pharmacology dosage calc
A client receives a prescription for scopolamine 300 mcg SUBQ. The dispensed medication is labeled in mg. How many mg should the practical nurse administer? (Enter numerical value only. If rounding is required, round to the nearest tenth.)
0.3
A client is receiving glycopyrrolate (Robinul) 500 mcg IV. The vial for Robinul is labeled in mg. How many mg of glycopyrrolate (Robinul) should th PN administer? (Enter numerical value only. If rounding is required, round to the nearest tenth.)
0.5
A client receives a prescription for levothyroxine sodium (Synthroid) 0.05 mg by mouth once daily. The medication is available in scored tablets labeled 0.1 mg. How many tablets should the practical nurse administer?
0.5
The nurse is preparing to administer Hepatitis B Vaccine, Recombinant (Energix-B) 5 mcg IM to a school-aged child. The vaccine is labeled, 10 mcg/ml. How many ml should the practical nurse administer? (Enter numeric value only. If rounding is required, round to the nearest tenth).
0.5
A client with multiple sclerosis is prescribed Dantrolene (Dantrium) 0.1 grams PO bid for spasticity. Dantrolene is available in 100 mg capsules. How many capsules should the practical nurse administer? (Enter numeric value only.)
1
A client with multiple sclerosis and muscle spasms receives a prescription for baclofen (Kemstro) 30 mg PO daily. The medication is supplied from the pharmacy in 20 mg scored tablets. How many tablets should the practical nurse administer? (Enter numeric value only.)
1.5
The practical nurse plans to administer labetalol hydrochloride (Trandate) 0.3 grams PO to a client with hypertension. Trandate is available in 200 mg scored tablets. How many tablets should the practical nurse administer? (Enter numeric value only.)
1.5
A client who has heart failure with paroxysmal atrial tachycardia is receiving digoxin (Lanoxin) 0.45 mg IV as the inital digitalizing dose. The pharmacy provides 0.25 mg/ml. How many ml should the practical nurse administer? (Enter numeric value only. If rounding is required, round to the nearest tenth.)
1.8
A 49-year-old client with myasthenia gravis is receiving pyridostigmine (Mestinon) 126 mg PO every 4 hours. The available form is 60 mg in 5 ml syrup. How many ml should the practical nurse administer? (If rounding is required, round to the nearest tenth.)
10.5
A client returns to the nursing unit from surgery with a prescription for Lactated Ringer's solution 1,000 ml to be infused over 10 hours. The IV administration set delivers 60 gtts/ml. The practical nurse should regulate the infusion to deliver how many gtts/minute?
100
A client scheduled for surgery is to receive an IV infusion of 0.9% sodium chloride with prochlorperazine edisylate (Compazine) 10 mg/50 ml over 30 minutes. The practical nurse should program the infusion pump to deliver how many ml/hour? (Enter numeric value only.)
100
The healthcare provider prescribes a continuous infusion of 5% dextrose in 0.45% sodium chloride at 85 ml/hour. The IV administration set delivers 10 gtt/ml. The practical nurse should regulate the drop rate to deliver how many gtts/minute? (Enter numeric value only. If rounding is required, round to the nearest whole number.)
14
A client receives a prescription for retrovir (zidovudine) 0.15 grams PO BID PO. The dispensed medication is available in mg. How many mg should the practical nurse administer? (Enter numerical value only.)
150
A client who weighs 33 pounds is receiving cefpodoxime (Vantin) PO. The practical nurse (PN) refers to the published drug literature which recommends the dose of 10 mg/kg/day. What dose in mg should the practical nurse (PN) determine is the recommended dose for this client? (Enter numerical value only. If rounding is required, round to the nearest whole number.)
150
A client who has a gastrostomy feeding tube is receiving 3/4 strength Ensure 240 ml every 6 hours. Full strength Ensure is available in a 240 ml can. The PN should use how many ml of Ensure to prepare the feeding? (Enter numeric value only. If needed, round to the nearest whole number.)
