Dosage Calc I
The nurse is caring for an infant who weighs 7lbs. 4 ounces.
The nurse calculates the weight into kg and obtains _____? Round to the nearest tenth.
Answer
3.2954545
Rounds to 3.3 kg
Order: meperidine 25 mg orally every 6 hours
Weight: 20.9 kg
Recommended dose: 6 to 9 mg/kg/day
Is the dose lower, higher or within the recommended range?
Lower than the recommended range
Prolonged use of simulant laxatives like Bisacodyl can cause
What is sluggish bowels requiring higher doses to have a bowel movement
What safety alert and relationship exists between PPI's and what condition?
With this in mind, the nurse should report ________ to the provider if taking Omeprazole and ________ the medication.
1. Clostridium Difficile
2. Nurse should report diarrhea to the provider and hold the medication.
Order: Dicloxacillin 20mg/kg/day every 6 hours.
Weight: 7kg
Available: Dicloxacillin 62.5mg/5mL
The nurse will administer _____ mL for one dose?
Answer= 2.8 mL for one dose
Weight=23 kg
The nurse will calculate the daily amount based on the patients weight.
Now the nurse prepares to set up the IV pump and calculates the mL/hr to meet the IV fluid replacement
Answer=65mL
1. Clarithromycin, amoxicillin, metronidazole are antibiotics to treat H. pylori infections. What should the nurse check before giving these medications?
2. What important information should the nurse also include in the teaching plan?
1. What is check for allergies
2. The full course of antibiotics need to be taken to complete the treatment.
Calculate Body surface area
Weight: 19 kg
Height: 41 cm
The body surface area is _____ meters squared (m²).
(Round to nearest hundredth)
What is 0.47 m2
Order: Give 20mL/kg IV bolus over 1 hour
Weight: 4.8kg
The nurse will administer ____ mL/hr.
Answer 96 mL/hr
1. A nurse is caring for a patient in the postoperative unit that has nausea and vomiting and being administered ondansetron. What is a common adverse drug reaction the nurse should monitor for?
2. To maintain safety for the above patient, what should the nurse instruct the patient to do?
1. What is a headache
2. Call for assistance to ambulate to the bathroom.
Order: Levothyroxin 0.4mg/kg/day orally in 3 equal doses.
Weight: 21kg
The nurse will administer ____mg for one dose
Answer: 2.8mg
Order: Give 12 mL/kg IV bolus over 3 hour. Weight: 23 lbs
The nurse will administer _____ mL/hr.
(Round to the nearest tenth)
What is 41.8 ml/hr
1. A nurse is administering Bisacodyl orally, when does the nurse expect the therapeutic effect to occur?
2. The nurse knows that they would question the order to administer the medication if the patient had what symptoms?
1. Within 6-12 hours of oral dosing
2. Signs of obstruction to include abdominal distension, tenderness and no bowel sounds. Fecal impaction is also a contraindication and undiagnosed abdominal pain.
Weight – 16 kg
Calculate the mL the nurse would administer to meet the daily IV fluid maintenance requirement.
The number of mL the nurse would administer is______ mL.
(Round to whole number)
What is 1300 ml
Order: Give 5 mL/kg IV bolus over 2 hours.
Weight: 11 lbs.
The nurse will administer _____ mL/hr.
(Round to the nearest tenth)
What is 12.5 ml/hr
A patient on the med/surg unit is experiencing severe nausea and vomiting and has been prescribed ondansetron. The nurse notes two other medications that contain serotonin on the patients MAR.
The nurse knows to monitor for _________ and that symptoms of that condition are _________ and _________.
What is serotonin syndrome and symptoms of serotonin syndrome are tremors and confusion.