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pharmacology
Dosage calculations exam
| Question | Answer |
|---|---|
| healthcare provider prescribes IV infusion of 0.9% normal saline 1,000 ml with oxytocin (Pitocin) 30 units at rate of 1 mu/minute for a client at 42-weeks gestation. nurse should program infusion pump to deliver ml/hour? | 2 |
| A client receives a prescription for levothyroxine sodium (Synthroid) 0.05 mg by mouth once daily. The medication is available in scored tablets labeled 0.1 mg. How many tablets should the nurse administer? | 0.5 |
| provider prescribes a continuous infusion of dextrose 5% in water with isoproterenol (Isuprel) 2 mg in 500 ml at a rate of 5 mcg/minute for a client with cardiac arrhythmia. The nurse should program the infusion pump to deliver how many ml/hour? | 75 |
| provider prescribes propofol (Diprivan) at 8 mcg/kg/minute for a client during conscious sedation. The drug is dispensed as a econdary infusion labled, 0.9% normal saline 50 ml with propofol 100 mg/50 ml weight 198 pounds. nurse program pump to deliver h | 21.6 |
| A client who has heart failure with paroxysmal atrial tachycardia is receiving digoxin (Lanoxin) 0.45 mg IV as the inital digitalizing dose. The pharmacy provides 0.25 mg/ml. How many ml should the nurse administer? | 1.8 ml |
| 110lbs, adult female admitted to ER after burns to 40% of her body. Using Parkland formula, fluid requirements for first 24 hours is calculated using Lactated Ringer's 4 ml solution x Body weight (KG) x Percent burn. The client should receive one-half of | 500 |
| A client with a gastrostomy tube (GT) receives a prescription for Osmolite 1/2 strength enteral formula at 80 ml/hour. To prepare a 4 hour solution, the nurse should dilute the full-strength formula with how many ml of water? | 160 ml |
| client experiencing ventricular tachycardia receives prescription continuous infusion of dextrose 5% in water 1000 ml with lidocaine (Xylocaine) 2 grams at a rate of 4 mg per minute. The nurse should program the infusion pump to deliver how many ml/hour? | 120 ml |
| A client is receiving Dextrose 5% in Water (D5W) 1,000 ml at 75 ml/hour. The nurse hangs the bag of IV fluids at 0300. At what time, based on the 24-hour clock, should the infusion be completed? | 1620 |
| healthcare provider prescribes infusion of D5W w/Nitropress 100 mg/250 ml at a rate of 4 mcg/kg/minute for a client in hypertensive crisis. The client's current weight is 130 pounds. The nurse should program the infusion pump to deliver how many ml/hour? | 35 |
| An IV infusion of 0.9% normal saline 500 ml with ammonium chloride 0.2 mEq/ml is prescribed for a client who was admitted for an amphetamine overdose. How many mEq of ammonium chloride should the nurse use to prepare the solution? | 100 mEq |
| provider prescribes intermittent infusion of nafcillin 800 mg IV for a pediatric client. drug dispensed in concentration of 250 mg/ml, recommended concentration is 40 mg/ml. When adding dose to control device, how many ml of solution should nurse add? | 16.8 |
| provider prescribes a continuous feeding of half strength Osmolite240 ml to be infused every 4 hours for a client with a gastrostomy tube (GT). The nurse should program the enteral pump to deliver how many ml/hour? (Enter numeric value only). | 60 |
| A client receives a prescription for tobramycin sulfate (Nebcin)0.128 grams IV every 8 hours. Tobramycin is available in liquid concentration of 40 mg/ml. How many ml should the nurse administer? | 3.2 |
| A client returning from surgery has a prescription for an IV of 0.9% sodium chloride to be infused at 250 ml over 3 hours. The nurse should program the infusion pump to deliver how many ml/hour? | 83 |
| A client who weighs 65 kg is receiving an infusion of Dextrose 5% in Water (D5W) 250 ml with dopamine 400 mg at 12 ml/hour. How many mcg/kg/minute is the client receiving? | 4.9 |
