22 gtt/min
38. A client is to receive 1000 mL of 5% dextrose in water (D5W) at 100 mL per hour. The delivery rate (drop factor) is 10 drops (gtt) per mL. The nurse should set the flow rate at how many drops per minute? Round your answer to the nearest whole number.
17 gtt/min
39. The health care provider prescribes 1000 mL of normal saline (NS) to be infused over a period of 10 hours. The delivery rate (drop factor) is 15 drops (gtt) per mL. The nurse should set the flow rate at how many drops per minute?
25 gtt/min
40. The health care provider prescribes 1000 mL of normal saline (NS) to be infused over a period of 10 hours. The delivery rate (drop factor) is 15 drops (gtt) per mL. The nurse should set the flow rate at how many drops per minute?
6.6 mEq
41. Normal saline 50 mL is to be given by intravenous (IV) infusion over a 15-minute period. The drop factor for the tubing is 10 gtt/mL. The nurse sets the flow rate at how many drops per minute? Round answer to the nearest whole number.
33 gtt/min
42. A health care provider prescribed digoxin (Lanoxin) 0.25 mg for a client with atrial fibrillation. The medication is available as 0.125-mg tablets. The nurse calculates that the client will receive two tablets of digoxin. When the nurse hands the medication to the client, the client looks at the medication and states, "Every time I get chest pain, I will take one of these heart pills." After double-checking the dosage calculation, the nurse should make which decision?
1.Not administer the medication as prescribed and calculated.
3.Administer the medication as prescribed and calculated, and proceed with further client teaching.
4.Administer the medication as prescribed and calculated, and monitor for adverse effects, such as seizures.
3.Administer the medication as prescribed and calculated, and proceed with further client teaching.
43. A health care provider has prescribed prochlorperazine (Compazine) 4 mg intramuscularly for a client who is vomiting. The nurse reads the label on the medication vial and administers how many milliliters to the client?
1. 0.8 mL
2. 1.2 mL
3. 4.0 mL
4. 5.0 mL
1. 0.8 mL
44. The nurse hangs a 1000-mL intravenous (IV) bag of 5% dextrose in water (D5W) at 7:00 am. The IV solution is to infuse at 100 mL/hr, and the nurse places a time tape on the IV bag. At 12:00 noon, the nurse should expect that the infusion line on the IV bag would be at which point?
1.A
2.B
3.C
4.D
2.B
45. A health care provider prescribes 500 mL of ½ normal saline to infuse over 8 hours. The drop factor is 15 drops (gtts)/mL. The nurse sets the IV to infuse at how many drops per minute? Record your answer to the nearest whole number.
16 gtt/min
46. A health care provider prescribes 1000 mL of ½ normal saline to infuse over 10 hours. The drop factor is 10 drops (gtts)/mL. The nurse sets the flow rate at how many drops per minute? Record your answer to the nearest whole number.
17 gtt/min
47. A health care provider prescribes 2000 mL of 5% dextrose and ½ normal saline to infuse over 24 hours. The drop factor is 15 drops (gtts)/mL. The nurse sets the flow rate at how many drops per minute? Record your answer to the nearest whole number.
21 gtt/min
48. A health care provider prescribes 3000 mL of D5W to infuse over a 24-hour period. The drop factor is 10 drops (gtts)/mL. The nurse sets the flow rate at how many drops per minute? Record your answer to the nearest whole number.
21 gtt/min
49. A health care provider prescribes 1000 mL of normal saline to infuse over 12 hours. The drop factor is 10 drops (gtts)/mL. The nurse prepares to set the flow rate at how many drops per minute? Record your answer to the nearest whole number.
14 gtt/min
50. A health care provider prescribes 1000 mL of normal saline to infuse over 6 hours. The drop factor is 15 drops (gtt)/mL. The nurse prepares to set the flow rate at how many drops per minute? Record your answer to the nearest whole number.
42 gtt/min
51. A health care provider prescribes 1000 mL of normal saline to infuse over 8 hours. The drop factor is 10 drops (gtts)/mL. The nurse prepares to set the flow rate at how many drops per minute? Record your answer to the nearest whole number.