180
A child who weighs 55 pounds receives a prescription for atovaquone with proguanil (Malarone Pediatric) 125 mg/50 mg PO daily. A drug reference states that children 11 to 20 kg should receive 1 pediatric tablet daily; 21 to 30 kg should receive 2 pediatric tablets daily; 31 to 40 kg should receive 3 pediatric tablets daily; and greater than 40 kg should receive 1 adult tablet daily with food. The drug is available as atovaquone 62.5 mg/proguanil 25 mg pediatric tablets. How many tablets should the practical nurse administer?
2
A client with a Trichomonas vaginalis infection receives a prescription for metronidazole (Flagyl) 1 gram. The medication is available in 500 mg tablets. How many tablets should the PN administer? (Enter numeric value only.)
2
Mineral oil U.S.P 30 ml PO daily for 3 days is prescribed for a client who is experiencing severe constipation. The medication dose cup is marked in tablespoons. How many tablespoons should the practical nurse administer? (Enter numeric value only.)
2
Promazine 0.1 grams PO is prescribed for an older client who is agitated. Promazine is labeled in 50 mg tablets. How many tablets should the PN administer to the client? (Enter numerical value only.)
2
A client with Mycobacterium avium complex (MAC) is receiving an infusion of 5 % dextrose in water with amikacin (Amikin) 0.572 grams/100 ml every 12 hours. The practical nurse prepares the dose of amikacin using a vial labeled, " 250 mg/ml." How many ml should the practical nurse add to the infusion? (Enter numeric value only. If rounding is required, round to the nearest tenth.)
2.3
The practical nurse is preparing to administer vancomycin (Vancocin) 750 mg in 250 ml of D 5 W, and plans to administer the dosage over 75 minutes. The secondary infusion pump should be programmed to administer how many ml/hour? (Enter numeric value only. If rounding is required, round to the nearest whole number.)
200
A client receives a prescription for Dolobid (diflunisal) 0.25 grams PO. The dispensed medication is labeled in mg. How many mg of the medicationshould the practical nurse administer? (Enter numerical value only.)
250
A client receives a prescription for tobramycin sulfate (Nebcin) 0.128 grams IV q8 hours. Tobramycin is available in liquid concentration of 40 mg/ml. How many ml should the practical nurse administer? (Enter numeric value only. If rounding is required, round to the nearest tenth.)
3.2
A client who weighs 159 pounds is receiving ganciclovir (Cytovene) IV. The practical nurse (PN) refers to the published drug literature which recommends the dose of 5 mg/kg/dose. What dose in mg should the practical nurse (PN) determine is the recommended dose for this client? (Enter the numerical value only. Ifrounding is required, round to the nearest whole number.)
361
The nurse needs to calculate a client's oral temperature of 99.2 Fahrenheit to Celsius. What temperature in Celsius (C) should the practical nurse document? (Enter numeric value only. Round to the nearest tenth.)
37.3
A child with a urinary tract infection is receiving Cephalexin (Keflex) 100 mg suspension PO QID. Keflex oral suspension is labeled "125 mg in 5 ml." How many ml should the practical nurse administer? (Enter numeric value only. If rounding is required, round to the nearest tenth.)
4
A client with coronary artery disease receives a prescription for clopidogrel (Plavix) 300 mg PO. The medication is available in 75 mg tablets. How many tablets should the practical nurse administer? (Enter numeric value only.)
4
A client is receiving dopamine 0.4 grams IV, which is labeled in mg. How many mg of dopamine should the PN administer? ( Enter numerical value only.)
400
A client who weighs 40.6 kg is receiving ethacrynic acid (Edecrin) PO. The practical nurse (PN) refers to the published drug literature which recommends the dose of 1 mg/kg/dose. What dose in mg should the practical nurse (PN) determine is the recommended dose for this client? (Enter numerical value only. If rounding is required, round to the nearest whole number.)
41
A child who weighs 17.1 kg is receiving chloral hydrate liquid. The practical nurse (PN) refers to the published drug literature which recommends the dose of 25 mg/kg/dose. What dose in mg should the practical nurse (PN) determine is the recommended dose for this child? (Enter numerical value only. If rounding is required, round to the nearest whole number.
