PN NCLEX Evolve Medication/IV calculations

The nurse is administering a medication intramuscularly to an assigned client. The nurse should include which actions in administering the medication? Select all that apply. 1. Massage the site after injection. 2. Use a Z-track method for administration. 3. Wear sterile gloves to administer the medication. 4. Hold the syringe as if it is a dart to insert the needle. 5. Select an appropriate injection site such as the ventral gluteus. 6. Cleanse the injection site using a back-and-forth motion with an antiseptic pad.

2,4,5 2. Use a Z-track method for administration. 4. Hold the syringe as if it is a dart to insert the needle. 5. Select an appropriate injection site such as the ventral gluteus.

The nurse is preparing to administer 35 mg of a prescribed intramuscular (IM) dose of medication to a client. The medication label reads 50 mg/mL. How many milliliters should the nurse administer to the client? Fill in the blank.

0.7 mL

A primary health care provider has prescribed prochlorperazine 4 mg intramuscularly for a client who is vomiting. The label on the medication vial indicates prochlorperazine 5mg per 1 mL. The nurse administers how many milliliters (mL) to the client? Fill in the blank. Record the answer to one decimal place.

0.8 mL

A primary health care provider's prescription reads atenolol, 0.025 g orally daily. The medication bottle reads atenolol, 25-mg tablets. The nurse prepares how many tablet(s) to administer the dose? Fill in the blank.

1 tab

The medication prescription reads phenytoin 0.2 g orally, twice daily. The medication label states 100-mg capsules. The nurse prepares how many capsule(s) to administer one dose? Fill in the blank.

2 caps

A primary health care provider prescribes digoxin (0.5 mg orally daily for a client with heart failure. The medication label states, 0.25 mg per tablet. How many tablet(s) will the nurse administer to the client? Fill in the blank.

2 tabs

A primary health care provider prescribes tetracycline hydrochloride (0.5 g orally 4 times daily. The medication label on the bottle of medication reads tetracycline hydrochloride 250-mg tablets. The nurse prepares how many tablet(s) to administer 1 dose? Fill in the blank.

2 tabs

A primary health care provider prescribes 2000 mL of 5% dextrose in water to run over 24 hours. The drop (gtt) factor is 15 gtt/mL. The nurse plans to adjust the flow rate at how many drops per minute? Fill in the blank. Round answer to the nearest whole number.

21 gtt

A primary health care provider prescribes 1000 mL of 0.9% normal saline (NS) to run over 8 hours. The drop (gtt) factor is 10 drops (gtt) per 1 mL. The nurse adjusts the flow rate to run at how many drops per minute? Fill in the blank. Record your answer to the nearest whole number.

21 gtt/min

The intravenous prescription is 1000 mL of 0.9% NaCl (normal saline) to run over 12 hours. The drop factor is 15 gtts/1 mL. The nurse plans to adjust the flow rate to how many gtts/minute? Fill in the blank and record the answer to the nearest whole number.

21 gtt/min

The nurse is checking the remaining volume in a 1000-mL intravenous (IV) bag that is scheduled to infuse over 8 hours on an electronic infusion pump. The nurse has just noted at 11:00 am that the remaining IV fluid is at the 500-mL level. At 12:00 noon at which numerical level (mL) should the IV fluid be? Fill in the blank.

375 mL

The primary health care provider's prescription reads "phenytoin 0.2 g orally, twice daily." The medication label states 100-mg capsules. How many capsule(s) should the nurse plan to administer over a 24-hour period? Fill in the blank.

4 caps

The primary health care provider prescribes 1000 mL of 5% dextrose in water (D5W) to run at 125 mL/hr. The nurse calculates the infusion rate, knowing that it will take how many hours for 1 liter (L) to infuse? Fill in the blank.

8 hr

The prescription reads to give ondansetron hydrochloride 0.15 mg/kg of body weight 30 minutes before receiving chemotherapy. The client weighs 132 pounds. How many milligrams (mg) of ondansetron hydrochloride will the nurse administer? Fill in the blank.

9 mg

The primary health care provider prescribes ibuprofen 5 mg per kg for a child who weighs 13 pounds. How many milligrams (mg) should the nurse administer to the child? Fill in the blank. Record your answer using one decimal place.

