Dosage Calculation #1
Round the following number using the rounding rules
0.36912
What is 0.37
How mL are in 1 teaspoon?
What is 5 ml
Drug E 450 mcg PO every morning is ordered. Tablets are available in 0.15 mg per tablet.
How many tablets should the patient receive
What is 3 tablets
This GI medication can cause osteoporosis
What is omeprazole
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.
A patient with Ulcerative Colitis is started on Azathioprine and asks how the medication works and how long it will take to see the full effect. What 2 responses should the nurse provide?
1. The medication works as an immunosuppressant that inhibits the production of lymphocytes to decrease the body's immune response
2. It can take up to 6 months to have a therapeutic effect.
Drug F 125 mcg PO every morning is ordered. Tablets are available in 0.25 mg per tablet.
How many tablets should the patient receive?
What is 0.5 tablets
Order: 200 mL of D5W to run at 100 mL/hr. IV tubing drip factor is 30 gtt/mL.
The nurse will administer _____ gtt/min.
(Round to whole number)
What is 50 gtt/min
Order: Give drug A 4000 mg IV in 300 mL of D5 1/4 NS to run over 30 minutes.
The nurse will administer _____ mL/hr.
(Round to whole number)
What is 600 ml/hr
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.
A patient taking docusate is complaining of multiple liquid stools. The nurse should do what with the medication?
Hold the medication and notify the provider
The nurse knows that the best time to administer Omeprazole to a patient is?
Administer orally once daily before the first meal of the day.
Drug C 175 mg orally every 12 hours is ordered. The oral suspension is available as 250 mg per tsp.
The nurse will document _____ mL(s) were given
What is 3.5 mL
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 drug B 1000 mg IV in 200 mL of D5 1/4 NS to run over 90 minutes.
The nurse will administer _____ mL/hr.
(Round to nearest tenth)
What is 133.3 ml/hr
1. Sulfasalazine contains___ medication which is an allergy for some patients.
2. What lab should the nurse monitor that is specific for this medication?
1. What is sulfonamides
2. CBC
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: 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
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 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. Azathioprine can place the patient at greater risk for infection due to
2. Knowing the above, what symptoms would be priority to report to the healthcare provider?
1. What is decreased WBC due to bone marrow suppression
2. Sore throat, fever, easy bruising and bleeding
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.
1. A patient is being discharged from the hospital on Sucralfate for Peptic Ulcer disease. The nurse notes the patient in on multiple medications. What instructions should the nurse provide during the discharge process regarding this medication.
2. What is a common adverse effect and what instructions should the nurse provide to counteract this?
1. Instruct the patient to take the medication on an empty stomach and not with other medications as it can decrease the absorption of the certain medications.
2. Constipation-increase activity, fluid and fiber intake
The nurse has an order for Rocephin 200mg in 250ml of NS to run over 90 minutes.
The nurse will administer ________ml/hr.
Round to the nearest whole number
167 mls
The nurse has an order for Ancef 250mg in 100ml of NS to run over 30 minutes
The nurse will administer _______ml/hr.
The nurse will run the pump at 200ml/hr
Order: Unisyn 1 gram IV in 100ml of NS every 4 hours.
Available: Unisyn 50mg/5ml
The nurse will administer ____ ml
What is 100ml
A patient has just been placed on long term omeprazole therapy for a stomach ulcer. What information should the nurse include in the teach plan to manage an adverse drug reaction related to long term use of this medication?
What is consume adequate amounts of calcium and vitamin D in the diet and perform daily weight bearing exercises.
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.
1. Monitor stools for intact pills
2. Adverse drug reactions include fever, rash and joint pain.
3. Note allergies before giving medication.