| A client weighing 86 kg is receiving dopamine at 8 mcg/kg/minute. The drug is dispensed as dopamine 800 mg/500 ml. The nurse should program the infusion pump to deliver how many ml/hour? | 25.8 |
| The nurse plans to administer labetalol hydrochloride (Trandate) 0.3 grams PO to a client with hypertension. Trandate is available in 200 mg scored tablets. How many tablets should the nurse administer? | 1.5 tablets |
| The nurse is preparing a tube feeding of Ensure 280 ml (50% solution). Full strength Ensure is available in a 240 ml can. The nurse should use how many ml of Ensure to prepare the feeding? | 140 |
| A client is receiving acetaminophen (Tylenol) 0.65 gram PO every 6 hours PRN for pain. Acetaminophen is available in 325 mg tablets. How many milligrams should the nurse administer? | 650 |
| A client who has preeclampsia receives a prescription for an IV infusion of 0.9% normal saline with magnesium sulfate 4 gram/250 ml to be infused at a rate of 125 ml/hour. The nurse should administer how many mg/hour of magnesium sulfate? | 2000 |
| A client is receiving an IV solution of 2 grams of medication diluted in 100 ml of normal saline over a one hour time period. How many mg of medication is the client receiving per minute? | 33 |
| A client with coronary artery disease receives a prescription for clopidogrel (Plavix) 300 mg PO. The medication is available in 75 mg tablets. How many tablets should the nurse administer? | 4 |
| A child weighing 28.4 kg is in hypertensive crisis. The healthcare provider prescibes methyldopa (Aldomet) 40 mg/kg/day IV in 4 divided doses. The pharmacy provides a 50 mg/ml injection vial. How many ml should the nurse administer? | 5.7 |
| The nurse is preparing to administer vancomycin (Vancocin) 750 mg in 250 ml of Dextrose 5% in Water (D5W) over 75 minutes. The secondary infusion pump should be programmed to administer how many ml/hour? | 200 |
| A client scheduled for a stress echocardiogram is to receive an IV infusion of Dextrose 5% in Water (D5W) with dobutamine (Dobutrex) 0.5 grams/250 ml at a rate of 1,200 mcg/minute. The nurse should program the infusion pump to deliver how many ml/hour? | 36 |
| Oxytocin 4 milliunits/minute IV is prescribed for a client with an ineffective contraction pattern. To administer the prescribed dosage, the nurse adds 20 units of oxytocin to Ringer's Lactate 1,000 ml. infusion pump should be set to deliver ml/hour. | 12 |
| client w/acute decompensated heart failure to receive IV infusion of 0.9% normal saline with inamrinone 0.1 grams/100 ml at a rate of 8 mcg/kg/minute. current weight is 183 lbs. The nurse should program the infusion pump to deliver how many ml/hour? | 40 |
| A client with a Trichomonas vaginalis infection receives a prescription for metronidazole (Flagyl) 1 gram. The medication is available in 500 mg tablets. How many tablets should the nurse administer? | 2 |
| Amoxicillin 500 mg PO every 8 hours is prescribed for a client with an infection. The drug is available in a suspension of 125 mg/5ml. How many ml should the nurse administer with each dose? | 20 |
| client who had a small bowel resection two weeks ago is receiving 3/4 strength Ensure feedings 275 ml every 4 hours via nasogastric tube. Full strength Ensure is available in a 240 ml can. The nurse should use how many ml of Ensure to prepare the feeding? | 206 |
| client admitted to unit from the ER receives a prescription for an IV infusion of 0.9% sodium chloride 1,000 ml at 750 ml/4 hours. The IV administration set delivers 60 gtts/ml. The nurse should regulate the infusion to deliver how many gtts/minute? | 188 |
| A client who is complaining of nausea and vomiting postoperatively receives a prescription for metoclopramide (Reglan) 10 mg IV. The medication is available in vials containing 5 mg/ml. How many ml should the nurse administer? | 2 |