29.5 mg

A primary health care provider prescribes 3000 mL of 0.9% NaCl to run over 24 hours. The drop (gtt) factor is 15 gtt/mL. The nurse plans to adjust the flow rate at how many drops per minute? Fill in the blank. Record your answer to the nearest whole number.

31 gtt/min

A primary health care provider prescribes an intramuscular (IM) dose of 250,000 units of penicillin G benzathine. The label on the 10-mL ampule sent from the pharmacy reads penicillin G benzathine 300,000 units/mL. How much medication will the nurse prepare to administer the correct dose? Fill in the blank. Record your answer to one decimal place.

0.8 mL

A primary health care provider prescribes phenytoin 0.1 g orally twice daily. The medication label states, 100-mg capsules. How many capsule(s) will the nurse prepare to administer the dose? Fill in the blank.

1 cap

A client is complaining of abdominal pain and nausea. The prescription is as follows: give hydroxyzine 25 mg intramuscularly and meperidine 25 mg intramuscularly, stat. Hydroxyzine is available in 50 mg/mL. Meperidine is available in 25 mg/0.5 mL. The nurse should combine the doses in one syringe for administration to the ventrogluteal muscle. How many milliliters should the nurse administer in total? Fill in the blank.

1 mL

The medication prescribed is digoxin 0.25 mg orally, daily. The medication label reads digoxin 0.125 mg/tablet. The nurse should prepare how many tablet(s) to administer the dose? Fill in the blank.

2 tab

The medication prescribed is levodopa 1 g orally, daily. The medication label states levodopa, 500-mg tablets. The nurse prepares to administer how many tablets at the evening dose? Fill in the blank.

2 tab

A client with sickle cell anemia is being treated for sickle cell crisis. The primary health care provider prescribes morphine sulfate 2 mg. The concentration of the vial is 10 mg/mL of solution. How many milliliters of solution should the nurse administer? Fill in the blank. Record the answer to one decimal place.

0.2 mL

A client has just delivered an 8 lb 8 oz infant boy after a prolonged labor. The pediatrician prescribes ampicillin 50 mg to be given by the intramuscular route to the newborn every 8 hours. The nurse is initiating the first dose. Ampicillin is available in powder form for injection. The directions on the bottle indicate reconstitution with 0.9 mL of sterile diluent for a concentration of 125 mg/mL. How many milliliters (mL) should the nurse prepare to administer for the first dose? Fill in the blank. Record the answer to one decimal place.

0.4 mL

A client is scheduled to receive digoxin 0.125 mg by mouth. The licensed practical nurse (LPN) reads the medication label and notes that each tablet contains 0.25 mg. The LPN should perform which action? 1. Administer half of a medication tablet. 2. Administer two tablets of the medication. 3. Withhold the medication and call the pharmacy regarding the medication. 4. Withhold the medication and notify the registered nurse regarding the medication.

1. Administer half of a medication tablet.

A primary health care provider prescribes 3000 mL of 5% dextrose to be administered over a 24-hour period. The nurse prepares to set the infusion rate knowing that how many milliliters per hour are to be administered? Fill in the blank.

125 mL

The nurse is asked to regulate the flow rate of an intravenous (IV) solution being administered to a client. The IV bag contains 50 mL of solution and the solution is to be administered over 30 minutes. The administration set has a drop factor of 10 drops (gtts)/mL. The nurse should regulate the roller clamp on the infusion set to deliver how many drops per minute? Fill in the blank. Round answer to the nearest whole number.

17 gtts/min

A primary health care provider has prescribed phenobarbital sodium 25 mg orally twice daily for a child with febrile seizures. The child's weight is 7.2 kg. The safe pediatric dosage is 1 to 6 mg/kg/day. What should the nurse determine about the medication dosage? 1. The dosage is too low. 2. The dosage is too high. 3. The dosage is within the safe range. 4. There is not enough information to determine the safe dosage.

2. The dosage is too high.

The nurse has just been told by the primary health care provider that a prescription has been written to administer a heparin injection to a client every 12 hours. The nurse anticipates using which technique to administer the medication? 1. Z-track 2. Using a 20-gauge needle 3. Intramuscular using a 1-inch needle 4. Subcutaneous using the abdomen

4. Subcutaneous using the abdomen

A primary health care provider's prescription reads atenolol 0.025 grams orally daily. The medication bottle reads atenolol 50-mg tablets. The nurse prepares how many tablet(s) to administer the dose? Fill in the blank. Record the answer to one decimal place.

