Isolation Situations
This is the correct sequence for donning (putting on) standard isolation PPE.
What is the gown, mask/respirator, goggles/face shield, and gloves
Order: acetaminophen 0.5 g PO. Available: 250 mg per tablet. Calculate the dose
What are 2 tablets?
A resting adult's radial pulse is 44 beats/min. The nurse should verify the rate for this length of time, assess the patient, and recognize the finding as this abnormality.
What are a full 60 seconds and bradycardia?
A patient weighs 154 lb. Convert the weight to kilograms.
What is 70 kg?
Infuse 1,000 mL of normal saline over 8 hours. Calculate the IV pump rate.
What is 125 mL/hr?
The nurse must don this respiratory PPE before entering the room of a patient on droplet precautions.
What is a procedure or surgical mask?
Order: amoxicillin 375 mg PO. Available: 250 mg per 5 mL. Calculate the dose.
What is 7.5 mL?
The patient's blood-pressure arm hangs unsupported below heart level. The reading is likely distorted in this direction.
What is falsely high?
A child weighs 22 kg. Order: amoxicillin 10 mg/kg/day divided every 12 hours. Available: 100 mg per 5 mL. Calculate the volume per dose.
What is 5.5 mL per dose?
Infuse 500 mL over 4 hours using tubing with a drop factor of 15 gtt/mL. Calculate the gravity-flow rate.
What is 31 gtt/min?
The nurse enters the room of a patient on airborne precautions. This PPE must be fit-tested and seal-checked.
What is an N95 respirator?
Order: warfarin 1.25 mg PO. Available: 0.5 mg scored tablets. Calculate the dose.
What are 2.5 tablets?
Using a blood-pressure cuff that is too large for the patient's arm usually produces this type of error.
What is a falsely low blood-pressure reading?
A child weighs 18 kg. The recommended dosage is 20-40 mg/kg/day. Calculate the safe total daily range.
What is 360-720 mg/day?
An IV bag contains 250 mL and infuses at 75 mL/hr. Calculate the completion time.
What is 3 hours 20 minutes?
The nurse will irrigate a large wound and anticipates splashing of body fluid. Name the expected PPE.
What are gloves, a gown, a mask, and goggles or a face shield?
After reconstitution, ceftriaxone is available as 250 mg/mL. The order is 750 mg IM. Calculate the volume.
What is 3 mL?
A pulse-oximeter reading fluctuates while the patient's hand is cold and moving and dark nail polish is present. State the corrective actions before recording.
What are warm and relax the hand, stop movement, remove the nail polish or use an appropriate alternate site, reposition the probe, and wait for a stable reading?
The safe daily range of 360-720 mg is divided every 8 hours. Calculate the safe amount per dose.
What is 120-240 mg per dose?
A patient weighs 80 kg. Order: dopamine 5 mcg/kg/min. Available: dopamine 400 mg in 250 mL. Calculate the IV pump rate.
What is 15 mL/hr?
State the order for removing PPE?
What is gloves; goggles or face shield; gown; and mask or respirator last?
Order: regular insulin 8 units subcutaneously. Available: U-100 insulin. Express the dose in milliliters.
What is 0.08 mL?
A patient reports dizziness and has a blood pressure of 88/54 mm Hg. State the immediate nursing response.
What is protect the patient from falling, assess symptoms and perfusion, recheck the blood pressure using correct technique, and promptly report the abnormal finding?
For the same 18-kg child, the order is 250 mg PO every 8 hours. Determine whether the order is safe and state the nursing action.
What is not safe; hold the medication and clarify the order?
A patient weighs 92 kg. Order: heparin 18 units/kg/hr. Available: 25,000 units in 500 mL. Calculate the IV pump rate.
What is 33 mL/hr?