| An adult client with myasthenia gravis is receiving pyridostigmine (Mestinon) 126 mg PO every 4 hours. The drug is available as 60 mg in 5 ml syrup. How many ml should the nurse administer? | 10.5 |
| A client with multiple sclerosis and muscle spasms receives a prescription for baclofen (Kemstro) 30 mg PO daily. The medication is supplied from the pharmacy in 20 mg scored tablets. How many tablets should the nurse administer? | 1.5 |
| client w/impetigo receives script for azithromycin 500 mg PO on day 1, 250 mg/day on days 2-5 for total of 1.5 gram. The pharmacy has 250 mg tablets available. How many tablets total should the nurse give to the client for the duration of treatment? | 6 |
| The healthcare provider prescribes furosemide (Lasix) 25 mg IV. The drug is available in a solution of 40 mg/4ml. How many ml should the nurse administer? | 2.5 |
| A client with Parkinson’s disease is receiving benztropine (Cogentin) 3.5 mg PO twice daily. The medication is available in 0.5 mg tablets. How many tablets should the nurse administer for each dose? | 7 |
| The nurse needs to calculate a client's oral temperature of 99.2??? Fahrenheit to Celsius. What temperature in Celsius should the nurse document? | 37.3 |
| provider prescribes adjustment of IV hr/rate based on NGT output 4/hr-client had abd surgery yesterday. From 1200-1600, NGT output was 240 ml, IV of D51/2 NS was infused at rate 100 ml/hr At 1600 nurse should regulate IV to deliver ml/hour for fluid loss? | 160 |
| Heparin protocol is for client weighing 90 kg. Per protocol, loading dose is 60 units/kg IV rounded to the nearest 100 units, with a maximum loading dose of 4,000 units. The heparin vial is labeled 5,000 units/ml. How many ml should the nurse administer? | 0.8 |
| The healthcare provider prescribes diltiazem (Cardizem) 0.87 mg PO four times daily for an infant who weighs 22 pounds. The recommended maximum dose is 3.5 mg/kg/day. What action should the nurse take? | Notify the healthcare provider |
| Mineral oil U.S.P 30 ml PO daily for 3 days is prescribed for a client who is experiencing severe constipation. The dose cup is marked in tablespoons. How many tablespoons should the nurse administer? | 2 |
| The healthcare provider prescribes thiamine HCL 0.03 grams IM TID for a client with beriberi. Thiamine is available for injection 100 mg/ml. The nurse should prepare to administer how many ml? | 0.3 |
| A client with dehydration receives a prescription for an IV of Lactated Ringer's 1,000 ml to be administered over 8 hours. The nurse should program the infusion pump to deliver how many ml/hour? | 125 |
| A 9-month-old infant receives a prescription for digoxin 40 mcg PO daily. Digoxin Oral Solution, USP 50 mcg (0.05 mg) per ml is available. How many ml should the nurse administer? | 0.8 |
| A client with hypernatremia is to receive an IV infusion of 1000 ml 5% dextrose in water to be infused over 6 hours. The nurse should program the infusion pump to deliver how many ml/hour? | 167 |
| A child who weighs 32 pounds receives a prescription for amoxicillin with clavulanate (Augmentin) 194 mg PO every 8 hours. The recommended dose is 40 mg/kg/day, and the bottle contains 125 mg/5ml. How many mg should the child receive in a 24-hour period? | 582 |
| The healthcare provider prescribes phytonadione (AquaMEPHYTON) 250 mcg IM to be administered to an infant within 1 hour of admission to the nursery. A 0.5 ml ampule labeled 2 mg in 1 ml is available. The nurse should administer how many ml? | 0.13 |
| The nurse programs an IV infusion pump of Ringer's Lactated 1,000 ml with oxytocin (Pitocin) 40 units to be delivered at 15 ml/hour. How many milliunits/minute is the client receiving? | 10 |
Created by:
colby.caswell