0.5 tab

The medication prescribed is haloperidol, 4 mg intramuscularly, immediately. The medication label states 5 mg/1 mL. The nurse prepares how much medication to administer the dose? Fill in the blank and round the answer to one decimal place.

0.8 mL

The nurse is reading a primary health care provider's prescription and notes that a client is to receive a medication at 1:00 pm. Using the military time clock, the nurse administers the medication at which time? Refer to figure.

1

A primary health care provider prescribes atenolol 0.05 g orally daily. The label on the medication bottle states, atenolol 50-mg tablets. How many tablet(s) will the nurse administer to the client? Fill in the blank.

1 tab

A primary health care provider prescribes a bolus of 500 mL of 0.9% NaCl to run over 4 hours. The drop (gtt) factor is 10 drops (gtt) per 1 mL. The nurse plans to adjust the flow rate at how many gtt per minute? Fill in the blank. Record your answer to the nearest whole number.

21 gtt/min

The intravenous prescription is 3000 mL of 5% dextrose in water (D5W) to run over a 24-hour period. The drop factor is 10 gtts/1 mL. The nurse plans to adjust the flow rate to how many gtts/minute? Fill in the blank and record the answer to the nearest whole number.

21 gtts/min

A postoperative client has a prescription to receive an intravenous (IV) infusion of 1000 mL normal saline solution over a period of 10 hours. The drop (gtt) factor for the IV infusion set is 15 gtts/mL. The nurse sets the flow rate at how many drops per minute? Fill in the blank.

25 gtt/min

A client diagnosed with schizophrenia who is being prepared for discharge has been prescribed oral risperidone 6 mg daily. The medication label reads 2 mg/tablet. To ensure the correct dose, the nurse instructs the client to take how many tablets once daily? Fill in the blank.

3 tab

A client originally was prescribed oral sertraline 25 mg daily for depression. The dose has been gradually increased in an effort to control the symptoms. The current dose is 75 mg daily. The medication label reads 25 mg/tablet. To receive the correct dose, the nurse instructs the client to take how many tablets once daily? Fill in the blank.

3 tab

A primary health care provider prescribes gabapentin 0.9 g three times by mouth daily. The label on the medication bottle states gabapentin 300-mg tablets. How many tablets will the nurse administer to the client for one dose? Fill in the blank.

3 tab

Cloxacillin sodium 100 mg orally every 8 hours is prescribed for a child with an elevated temperature who is suspected of having a respiratory tract infection. The child weighs 17 pounds. The safe pediatric dosage is 50 mg/kg/day. Which statement accurately describes the prescribed dosage for this child? 1. The dosage is too low. 2. The dosage is too high. 3. The dosage is within the safe dosage range. 4. There is not enough information to determine the safe dosage.

3. The dosage is within the safe dosage range.

The nurse hangs a 1000-mL intravenous (IV) bag of 5% dextrose in water (D5W) at 0700. The IV is to infuse at 100 mL/hr, and the nurse places a time tape on the IV bag. At noon the nurse should expect that the infusion line on the IV bag would be at which point? Refer to figure.

2

The nurse is preparing a small dose of a medication for administration to an infant. The nurse selects which syringe for preparing the medication? Refer to figure.

2

A primary health care provider's prescription reads theophylline 100 mg orally every 6 hours. The medication label reads 50-mg capsules. How many capsules will the nurse give to administer one dose? Fill in the blank.

2 caps

A primary health care provider's prescription reads potassium chloride 20 mEq in 1000 mL 0.9% NaCl and infuse at 100 mL/hr. The nurse assisting in caring for the client determines that the client will receive how many milliequivalents (mEq) of potassium every hour? Fill in the blank.

2 mEq

A client is prescribed oral lorazepam 4 mg daily. The medication label reads 2 mg/mL. To ensure the correct dose, the nurse administers how many milliliters per dose? Fill in the blank.

2 mL

A primary health care provider's prescription reads "ketorolac 30 mg intramuscular every 6 hours as needed." The medication label reads "ketorolac 15 mg/mL." The nurse prepares to administer how many milliliters to the client? Fill in the blank.

2 mL

Morphine 8 mg IM has been prescribed by the primary health care provider. The medication label reads morphine 4 mg/mL. The nurse should prepare how many milliliters to administer the correct dose? Fill in the blank.

