Case studies and final 4

A nurse is preparing to administer adenosine (Adenocard) 0.1 mg/kg IV bolus stat to a toddler who weighs 28 lb. Available is adenosine injection 3 mg/mL. How many mL should the nurse administer?

0.4

A nurse is preparing to administer procainamide (Pronestyl) 4 mg/min by continuous IV infusion. Available is procainamide 1 g in dextrose 5% in water (D5W) 500 mL. The nurse should set the IV pump to deliver how many mL/hr?

120

A nurse is preparing to administer heparin 10 units/kg/hr by continuous IV infusion to a client who weighs 86 kg. Available is 20,000 units of heparing of 0.9% sodium chloride (0.9% NaCl) 500 mL. The nurse should set the IV pump to deliver how many mL/hr?

21.5

A nurse is preparing to administer acetaminophen (Tylenol) 10 mg/kg PO every 6 hr to a toddler who weighs 20 lb. Available is acetaminophen liquid 80 mg/5 mL. How many mL should the nurse administer per dose?

5.7

A nurse is preparing to administer 0.45% sodium chloride (0.45% NaCl) 600 mL IV to infuse over 12 hr to a client. The nurse should set the IV pump to deliver how many mL/hr?

50

A nurse is preparing to administer nitroprusside (Nipride) 2.5 mcg/kg/min by continuous IV infusion to toddler who weighs 10 kg. Available is nitroprusside 50 mg in dextrose 5% in water (D5W) 250 mL. The nurse should set the IV pump to deliver how many mL/hr?

7.5

A nurse is preparing to administer naloxone (Narcan) 0.6 mg IV bolus. Available is naloxone injection 0.4 mg/mL. How many mL should the nurse administer?

1.5

A nurse is preparing to administer lorazepam (Ativan) 0.05 mg/kg IM 2 hr prior to surgery to a client who weighs 138 lb. Available is lorazepam injection 2 mg/mL. How many mL should the nurse administer?

1.6

A nurse is preparing to administer amoxicillin (Amoxil) 25 mg/kg/day PO divided in equal doses every 8 hr to a toddler who weighs 25 lb. Availale is amoxicillin oral susepsnion 250 mg/5mL. How many mL should the nurse administer per dose?

1.9

A nurse is preparing to administer methylprednisolone acetate (Depro-Medrol) 2 mg/kg IV bolus stat to a school-age child who weighs 82 lb. Available is methylprednisolone acetate injection 40 mg/mL. How many mL should the nurse administer?

1.9

A nurse is preparing to administer 0.9% sodium chloride (0.9% NaCl) 50 mL IV to finuse over 30 min to an infant. The nurse should set the IV pump to deliver how many mL/hr?

100

A nurse is preparing to administer magnesium sulfate 1 g/hr by continuous IV infusion. Available is magnesium sulfate 1 g in dextrose 5% in water (D5W) 100 mL. The nurse should set the IV pump to deliver how many mL/hr?

100

A nurse is preparing to administer dextrose 5% in water 0.45% sodium chloride (D5W 0.45% NaCl) 500 mL IV to infuse over 3 hr. The nurse should set the IV pump to deliver how many mL/hr?

167

A nurse is preparing to administer 0.9% sodium chloride (0.9% NaCl) 200 mL IV to infuse over 2 hr. The drop factor of the manual IV tubing is 10 gtt/mL. The nurse should set the manual IV pump to deliver how many gtt/min?

17

A nurse is preparing to administer irbesartan (Avapro) 150 mg PO daily. Available is irbesartan 75 mg tablets. How many tablets should the nurse administer?

2

A nurse is preparing to administer 0.9% sodium chloride (0.9% NaCl) 1,000 mL IV to finuse over 10 hr to a client. The drop factor of the manual IV tubing is 15 gtt/mL. The nurse should set the manual IV infusion pump to deliver how many gtt/min?

25

A nurse is preparing to administer clemastine 3.5 mg PO. Available is clemastine syrup 0.67 mg/5 mL. How many mL should the nurse administer?

26

A nurse is preparing to administer 0.9% sodium chloride (0.9% NaCl) 20 mL/kg IV to infuse over 6 hr to a school-age child who weighs 55 lb. The nurse should set the IV pump to deliver how many mL/hr?

83

A nurse is preparing to administer IV fluid replacement for a school-age child who weighs 23 kg. What is the child's daily maintenance fluid requirement?

1,560

A nurse is preparing to administer dopamine 3 mcg/kg/min by continuous IV infusion to a preschool-age child who weighs 19 kg. Available is dopamine 400 mg in dextrose 5% in water (D5W) 250 mL. The nurse should set the IV pump to deliver how many mL/hr?

2.1

A nurse is preparing to administer dopamine 5 mcg/kg/min by continuous IV infusion to a toddler who weighs 12 kg. Available is dopamine 400 mg in dextrose 5% in water (D5W) 250 mL. The nurse should set the IV pump to deliver how many mL/hr?

2.3

A nurse is preparing to administer dextrose 5% in water (D5W) 150 mL IV to infuse over 45 min. The nurse should set the IV pump to deliver how many mL/hr?

200

A nurse is preparing to administer IV fluid replacement for an infant who weighs 12 lb. What is the infant's daily maintenance fluid requirement?

550

A nurse is preparing to administer albuterol sulfate 0.2 mg/kg PO every 8 hr to a toddler who weighs 28 lb. Available is albuterol sulfate syrup 2 mg/5 mL. How many mL should the nurse administer per dose?

6.4

A nurse is preparing to administer 0.9% sodium chloride (0.9% NaCl) 10 mL/kg IV to infuse over 3 hr to a toddler who weighs 28 lb. The nurse should set the IV pump to deliver how many mL/hr?

42