Conversions
Convert the following: 5 tbs = __ mL?
What is 75mL
5 tbs x 15mL / 1 tbs = 75mL
The NP has ordered 100mg IM b.i.d. of a drug that is available in 5 mL vials labeled 50mg/mL. How many mL will you administer per dose?
What is 2mL per dose.
100mg/dose x 1mL/50mg = 2mL/dose
Calculate the flow rate in drops (gtt)/min:
1000mL infused over 5 hours with a drop factor of 20 gtts/ml
What is 67 gtts/min
1000mL/5h x (1h/60min)x(20gtts/ml) = 67 gtts/min
Calculate the flow rate in mL/hr: 1000ml infused over 4 hours.
What is 250 ml/hr.
1000ml/4hr = 250 ml/hr
The nurse is preparing to administer an intramuscular injection to an infant who is 8 months old. Which muscle would be the most appropriate injection site?
A) Deltoid
B) Dorsogluteal
C) Vastus Lateralis
D) Ventrogluteal
What is C) Vastus Lateralis
Convert the following: 6.5g = ___ mg
What is 6500 mg
6.5 g x 1000 mg / 1 g = 6500 mg
You have an order to administer a 400mg dose IM of a drug that is available in 10mL vials containing 1 g. How many mL will you administer?
400mg (10mL/1 g) x (1 g/1000mg) = 4 mL
Calculate the flow rate in drops (gtt)/min:
250mL infused over 2 hours with a microdrip set (60gtts/mL)
What is 125 gtts/min
250ml/2h x (1h/60min) x (60 gtts/mL) = 125 gtts/min
Calculate the flow rate in mL/hr:
500mL infused over 3 hours
(round to the nearest tenth mL/h)
What is 166.7 mL/hr.
500ml/3hrs = 166.7 ml/hr rounded
What should the nurse take into consideration when giving medication to an older adult client?
A) The serum albumin level of an older adult is lowering, thus decreasing drug metabolism
B) The older adult client metabolizes and excretes at a decreased rate
C) Medication affects the older adult client during the early hours of the morning
D) Medication has an increased effect on the respiratory system of the older adult client
What is B). The ability to metabolize and excrete medication decreases with the aging process.
Convert the following: 1 cup = __ mL
What is 240mL
What is 4 caps.
1 g (1 cap/250mg) x (1000mg/1 g) = 4 caps
Calculate the flow rate in drops (gtt)/min:
100mL infused over 1 h with a drop factor of 15 gtt/mL
What is 25 gtt/min
100ml/hr x (1hr/60 min) x (15 gtts/mL) = 25 gtts/min
Calculate the flow rate in mL/hr:
250ml infused over 90 minutes
What is 166.7 ml/hr
250mL/90min x (60min/1hr) = 166.7 ml/hr
A client asks the nurse about an alternative remedy for hot flashes. Which dietary supplement is the client aking the nurse about?
A) Ginseng
B) Valerian
C) Feverfew
D) Black Cohosh
What is D. Black Cohosh is an herbal supplement used for treating symptoms of menopause, including hot flashes, vaginal dryness, palpitations, and depression.
Convert the following: 0.85kg = ___ lb
What is 1.87 lb
0.85kg lb x 2.2 kg / 1lb = 1.87lb
A 6 YO 42lb child with acute otitis media is to receive oral amoxicillin 80 mg/kg/day divided every 12 hours. The amoxicillin is available in 75mL bottles containing 400 mg/5mL. How many mL will you administer per dose?
What is 9.5 mL/dose.
start with converting weight
80mg/kg/day x (42lb/2.2kg) x (1 day/2 doses) x (5ml/400mg) = 9.5 mL/dose
A 52 YO female who weighs 76 kg is to receive vancomycin 2 g in 400 mL D5W at a rate of 10 mg/min. At what rate will you set the IV infusion pump?
What is 120 mL/hr
10mg/min x (400ml/2g) x (1g/1000mg) x (60min/h) = 120ml/hr
Calculate the flow rate in mL/hr:
500mL infused over 4 hours 15 minutes
What is 117.6 mL/hr
15 minutes x 1 hr/60 min = 0.25 hr + 4hr = 4.25hr
500mL/4.25 hr = 117.6 mL/hr
A nurse is reinforcing teaching for a client who is to begin taking a new prescription for niacin (Niacor). The nurse should instruct the client to expect which of the following?
A) Facial flushing
B) Frontal headache
C) Blurred vision
D) Dry mouth
What is A). Facial flushing occurs within a few minutes after taking Niacor. It can be prevented by taking ASA 32mg 30min before dosing.
Your patient has had the following intake: 2 ½ cups of coffee (240 mL/cup), 11.5 oz of grape juice, ¾ qt of milk, 320 mL of diet coke, 1 ¼ L of D5W IV and 2 oz of grits. What will you record as the total intake in mL for this patient?
What is 3265mL.
Rationale:
600 ml + 345 ml + 750 ml + 320 ml + 1,250 ml = 3,265 ml (Grits is not liquid at room temperature, so it is not included when calculating intake.)
A 45 YO 152lb adult has an order for ceftazidime 90mg/kg/day IV in divided doses every 8 hours. How many mg will you administer per dose?
What is 2073 mg/dose.
90mg/kg/day x (152lb x 1kg/2.2lb) x (1 day/3 doses) = 2073 mg/dose
Your 55kg patient is experiencing angina and has an order for nitroglycerin 5 mcg/min IV. The NTG is available as 100mg/250 mL. At what rate will you set the IV infusion pump?
What is 0.8mL.
5mcg/min x (250mL/100mg) x (1mg/1000mcg) x (60min/h) = 0.8mL/h
Your 81 kg patient has an order for dobutamine 15 mcg/kg/min IV to start at 0900. The dobutamine is available as 500mg in 250mL D5W. At what rate will you set the IV infusion pump?
What is 36.5 mL/h.
15mcg/kg min x (81 kg x 250ml/500mg) x (1mg/1000mcg) x (60min/hr) = 36.5 mL/hr
A nurse is caring for a client who had a prescription for tizanidine (Zanaflex) for relief of muscle spasm following a back injury. Which of the following lab values should the nurse expect to monitor while the client is taking this medication?
A) Serum creatinine
B) Liver enzymes
C) WBC count
D) RBC count
What is B). An adverse reaction to Tizanidine is liver damage. Monitor liver enzymes while the client is taking this medication.