2 mL

The medication prescribed is metoclopramide hydrochloride 10 mg intramuscularly times one dose. The medication label reads metoclopramide hydrochloride 5 mg/mL. The nurse prepares how much medication to administer the dose? Fill in the blank.

2 mL

The nurse is caring for a client with chronic cancer pain who is requesting pain medication. The primary health care provider's prescription reads (morphine sulfate extended-release tablet) 0.6 mg/kg orally every 4 hours as needed for pain. The client weighs 110 pounds. The morphine sulfate extended release tablet available is 15 mg/1 tablet. How many tablets should the nurse administer?

2 tab

The medication prescribed is heparin 5000 units subcutaneously, every 12 hours. The medication vial reads heparin 10,000 units/mL. The nurse prepares how many milliliters to administer one dose? Fill in the blank.

0.5 mL

The medication prescribed is prochlorperazine 5 mg intramuscularly, every 4 hours as needed. The medication label states prochlorperazine 10 mg/mL. The nurse prepares how much medication to administer the dose? Fill in the blank.

0.5 mL

A primary health care provider prescribes morphine 6 mg intramuscularly for a client in pain. The medication label states, morphine 10 mg per mL. How many milliliters will the nurse administer to the client? Fill in the blank. Record the answer to one decimal place.

0.6 mL

The medication prescribed is morphine sulfate 6 mg subcutaneously. The medication label states morphine sulfate 10 mg/1 mL. The nurse plans to prepare how much medication to administer the dose? Fill in the blank.

0.6 mL

A primary health care provider's prescription reads: tobramycin sulfate, 7.5 mg intramuscularly twice daily. The medication label states 10 mg/mL. How many milliliters (mL) will the nurse give to administer 1 dose? Fill in the blank. Record your answer to two decimal places.

0.75 mL

The medication prescribed is hydromorphone hydrochloride 3 mg intramuscularly, every 4 hours as needed. The medication label reads hydromorphone hydrochloride 4 mg/1 mL. The nurse should prepare to administer how many mL to the client? Fill in the blank.

0.75 mL

A primary health care provider's prescription reads "meperidine hydrochloride 125 mg by the intramuscular route stat." The medication vial reads 100 mg/mL. How many milliliters of the medication should the nurse draw into the syringe for injection? Fill in the blank. Record answer to two decimal places.

1.25 mL

Morphine sulfate, 2.5 mg subcutaneously, is prescribed for a child postoperatively. The medication label reads 2 mg/mL. How many milliliters should the nurse administer? Fill in the blank.

1.25 mL

The medication is an intramuscular dose of 400,000 units of penicillin G benzathine. The medication label reads penicillin G benzathine 300,000 units/mL. The nurse prepares how much medication to administer the correct dose? Fill in the blank and record the answer using one decimal place.

1.3 mL

The medication prescribed is methylprednisolone acetate 60 mg intramuscularly. The medication label states methylprednisolone acetate 40 mg/1 mL. How many milliliters will the nurse prepare to administer to the client? Fill in the blank.

1.5 mL

The primary health care provider's prescription reads "levothyroxine, 150 mcg orally daily." The medication label reads "levothyroxine, 0.1 mg/tablet." The nurse prepares to administer how many tablet(s) to the client? Fill in the blank. Record your answer using one decimal place.

1.5 tabs

The insulin drip (continuous insulin infusion) is infusing at 1.5 mL per hour. There are 100 units of regular insulin in 100 mL of 0.9% NaCl. How many units of insulin will the client receive per hour? Fill in the blank. Record the answer to one decimal place.

1.5 unit/hr

A primary health care provider (PHCP) prescribes potassium chloride (KCl) elixir, 20 mEq orally daily. The medication label states potassium chloride (KCl), 30 mEq/15 mL. How many milliliters should the nurse prepare to administer the dose? Fill in the blank.

10 mL

A primary health care provider's prescription zolpidem tartrate 10 mg orally at bedtime daily. The medication bottle is labeled zolpidem tartrate 5-mg tablets. The nurse prepares how many tablet(s) to administer 1 dose? Fill in the blank.