21 gtt/min
52. A health care provider prescribes 100 mL of normal saline to infuse over 1 hour. The drop factor is 15 drops (gtts)/mL. The nurse prepares to set the flow rate at how many drops per minute?
25 gtt/min
53. A health care provider prescribes 100 mL of normal saline to infuse over 30 minutes. The drop factor is 15 drops (gtts)/mL. The nurse prepares to set the flow rate at how many drops per minute?
50 gtt/min
54. A health care provider prescribes 1000 mL of NS to infuse over 24 hours. The drop factor is 60 drops (gtts)/mL. The nurse prepares to set the flow rate at how many drops per minute? Record your answer to the nearest whole number.
42 gtt/min
55. A health care provider's prescription reads phenytoin (Dilantin) 0.3 g orally daily. The medication label states 100-mg capsules. The nurse prepares how many capsules to administer one dose?
3 capsules
56. A health care provider's prescription reads levothyroxine (Synthroid), 200 mcg orally daily. The medication label reads Synthroid, 0.1 mg per tablet. The nurse administers how many tablets to the client?
2 tablets
57. A health care provider's prescription reads nitroglycerin grains 1/150 sublingually stat. The label on the bottle reads nitroglycerin 0.4 mg/tablet. The nurse prepares how many tablets to administer the correct dose?
1 tablet
58. A client is due to receive digoxin (Lanoxin) 0.125 mg by mouth. The nurse prepares to administer the medication and notes that the label on the bottle of pills states that each tablet contains 0.25 mg. The nurse should plan to take which action?
1.Administer two tablets of the medication.
2.Administer one-half tablet of the medication.
3.Withhold the medication and call the health care provider.
4.Administer only one tablet of the medication and call the pharmacy.
2.Administer one-half tablet of the medication.
59. A health care provider prescribes meperidine hydrochloride (Demerol) 20 mg intramuscularly stat for a postoperative client in pain. The medication label states meperidine hydrochloride 50 mg per mL. How many milliliters should the nurse prepare to administer to the client?
0.4
60. A health care provider prescribes phenytoin (Dilantin) 0.1 g orally three times a day. The nurse determines that the prescribed dosage is being administered if the client will be receiving a total of how many milligrams in a 24-hour period?
300 mg
61. A health care provider prescribes atenolol (Tenormin) 0.05 g orally daily. The label on the medication bottle states atenolol 25-mg tablets. How many tablets will the nurse administer to the client?
2 tablets
62. A health care provider prescribes regular insulin 5 units per hour by continuous intravenous (IV) infusion. The pharmacy prepares the medication and then delivers an IV bag labeled 25 units of regular insulin in 50 mL of normal saline. An infusion pump must be used to administer the medication. How many milliliters per hour are required to deliver the prescribed dose?
10 mL/hour
63. A health care provider prescribes heparin sodium 900 units per hour by continuous intravenous (IV) infusion. The pharmacy prepares the medication and delivers an IV bag labeled heparin 25,000 units in 500 mL of normal saline. An infusion pump must be used to administer the medication. How many milliliters per hour are required to deliver the prescribed dose?
18 mL/hour
64. Ampicillin sodium 250 mg in 50 mL of normal saline is to be administered over a period of 30 minutes. The drop factor is 10 drops (gtt) per mL. The nurse sets the flow rate at how many drops per minute? Record your answer to the nearest whole number.
17 gtt/min
65. A client is to receive 1000 mL of 5% dextrose in water at a rate of 125 mL/hr. The drop factor is 10 drops (gtt) per mL. The nurse sets the flow rate at how many drops per minute? Record your answer to the nearest whole number.
21 gtt/min
66. A health care provider prescribes 1000 mL of normal saline to be infused over a period of 10 hours. The drop factor is 15 drops (gtt) per mL. The nurse sets the flow rate at how many drops per minute?
1. 15 gtt
2. 18 gtt
3. 21 gtt
4. 25 gtt
4. 25 gtt
67. A health care provider prescribes digoxin (Lanoxin) 0.125mg to be administered orally. The label on the medication bottle reads 0.25 mg per tablet. How many tablets(s) should the nurse administer?
