HESI pharmacology remediation EAQ

Which medication is used to treat helicobacter pylori infection? Select all that apply. - Amoxicillin - Tetracycline - Pantoprazole - Metronidazole - Bismuth subsalicylate

ANS: - Amoxicillin - Tetracycline - Pantoprazole - Metronidazole - Bismuth subsalicylate Several medications are typically prescribed because of the complexity of treating h. pylori.

Filgrastim 5 mcg/kg/day by injection is prescribed for a client who weighs 132 lb. The vial label reads filgrastim 300 mcg/mL. How many milliliters will the nurse administer?

ANS: 1 mL The prescribed dose is 5 mcg/kg. The client's weight is 132 Ib. 132 lb x 1 kg/2.2 Ib = 60 kg. The available concentration is 300 mcg/mL. Use the dimensional analysis and/or ratio and proportion methods to determine the appropriate amount of medication to be administered. 5 mcg/kg/day x 60 kg = 300 mcg/day × 1 mL/300 mcg = 1 mL/day.

An intravenous (IV) antibiotic in 50 mL of 0.9% sodium chloride needs to be administered over 20 minutes. The nurse will set the infusion pump to deliver how many milliliters per hour? Record your answer using a whole number.

ANS: 150 ml/h The volume to be infused is 50 mL. The time of infusion needs to be converted to mL/h for the infusion pump. 50 mL/20 minutes x 60 minutes/1h = 150 mL/h.

The health care provider prescribes intravenous fluids to be infused at 100 mL/h. The intravenous tubing delivers 15 drops/milliliters. The nurse will infuse the solution at a flow rate of how many drops per minute? Record your answer using a whole number.

ANS: 25 drops/min The prescribed rate of infusion is 100 mL/h. The drop factor of the tubing is 15 drops/mL. Use the following formula to determine the flow rate in drops/min. 100 mL/h x 1h/60 min x 15 drops/mL = 25 drops/min.

The health care provider prescribes 1000 mL of total parenteral nutrition (TPN) to be administered in 12 hours. Based on this prescription, how many milliliters of solution will be administered per hour? a) 83 ml/h b) 100 ml/h c) 108 ml/h d) 125 ml/h

ANS: A

Which topic will the nurse include in the discharge teaching of a client who has had a total gastrectomy? a) daily use of a stool softener b) injections of vitamin B 12 for life c) monthly injections of iron dextran d) replacement of pancreatic enzymes

ANS: A

Which element, if missing from a newly admitted client medication administration record (MAR) makes the record incomplete? a) height b) allergies c) vital signs d) bodyweight

ANS: B

One liter of 5% dextrose solution contains 50 grams of sugar. The nurse calculates that 3 L solution/day will supply approximately how many kilocalories? a) 400 b) 600 c) 800 d) 1000

ANS: B Carbohydrates provide 4 kcal/g; therefore 3 L × 50 g/L × 4 kcal/g = 600 kcal, only about a third of the basal energy needed. Four hundred kilocalories are less than the kilocalories provided by the prescribed intravenous (IV) fluid. Eight hundred kilocalories and 1000 kilocalories are more than the kilocalories provided by the prescribed IV fluid.