2 tabs

Penicillin V 250 mg orally every 8 hours, is prescribed for a child with a respiratory infection. The child's weight is 45 pounds. The safe pediatric dosage is 25 to 50 mg/kg/day. Which statement accurately describes the prescribed dosage for this child? 1. The dosage is too low. 2. The dosage is too high. 3. The dosage is within the safe dosage range. 4. There is not enough information to determine the safe dosage.

3. The dosage is within the safe dosage range.

Penicillin G procaine 1 million units intramuscularly, has been prescribed for the child with a throat infection. The child's weight is 62 pounds. The safe pediatric dosage for a child that weighs greater than 60 pounds is 600,000 to 1,200,000 units daily. Which should the nurse determine about the medication dosage? 1. The dosage is too low. 2. The dosage is too high. 3. The dosage is within the safe range. 4. There is not enough information to determine the safe dosage.

3. The dosage is within the safe range.

The nurse is checking postoperative prescriptions and planning care for a 110-pound child after spinal fusion. Morphine sulfate, 8 mg subcutaneously every 4 hours as needed (PRN) for pain, is prescribed. The pediatric drug reference states that the safe dosage is 0.1 to 0.2 mg/kg/dose every 2 to 4 hours. What should the nurse determine about the medication dosage? 1. The dosage is too low. 2. The dosage is too high. 3. The dosage is within the safe range. 4. There is not enough information to determine the safe dosage.

3. The dosage is within the safe range.

A client is to receive 1000 mL of 5% dextrose in water at a rate of 125 mL/hr. The drop (gtt) factor is 10 drops (gtt)/mL. The nurse sets the flow rate at how many drops per minute? Fill in the blank. Record your answer to the nearest whole number.

21 gtt/min

A primary health care provider prescribes 1000 mL of 0.9% NaCl to be infused over a period of 12 hours. The drop (gtt) factor is 15 drops (gtt)/mL. The nurse sets the flow rate at how many drops per minute? Fill in the blank. Record your answer to the nearest whole number.

21 gtt/min

Morphine sulfate, 2.5 mg, is prescribed for a child. The safe pediatric dose is 0.05 mg/kg/dose to 0.1 mg/kg/dose. The child weighs 50 kg. Which statement accurately describes the prescribed dosage for this child? 1. The dose is too low. 2. The dose is too high. 3. The dose is within the safe dosage range. 4. There is not enough information to determine the safe dosage range.

3. The dose is within the safe dosage range.

A primary health care provider prescribes phenobarbital, 10 mg by mouth daily. The medication bottle is labeled 15 mg/5 mL. How many milliliters (mL) will the nurse administer? Fill in the blank. Record your answer using one decimal place.

3.3 mL

A primary health care provider prescribes 3000 mL of 5% dextrose in water (D5W) to run over a 24-hour period. The drop (gtt) factor is 15 drops (gtt) per 1 mL. The nurse adjusts the flow rate to run at how many gtt per minute? Fill in the blank. Record your answer to the nearest whole number.

31 gtt/min

The primary health care provider prescribes 1000 mL of 0.45% NaCl to run over 8 hours. The drop (gtt) factor is 15 gtt/mL. The nurse plans to adjust the flow rate to how many gtt/min? Fill in the blank. Round your answer to the nearest whole number.

31 gtt/min

A primary health care provider prescribes 1000 mL of 0.9% NaCl to be infused over a period of 10 hours. The drop (gtt) factor is 20 drops (gtt) per mL. The nurse adjusts the flow rate at how many drops per minute? Fill in the blank.

33 gtt/min

Sulfisoxazole 1 g orally four times daily, is prescribed for an adolescent with a urinary tract infection. The medication label reads, "250-mg tablets." The nurse has determined that the prescribed dose is safe. How many tablets per dose should the nurse administer to the adolescent? Fill in the blank.

4 tab

Penicillin G procaine, 1,000,000 units given intramuscularly, is prescribed for an adolescent with an infection. The medication label reads as follows: "1,200,000 units/2 mL." The nurse has determined that the prescribed dose is safe. How many milliliters per dose should the nurse administer to the adolescent? 1. 0.8 mL 2. 1.2 mL 3. 1.44 mL 4. 1.66 mL

4. 1.66 mL

A licensed practical nurse (LPN) is asked to prepare an intravenous (IV) infusion of 1000 mL 5% dextrose in lactated Ringer's at 80 mL/hr to be administered to an assigned client. The LPN time-tapes the bag with a start time of 09:00. After making hourly marks on the time-tape, the LPN notes that which time would mark the completion time for the bag? 1. 15:30 2. 17:30 3. 19:30 4. 21:30