0.5 tablet
68. A health care provider prescribes an intravenous dose of 250,000 units of penicillin G benzathine (Bicillin). The label on the 10-mL ampule sent from the pharmacy reads penicillin G benzathine 300,000 units per mL. How much medication will the nurse prepare to administer the correct dose? Record your answer using one decimal place.
0.8 mL
69. A health care provider prescribes 3000 mL of 5% dextrose in water to run over a 24-hour period. The drop factor is 15 drops (gtt) per 1 mL. The nurse adjusts the flow rate to run at how many drops per minute? Record your answer to the nearest whole number.
31 gtt/min
70. A health care provider's prescription reads clindamycin phosphate (Cleocin) 0.3 g in 50 mL of normal saline to be administered by the intravenous route over 30 minutes. The medication label reads clindamycin phosphate 150 mg/mL. The nurse prepares how many milliliters of the medication to administer the correct dose?
2 mL
71. A health care provider prescribes heparin sodium 900 units per hour by continuous intravenous (IV) infusion. The pharmacy prepares the medication and delivers an IV bag that is labeled heparin sodium 20,000 units per 250 mL of 5% dextrose in water. An infusion pump must be used to administer the medication. How many milliliters per hour are required to deliver the prescribed dose? Record your answer to the nearest whole number.
11 mL/hour
72. Gentamycin sulfate 80 mg in 100 mL normal saline is to be administered over 45 minutes. The drop factor is 15 drops (gtt) per mL. The nurse sets the flow rate at how many drops per minute? Record your answer to the nearest whole number.
33 gtt/min
73. Cefuroxime sodium (Zinacef) 1 g in 50 mL normal saline is to be administered over 30 minutes. The drop factor is 10 drops (gtt) per mL. The nurse sets the flow rate at how many drops per minute? Record your answer to the nearest whole number.
17 gtt/min
74. The health care provider prescribes 500 mL of 0.9% normal saline to run over 6 hours. The drop factor is 10 drops (gtt) per 1 mL. The nurse sets the flow rate at how many drops per minute? Record your answer to the nearest whole number.
14 gtt/min
75. A health care provider prescribes 1 L of lactated Ringer's solution to run over 10 hours. The tubing drop factor is 15 drops (gtt) per mL. The nurse sets the drip rate at how many drops per minute?
25 gtt/min
76. A nurse has a prescription to infuse 1000 mL of 5% dextrose in lactated Ringer's solution at 80 mL per hour. The nurse time-tapes the bag with a start time of 0900. After making hourly marks on the time-tape, the nurse should note which completion time for the bag?
1. 1530
2. 1730
3. 1930
4. 2130
4. 2130
77. A nurse has a prescription to infuse 100 mL of antibiotic solution by the intravenous (IV) route over 1 hour. The tubing administration set has a drop factor of 10 drops (gtt) per mL. The nurse would regulate the roller clamp on the infusion set to deliver how many drops per minute? Record your answer to the nearest whole number.
17 gtt/min
78. Penicillin V (potassium), 75 mg orally (PO) every 8 hours, is prescribed for a child with a respiratory infection. The medication label reads: penicillin V, 125 mg per 5 mL. The nurse has determined that the dosage prescribed is a safe dose for the child. The nurse prepares to administer how many milliliters per dose to the child?
3 mL
79. A health care provider's prescription reads: acetaminophen (Tylenol) liquid, 450 mg orally every 4 hours PRN for pain. The medication label reads: 160 mg/5 mL. The nurse prepares how many milliliters to administer one dose? Round your answer to the nearest whole number.
14 mL
80. The health care provider prescribes meperidine (Demerol) 60 mg and atropine sulfate 0.4 mg intramuscularly for a preoperative client. The medications are compatible and will be mixed into one syringe. The label on the prefilled meperidine syringe states 100 mg/mL. The label on the prefilled atropine sulfate syringe states 0.4 mg/mL. How many milliliters of meperidine and how many milliliters of atropine sulfate will be prepared for administration?
