Fundamentals Unit IX - Medication Administration

Levothyroxine 0.125 mg by mouth is prescribed for a client with hypothyroidism. The only tablets available contain 25 mcg (25 µg) per tablet. How many tablets should the nurse administer?

5 Tablets

A client is to receive 125 mL of intravenous (IV) fluid every hour. The drop factor of the IV tubing is 10 gtt/mL. How many drops per minute should the nurse administer?

21gtt/min

A nurse must administer streptomycin 1 g intramuscularly (IM) to a client with tuberculosis. The vial contains 500 mg/mL. How much solution must the nurse administer?

2mL

A client is to receive 2000 mL of intravenous (IV) fluid in 12 hours. At what rate should the nurse set the electronic infusion control device?

167mL/hr

Colchicine 1200 mcg orally is prescribed for client with gout. Each tablet contains 0.6 mg. How many tablets should the nurse administer?

2 Tablets

A child is to receive 60 mg of phenytoin. The medication is available as an oral suspension that contains 125 mg/5 mL. How many milliliters should the nurse administer?

2.4mL

An intravenous (IV) solution of 1000 mL 5% dextrose in water is to be infused at 125 mL/hr to correct a client's fluid imbalance. The infusion set delivers 15 drops/mL. To ensure that the solution will infuse over an 8-hour period, at how many drops per minute should the nurse set the rate of flow?

31gtt/min

The healthcare provider orders 1000 mL normal saline to be infused over 8 hours for a client with a diagnosis of dehydration. The intravenous (IV) tubing delivers 15 drops per milliliter (drop factor). The nurse should administer the IV infusion at what rate?

31gtt/min

A nurse is caring for a client after a total knee replacement who is requesting hydrocodone/acetaminophen in addition to the patient-controlled analgesia (PCA). The client reports having taken two hydrocodone/acetaminophen tablets every 4 hours for several weeks before surgery. If each tablet contains 500 mg of acetaminophen, how much acetaminophen had the client been ingesting per day?

6,000mg/day

Which client needs a correction in the nursing intervention? Age 11 - Intervention: distraction & creative imagery during administration of mediation. Age 9 - administration of analgesics only when pain intensifies. Age 7 - administration of PO opioids along with meals. Age 14 - Administration of 1/2 of the adult dose in case suppositories should not be done.

Age 9 - administration of analgesics only when pain intensifies.

A client is hospitalized with pneumococcal pneumonia. Which drug will the nurse most likely administer?

Centriaxone

What is a clinical manifestation of hypernatremia in burns?

Seizures.

A nurse educates a mother about the proper administration of oral medication to her 4-year-old child. What statement made by the mother indicates effective learning?

"I should use a disposable oral syringe to prepare liquid doses."

A client with urge incontinence is receiving oxybutynin 30 mg orally. Each tablet contains 5 mg. How many tablets will the nurse administer?

6 Tablets

A client is receiving heparin sodium intravenously at 1500 units/hour. The concentration in the bag is 25,000 units/500 milliliters. The nurse determines that how many milliliters will infuse during the nurse's 8-hour shift?

240mL

The healthcare provider orders intravenous fluids to be infused at 100 mL/hour. The intravenous tubing delivers 15 drops/milliliters. The nurse would infuse the solution at a flow rate of how many drops per minute to ensure that the client receives 100 mL/hour?

25gtt/min

A client has an IV of D5W 250 mL to which 100 mg of morphine is added. The healthcare provider prescribes 14 mg of morphine per hour for end of life palliative treatment of a client . At how many mL per hour should the nurse set the intravenous pump?

35mL/hr

A man who has 40% of the body surface area burned is admitted to the hospital. Fluid replacement of 7200 mL during the first 24 hours has been prescribed. Fifty percent of fluid replacement should be administered in the first 8 hours; then the remaining 50% given over the next 16 hours. What does the nurse calculate the hourly intravenous (IV) fluid to be for the first 8 hours of fluid replacement therapy?

450mL/hr

The client receives dosages of sedative and opioid drugs during the postoperative period following surgical correction of a small bowel obstruction. What is the most critical assessment to be performed as a nursing safety priority? - Urinary Assessment - Respiratory Assessment - Cardiovascular Assessment - Neuromuscular Assessment

Respiratory Assessment Respiratory assessment is the most important assessment that should be performed on the client who has undergone surgery after receiving dosages of sedative and opioid drugs.

An older client who is living in a nursing home is admitted to the hospital to be treated with intravenous antibiotics for sepsis. After the client becomes agitated and attempts to pull out the IV, the healthcare provider prescribes a stat dose of haloperidol 0.5 mg intramuscularly (IM). The haloperidol is available in a vial that contains 2 mg/mL. How much solution will the nurse administer?

0.25mL

If midazolam was given at a dose of 0.40 mg for a pediatric client undergoing surgery, what would be the lowest acceptable dosage of midazolam (in mg) when given along with IV morphine? When midazolam is given along with an opioid, the dose should be reduced by 30% to 50%. Include a leading zero if applicable, and record your answer to two decimal places. ____mg

0.4mg 50% of 0.4mg is 0.2mg

The healthcare provider orders an insulin infusion for a patient admitted to the emergency department in ketoacidosis. The rate of infusion in units per hour is is calculated as: Glucose mg/dL ÷ 100. The pharmacy dispensed 100 units regular insulin in 100 mL normal saline and the client's glucose level is 350 mg/dL. At how many milliliters per hour should the nurse set the IV infusion device to administer the correct amount of medication?

3.5mL/hr

Which statement is true about the absorption of drugs in pediatrics? - Gastric emptying time is delayed in early infancy, which affects absorption. - Drug absorption following intramuscular injection is rapid in the neonate. - Gastric acidity reaches adult values in 1 year of age, which affects absorption. - Infants are at an increased risk for toxicity through transdermal administration due to their thinner skin increasing absorption.

Infants are at increased risk for toxicity through transdermal administration due to thinner skin increasing absorption.

The nurse is caring for a client with chronic pain who is on opioid treatment. The client has constipation, nausea, vomiting, level 3 sedation, respiratory rate of 8 breaths per minute, and pruritus. Which conditions of the client should the nurse consider as highest priority? Select all that apply. - Pruritis - Sedation - Constipation - Respiratory Rate - Nausea & Vomiting

Respiratory Level Sedation (sedation level 3 needs immediate intervention)