4. 21:30

The nurse reinforces teaching a client on how to administer enoxaparin subcutaneously. The nurse determines that the client understands the correct procedure if the client does which on a return demonstration? 1. Uses a 1-inch needle 2. Massages after injection 3. Aspirates before injection 4. Bunches the skin before injection

4. Bunches the skin before injection

The nurse is preparing to administer an intramuscular injection to a 1-year-old child. Which location should the nurse select to administer the medication? 1. Deltoid muscle 2. Dorsogluteal muscle 3. Ventrogluteal muscle 4. Vastus lateralis muscle

4. Vastus lateralis muscle

The primary health care provider (PHCP) has prescribed phenobarbital sodium, 25 mg orally twice daily, for a child with febrile seizures. The medication label reads as follows: "Phenobarbital sodium, 20 mg/5 mL." The nurse has determined that the dose prescribed is a safe dose for the child. How many milliliters per dose should the nurse administer to the child? Fill in the blank.

6.25 mL

The primary health care provider's (PHCP's) prescription reads acetaminophen 240 mg orally every 6 hours as needed for relief of pain, for a 5-year-old child. The medication label reads "acetaminophen 160 mg per 5 mL." How many mL per dose should the nurse administer to the child? Fill in the blank.

7.5 mL

Penicillin V potassium 250 mg orally every 8 hours is prescribed for a child with a respiratory infection. The medication label reads: Penicillin, 125 mg per 5 mL. The nurse has determined that the dosage prescribed is a safe dose for the child. How many milliliters (mL) will the nurse administer to the child per dose? Fill in the blank.

10 mL

A primary health care provider prescribes digoxin, 0.125 mg by mouth (PO) daily, for a client with heart failure. The medication label states 0.125 mg per tablet. How many tablet(s) will the nurse administer to the client? Fill in the blank.

1 tab

A primary health care provider's prescription reads ciprofloxacin 0.5 g orally twice daily. The medication label reads ciprofloxacin 500-mg tablets. The nurse prepares how many tablet(s) to administer 1 dose? Fill in the blank.

1 tab

The nurse is preparing to administer 30 mEq of liquid potassium chloride (KCl) to an adult client. The label on the medication bottle reads 40 mEq/15 mL. The nurse prepares how many milliliters of KCl to administer the correct dose of medication? Fill in the blank. Round your answer to the nearest whole number.

11 mL

A primary health care provider has prescribed a liquid oral suspension of amoxicillin. The prescription reads 0.25 gram (g) orally 3 times daily. How many milliliters (mL) should the nurse administer to the client per dose? Refer to the figure. Fill in the blank.

10 mL

A client is to receive 1000 mL of 5% dextrose in water (D5W) at a rate of 100 mL/hr. The drop (gtt) factor is 10 drops (gtt) per mL. The nurse adjusts the flow rate to deliver how many drops per minute? Fill in the blank. Record your answer to the nearest whole number.

17 gtt/min

Ampicillin sodium 250 mg in 50 mL of 0,9% NaCl is being administered over a period of 30 minutes. The drop (gtt) factor is 10 drops (gtt) per mL. The nurse is asked to check the flow rate of the infusion. The nurse determines that the infusion is running at the prescribed rate if the infusion is delivering how many drops per minute? Fill in the blank. Record your answer to the nearest whole number.

17 gtt/min

The nurse is preparing to hang an intravenous (IV) solution of 1000 mL 5% dextrose in lactated Ringer's to flow at 80 mL/hour. The nurse time-tapes the bag with a start time of 07.00. After making hourly marks on the time-tape, the nurse notes that the completion time for the bag would be what?

19.30

A pediatric client with a ventricular septal defect repair is placed on a maintenance dose of digoxin. The safe dose is 0.03 mg/kg/day, and the client's weight is 7.2 kg. The primary health care provider (PHCP) prescribes the digoxin to be given twice daily. How much digoxin should the nurse administer to the client at each dose? 1. 0.1 mg 2. 0.37 mg 3. 0.5 mg 4. 2.5 mg

1. 0.1 mg

The medication prescription states to administer acetaminophen 650 mg orally for a temperature of more than 38° C. The medication bottle states acetaminophen, 325 mg tablets. The nurse takes the client's temperature and notes that it is 101° F. The nurse plans to take which action? 1. Administer two tablets. 2. Administer three tablets. 3. Do not administer at this time. 4. Check the client's temperature in 30 minutes.

