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
You are providing a patient with albuterol via a handheld nebulizer treatment. Which of the following would the nurse recognize as an common adverse drug reaction to albuterol?
Bradycardia
Lethargy
Oral Thrush
Tremors
Tremors
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.
What are signs of acetaminophen toxicity and compare them to signs of aspirin toxicity
Tylenol toxicity is related to the liver-watch for abdominal discomfort and liver impairment.
Aspirin toxicity is called salicylism. Early signs are decreased hearing, tinnitus as well as headache and dizziness
Although not a toxicity-Aspirin is also implicated in GI bleeding. Watch for black or dark tarry stools
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.
You just admitted a patient with a long-standing history of smoking 2 packs of cigarettes per day with cough, fever and shortness of breath. Lung sounds demonstrated inspiratory and expiratory wheezes in all fields. Oxygen saturation is 87%. What is the rationale for why albuterol is prescribed for this patient?
To open the airways and ease breathing. Albuterol is the rescue inhaler.
A patient is being started on an inhaled prednisone to manage and control asthma symptoms. What important client teaching should the nurse include?
1. Rinse mouth after using inhalers to prevent oral candidiasis
2. Use the beta 2 agonist inhaler first to dilate the airways before using the glucocorticoid.
A nurse is working in the ED caring for a client who took an acetaminophen overdose as part of a suicide attempt. What expected order does the nurse anticipate caring for this client?
Acetylcysteine is the antidote to acetaminophen toxicity/overdose
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.
What is the most common adverse effect of diphenhydramine?
Drowsiness
Weight= 7.1 kg. Calculate the daily amount based on the patient's weight and then set up the IV pump and calculate the mls/hr. to meet the IV fluid replacement
Weight is 7.1kg
For the first 10kg give 100mls/kg
For the second 10kg give 50 mls/kg
Anything over 20kg give 20mls /kg
7.1 kg x100mls. =710mls
710 divided by 24 to obtain mls per hour over 24 hours
710 divided by 24=29.58. Round to whole number=30mls/hr.
What are important discharge teaching topics to cover for a client who has a new prescription for Tramadol?
Answers include:
Report urinary retention to your provider
Avoid driving while taking medication
Increase fiber if constipation occurs
Take medication only when needed
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.
A patient on the medical surgical floor is receiving albuterol and acetylcysteine as part of their therapy for chronic obstructive pulmonary disease. The patient questions the reasons for both medications. The nurse's best response is? (state the reason for both medications)
1. Albuterol will open the bronchi
2. Acetylcysteine will help cough up the mucus
Weight: 18 kg
Height: 41 cm
The body surface area is _____ meters squared (m²).
(Round to nearest hundredth)
18 x41/3600
738/3600= square root of 0.21=0.45m2
Be sure to divide 738 by 3600, hit equals, then hit square root.
A nurse is working with a patient in the recovery room of an outpatient surgery center. The patient has received fentanyl as part of their anesthesia treatment. The nurse notes the patient is lethargic and somnolent, documents that the respiratory rate is 9 breathes per minute, blood pressure is 89/58 and the heart rate is 122 bpm. What is the nurses priority action?
1. Prepare to administer naloxone.
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.
A nurse is providing discharge instructions in the Emergency Room for a patient with bronchitis who has been prescribed guaifenesin. What is are 2 important item to include in the teaching plan?
1. Drink 1500-2000 ml per day
2. Report to the provider if symptoms or if cough lasts for more than 1 week.
3. Take the medication with food if causes GI upset
4. Lie down or sit down if feeling lightheaded
5. Do not take with combination products for colds that also contain guaifenesin.
Weight =33kg.
Calculate the mls to meet the daily IV fluid requirement
33 kg
For the first 10kg give 100mls/kg
For the second 10kg give 50 mls/kg
Anything over 20kg give 20mls /kg
10x100ml =1000mls
10x 50 mls=500mls
13 x20mls=260ml
1000 +500 +260 =1760 ml
The nurse is preparing to give IV Fentanyl to a patient before the start of a procedure. What should the nurse monitor when giving this medication?
Monitoring should include respiratory rate, level of consciousness, pain level, nausea and blood pressure