1.Meperidine, 0.6 mL; atropine sulfate, 1 mL
2.Meperidine, 1 mL; atropine sulfate, 0.6 mL
3.Meperidine, 0.4 mL; atropine sulfate, 1.2 mL
4.Meperidine, 0.5 mL; atropine sulfate, 0.5 mL
1.Meperidine, 0.6 mL; atropine sulfate, 1 mL
81. The nurse is preparing to insert an intravenous (IV) angiocatheter into a client's inner forearm. Before cannulating the vein, what motion will the nurse implement to cleanse the site?
1.Scrubbing from the wrist toward the elbow
2.Scrubbing from the elbow toward the wrist
3.Using a circular motion from the center outward
4.Using a circular motion inward toward the center
3.Using a circular motion from the center outward
82. The child who weighs 17 lb is to receive 72 mg/kg/day of a prescribed medication intravenously every 4 hours. How many milligrams should the nurse administer to the child in a single dose?
1. 92.64 mg
2. 139.1 mg
3. 448.8 mg
4. 673.2 mg
1. 92.64 mg
83. The health care provider's prescription for an antibiotic reads "500 mg in 250 mL of 5% dextrose in water and administer over 2 hours." The drop factor is 10 drops (gtt)/mL. The nurse sets the flow rate at how many drops per minute? Round answer to the nearest whole number.
21 gtt/min
84. A health care provider prescribes 3000 mL of 5% dextrose in water (D5W) to infuse over a 24-hour period. The drop factor is 10 drops (gtt)/mL. The nurse sets the flow rate at how many drops per minute? Round answer to the nearest whole number.
21 gtt/min
85. A health care provider prescribes 2000 mL of 5% dextrose and ½ normal saline to infuse over 24 hours. The drop factor is 15 drops (gtt)/mL. The nurse sets the flow rate at how many drops per minute? Round answer to the nearest whole number.
21 gtt/min
86. A health care provider's prescription reads "cyanocobalamin (vitamin B12) 1000 mcg by the intramuscular route." The medication label reads "cyanocobalamin (vitamin B12) 0.5 mg/mL." The nurse prepares the medication and administers how many milliliters to the client?
2 mL
87. A health care provider prescribes 500 mL of normal saline to infuse over 5 hours. The drop factor is 10 drops (gtt)/mL. The nurse sets the flow rate at how many drops per minute? Round answer to the nearest whole number.
17 gtt/min
88. The health care provider prescribes ketorolac 15 mg intravenous push. The medication vial states "30 mg/mL." How many milliliters will the nurse administer?
0.5 mL
89. Cloxacillin, 200 mg orally every 8 hours, is prescribed for a child with an elevated temperature who is suspected of having a respiratory tract infection. The child weighs 17 lb. The safe pediatric dosage is 50 mg/kg per day. Which conclusion should the nurse draw concerning the dose prescribed?
1.The dose prescribed is safe.
2.The dose prescribed is too low.
3.The dose prescribed is too high.
4.There is not enough information to determine the safe dose.
3.The dose prescribed is too high.
90. Diphenhydramine hydrochloride (Benadryl), 25 mg orally every 6 hours, is prescribed for a child with an allergic reaction. The child weighs 25 kg. The safe pediatric dosage is 5 mg/kg per day. The nurse should determine which concerning the dose prescribed?
1.The dose prescribed is safe.
2.The dose prescribed is too low.
3.The dose prescribed is too high.
4.There is not enough information to determine the safe dose.
1.The dose prescribed is safe.
91. Morphine sulfate, 2.5 mg, intravenous piggyback, is prescribed for a child with cancer. The safe pediatric dose is 0.05 to 0.1 mg/kg per dose. The child weighs 50 kg. The nurse determines which concerning the dose prescribed?
1.The dose prescribed is too low.
2.The dose prescribed is too high.
3.The dose prescribed is within the safe dosage range.
4.There is not enough information to determine the safe dosage range.
3.The dose prescribed is within the safe dosage range.
92. Morphine sulfate, 2.5 mg, intravenous piggyback, in 10 mL of normal saline, is prescribed. The medication label reads "1/15 gr per mL." The nurse should add how many milliliters of morphine sulfate to the 10 mL of normal saline solution?
1. 0.6 mL
2. 0.8 mL
3. 1.3 mL
4. 1.6 mL
1. 0.6 mL
93. The prescription for an infusion of parenteral nutrition reads: Infuse 1800 mL bag over 24 hours. At what rate will the nurse set the infusion pump?