1. Administer two tablets.

The medication prescribed is zidovudine, 0.2 g orally, three times daily. The medication label states zidovudine, 100-mg tablets. The nurse prepares to administer how many tablets for one dose? Fill in the blank.

2 tab

The primary health care provider (PHCP) has prescribed an antibiotic for a child. The average adult dose is 500 mg. The child has a body surface area (BSA) of 0.63 m2. What is the dose for the child? Fill in the blank.

182 mg

A client is to receive medication via patient-controlled analgesia (PCA), and the nursing instructor asks the nursing student caring for the client to describe the use of the PCA. The instructor determines there is a need for further teaching about the PCA when the student makes which statement? 1. "The PCA gives the client greater control over analgesic administration." 2. "Asking the client to rate pain is unnecessary when the client has a PCA." 3. "PCA delivers predetermined amounts of analgesia within preset intervals." 4. "A continuous intravenous (IV) solution is needed to keep the vein open between analgesia infusions."

2. "Asking the client to rate pain is unnecessary when the client has a PCA."

A hospitalized client states he has chest pain and the nurse notes a prescription for sublingual nitroglycerin 1 tablet every 5 minutes times 3 to relieve chest pain prn. How should the nurse administer the medication? 1. Place 3 pills under the tongue and reassess for relief in 5 minutes. 2. Place one pill under the tongue and reassess for relief in 5 minutes. 3. Administer one pill with a sip of water and reassess for relief in 5 minutes. 4. Place one pill in the mouth against the mucous membranes of the cheek and assess for relief in 5 minutes.

2. Place one pill under the tongue and reassess for relief in 5 minutes.

Diphenhydramine hydrochloride 25 mg orally every 6 hours, is prescribed for a child with an allergic reaction. The child weighs 25 kg. The safe pediatric dosage is 5 mg/kg/day. Which conclusion should the nurse infer? 1. The dose is too low. 2. The dose is too high. 3. The dose is within the safe dosage range. 4. There is not enough information to determine the safe dose

3. The dose is within the safe dosage range.

Diphenhydramine hydrochloride 25 mg orally every 6 hours is prescribed for a child with an allergic reaction. The child weighs 25 kg. The safe pediatric dosage is 5 mg/kg/day. What should the nurse determine about the medication dosage? 1. The dosage is too low. 2. The dosage is too high. 3. The dosage is within the safe range. 4. There is not enough information to determine the safe dosage.

3. The dosage is within the safe range.

A licensed practical nurse (LPN) is administering medications to a client who has difficulty swallowing. A time-released film-coated medication is prescribed and the client is unable to swallow the pill. Which action by the LPN is most appropriate? 1. Skip the dose and try again at a later time. 2. Crush the tablet and mix it with applesauce. 3. Give the client a large glass of water to aid in swallowing. 4. Consult with the registered nurse (RN) about contacting the primary health care provider (PHCP) regarding a medication change.

4. Consult with the registered nurse (RN) about contacting the primary health care provider (PHCP) regarding a medication change.

The primary health care provider's prescription reads "levothyroxine, 100 mcg orally daily." The medication label reads "levothyroxine, 0.1 mg/tablet." The nurse prepares to administer how many tablet(s) to the client? Fill in the blank.

1 tab

A primary health care provider's prescription reads "cyanocobalamin 100 mcg intramuscular." The medication label reads "cyanocobalamin, 0.5 mg/mL." The nurse administers how many milliliters to the client? Fill in the blank. Record the answer to one decimal place.

0.2 mL

A primary health care provider prescribes hydromorphone hydrochloride, 0.5 mg intramuscularly stat, for a client in pain. The medication label states hydromorphone hydrochloride 2 mg/mL. How many milliliters (mL) will the nurse prepare to administer to the client? Fill in the blank. Record the answer to two decimal places.

0.25 mL

A primary health care provider has prescribed phytonadione 2.5 mg intramuscularly. The nurse reads the label on the medication vial and administers how many mL to the client? Refer to the figure and fill in the blank. Record your answer to two decimal places.

0.25 mL