Dosage Calc 1
Dosage Calc 2
Cumulative Content
Miscellaneous
Medications for Infection
100
The nurse calculates the dosage to be 1.4838 mg.
Following the rounding rules, the nurse will administer __________ mg.
1.5 mg
100
The nurse has an order for the following:
Cefotetan 50mg/kg/day in equal doses to be given every 12 hours.
Client Weight: 33 lbs
Available: 500mg/10ml
The nurse will administer how many ml's for one dose?
7.5ml
Remember to look to ensure your weight is in kg (convert if needed)
Find the total dose for the day and then think about what one dose will be based on the order
Do the calculation with what you have available.
100
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
100
A nurse working on the medical surgical floor has a new order for gentamycin for a client she is caring for. She understands that this medications is:
1. Toxic to what particular body system?
2. Based on that system what lab work will she monitor for?
3. She expects orders for peak and trough blood levels. When will they be drawn?
1. Gentamycin is nephrotoxic (hard on the kidneys)
2. Based on that, the nurse will closely monitor baseline creatinine, as well as frequent monitoring of ordered BUN and Creatinine levels
3. Peak levels are drawn 30 minutes after completion of an IV infusion
Trough levels are drawn approximately 30 minutes to 1 hour before the dose is given
100
A client taking Clindamycin develops severe watery diarrhea with abdominal pain. Stool culture returns positive for Clostridium difficile. The nurse anticipates what medication and route for the treatment of diarrhea?
Oral Vancomycin
200
The nurse calculates the dosage to be 0.1894 mg.
Following the rounding rules, the nurse will give _____ mg?
0.19mg
200
The nurse has an order to give a 20ml/kg bolus over 2 hours.
Weight 25 lbs
The nurse will administer how many ml/hr? (round to the nearest whole number)
Answer: 114 ml/hr
Convert lbs to kg= 25 lbs =11.363636 kg
20ml per Kg= 227.272727 total volume
Divide by 2 hours=113.636363
Round to the whole number=114 mL per hour
200
What conditions increase insulin requirements that nurses should include in their teaching plan?
1. Stress
2. Pregnancy
3. Infection
200
What medication works by relaxing the smooth muscle of the prostate gland to increase urine flow and decrease BPH symptoms
Tamsulosin
200
The nurse is providing discharge teaching to a patient in the ER who will be discharged on metronidazole. What is an important topic to be included in the teaching?
Avoid substances that contain alcohol. This avoids a disulfiram reaction.
300
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
300
The nurse has the following order:
Diazepam 0.4mg orally daily
Available: Diazepam 0.2 mg tablet
The nurse will administer _____ tablets?
2 tablets
300
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.
300
A patient has been prescribed allopurinol for newly diagnosed gout of the right big toe. Based on the nurses knowledge of excretion of the drug, what lab value will the nurse assess and monitor?
1. Creatinine
Pt should be instructed to ingest at least 3 L of fluid daily to dilute the urine and prevent nephropathy
300
The nurse is preparing Nystatin liquid to give to a client who has a diagnosis of oral candida infection (thrush). How will the nurse administer this medication?
Instruct to swish around the mouth and then swallow
400
The nurse has an order to run 1000ml of D5LR over 8 hours.
The nurse will set the pump to deliver _____ ml/hr
125 ml/hr
400
Order: Erythromycin 350mg IV every 8 hours. The nurse adds the directed 10 ml of solution to the vial
The nurse will administer how many ml of erythromycin to give the ordered dose?
Answer 7.5ml
400
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.
400
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.
400
The nurse is providing teaching to a patient who is being prescribed tetracycline. What should be included in the instructions?
Take the medicine on an empty stomach.
(Key point-remember it is best absorbed on an empty stomach, if it is not tolerated it can be taken with food, however, absorption is best if the stomach is empty)
500
The nurse has an order to administer 500ml of NS over 2 hours.
How many ml/hr will the nurse set the pump to deliver?
250 ml
500
Weight is 20kg
The nurse will administer ____ ml to meet the daily IV fluid maintenance requirement?
Answer=1500ml
Hint: First 10kg=100ml/kg
Second 10kg=50ml/kg
Anything over 20kg=20ml/kg
500
A nurse is teaching a client regarding a new prescription for levodopa/carbidopa. What are specific items the nurse should include in the teaching plan
Answers include:
Nonharmful darkening of the urine and sweat may occur
It may take up to 6 months for a full response
Avoid high protein foods which can decrease absorption
Can cause orthostatic hypotension, ensure safe ambulation strategies
500
What are key teaching points for a patient who is prescribed levothyroxine for newly diagnosed hypothyroidism?
1. Take on an empty stomach 30-60 minutes before breakfast
2. Watch for signs of hyperthyroidism (basically we overshot the mark)-nervousness, insomnia, headache, rapid heart rate, chest pain, tremors, heat intolerance, diarrhea.
500
A patient receiving a first dose of Amoxicillin is being observed in the emergency department. They develop sudden shortness of breath and wheezing. The nurse anticipates and prepares to administer what medication?
Epinephrine