75
94. A health care provider prescribes 1 unit of packed red blood cells to be infused over 4 hours. The unit of blood contains 250 mL. The drop factor is 15 drops (gtt)/1 mL. The nurse should set the flow rate at how many drops per minute? Round the answer to the nearest whole number.
16 gtt/min
95. The nurse is preparing to administer 30 mEq of liquid potassium chloride (KCL) to an adult client. The label on the medication bottle reads 40 mEq of KCL per 15 mL. The nurse should prepare how many milliliters of KCL to administer the correct dose of medication? Round the answer to the nearest whole number.
11 mL
96. A nurse is preparing to administer a 50-mcg dose of medication to a client. The medication is available in 100 mcg/5 mL. How many mL should the nurse administer?
2.5 mL
97. A client is prescribed to receive metoclopramide (Reglan) 5 mg IV. How many milliliters should the nurse administer if the available concentration is 10 mg/2 mL?
1 mL
98. Augmentin 500 mg orally every 6 hours is prescribed for a child with an upper respiratory infection. The medication is supplied as 200 mg/5 mL. How many milliliters will be administered in each dose?
12.5 mL
99. The health care provider prescribes 1000 mL of 0.9% normal saline (NS) to run over 8 hours. The drop factor is 10 drops/1 mL. The nurse adjusts the flow rate to run at how many drops per minute? Round off your answer to the nearest whole number.
21 gtt/min
100. A health care provider prescribes meperidine hydrochloride (Demerol), 40 mg stat, for a postoperative client in pain. The medication label states meperidine hydrochloride (Demerol), 50 mg/mL. How many milliliters will the nurse prepare to administer to the client?
0.8 mL
101. The health care provider prescribes atenolol (Tenormin), 0.05 g orally daily. The label on the medication bottle states atenolol (Tenormin), 25-mg tablets. How many tablets will the nurse administer to the client?
2 tablets
102. The health care provider prescription reads potassium chloride (KCL) 30 mEq to be added to 1000 mL normal saline and to be administered over a 10-hour period. The label on the medication bottle reads 4 mEq (KCL)/mL. The nurse prepares how many milliliters of potassium chloride (KCL) to administer the correct dose of medication?
7.5 mL
103. Ampicillin sodium, 250 mg in 50 mL of normal saline, is being administered over a period of 30 minutes. The drop factor is 10 drops/mL. The nurse determines that the infusion is running at the prescribed rate if the infusion is delivering how many drops per minute? Round the answer to the nearest whole number.
17 gtt/min
104. The health care provider prescribes 1000 mL of normal saline to be infused over a period of 10 hours. The drop factor is 15 drops/mL. The nurse adjusts the flow rate at how many drops per minute?
25 gtt/min
105. The client is to receive 1000 mL of D5W at 100 mL/hr. The drop factor is 10 drops/mL. The nurse adjusts the flow rate to deliver how many drops per minute? Round the answer to the nearest whole number.
17 gtt/min
106. The health care provider prescribes a dose of 250,000 units of penicillin G benzathine (Bicillin). The label on the 10-mL ampule sent from the pharmacy reads penicillin G benzathine (Bicillin) 300,000 units/mL. How much medication will the nurse prepare to administer the correct dose? Record the answer using one decimal place.
0.8
107. The health care provider prescribes 500 mL of 0.9% normal saline to run over 6 hours. The drop factor is 10 drops/1 mL. The nurse adjusts the flow rate to run at how many drops per minute? Round the answer to the nearest whole number.
14 gtt/min
108. The health care provider's prescription reads cyanocobalamin (vitamin B12), 150 mcg by the intramuscular route. The medication label reads cyanocobalamin (vitamin B12), 100 mcg/mL. The nurse prepares to administer how many mL to the client?
1.5 mL
109. The health care provider prescribes a bolus of 500 mL of 0.9% normal saline to run over 4 hours. The drop factor is 10 drops/1 mL. The nurse plans to adjust the flow rate at how many drops per minute? Round the answer to the nearest whole number.
21 gtt/min

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