428
A client with multiple sclerosis who is receiving dantrolene (Dantrium) PO weighs 124 pounds. The practical nurse (PN) refers to the published drug literature which recommends the dose of 10 mg/kg/dose. How many mg should the PN determine is the recommended dose for this client? (Enter the numerical value only.)
564
A child who weighs 32 pounds receives a prescription for a moxicillin with clavulanate (Augmentin) 194 mg PO every 8 hours. The recommended dose is 40 mg/kg/day, and the bottle contains 125 mg/5ml. How many mg should the child receive in a 24-hour period? (Enter numeric value only. If rounding is required, round to the nearest tenth.)
582
A client with impetigo receives a prescription for azithromycin (Zithromax) 500 mg PO on day 1, then 250 mg/day on days 2 through 5 for a total administration of 1.5 gram. The pharmacy has 250 mg tablets available. How many tablets total should the practical nurse give to the client for the duration of treatment? (Enter numeric value only.)
6
The healthcare provider prescribes a continuous feeding of half strength Osmolite 240 ml to be infused every 4 hours for a client with a gastrostomy tube (GT). The PN should program the enteral pump to deliver how many ml/hour? (Enter numeric value only).
60
A client with Parkinson's disease is receiving benztropine (Cogentin) 3.5 mg PO twice daily. The medication is available in 0.5 mg tablets. How many tablets should the practical nurse administer for each dose? (Enter numeric value only.)
7
The healthcare provider prescribes a continuous infusion of dextrose 5% in water with isoproterenol (Isuprel) 2 mg in 500 ml at a rate of 5 mcg/minute for a client with cardiac arrhythmia. The pracitcal nurse should program the infusion pump to deliver how many ml/hour? (Enter numeric value only. If rounding is required, round to the nearest hundredth.)
75
A client receives a prescription for an intravenous infusion 0.45% sodium chloride 500 ml to be infused over 6 hours. The practical nurse should program the infusion pump to deliver how many ml/hour? (Enter numeric value only. If rounding is required, round to the nearest whole number.)
83
A client returning from surgery has a prescription for an IV of 0.9% sodium chloride with a volume to be infused of 250 ml over 3 hours. The practical nurse should program the infusion pump to deliver how many ml/hour? (Enter numeric value only. If rounding is required, round to the nearest whole number.)
83
The practical nurse (PN) is preparing the change-of-shift report for a client who has a 265 ml secondary infusion that was started 2 hours ago at a rate of 85 ml/hour via an infusion pump. How many ml remaining to be infused should the PN report to the on-coming nurse? (Enter numeric value only.)
95
A client who weighs 79 pounds is receiving clomipramine (Anafranil) PO. The practical nurse (PN) refers to the published drug literature which recommends the dose of 3 mg/kg/day. How many mg should the PN determine is the recommended dose for this client? (Enter numerical value only.)
108
A loading dose of acetylcysteine (Mucomyst) 8 grams, which is available as a 20% solution (200 mg acetylcysteine per ml) is prescribed by nasogastric tube for a client with acetaminophen toxicity. How many ml of diluent should be added to the medication to obtain a 1:4 concentration? (Enter the numerical value only. If rounding is required, round to the whole number.)
120
The healthcare provider prescribes a continuous intravenous infusion of dextrose 5% and 0.45% sodium chloride witth KCl 20 mEq/1000 ml to be delivered over 8 hours. The practical nurse should program the infusion pump to deliver how many ml/hour? (Enter numeric value only. If rounding is required, round to the nearest whole number.)
125
The practical nurse is administering a 250 milliliter (ml) intravenous solution to be infused over 2 hours. How many ml/hou r should the practical nurse program t he infusion pump? (Enter numeric value only.)
125
The healthcare provider prescribes diltiazem (Cardizem) 0.87 mg PO four times daily for an infant who weighs 22 pounds. The recommended maximum dose is 3.5 mg/kg/day. What action should the practical nurse take?
Notify the healthcare provider.