HESI Fundamental Review

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IV calculation formula

([amount of fluid to be infused] x [Drop factor]) / minutes to infuse

Your patient is getting agitated, so you call thephysician to request some medication to help themcalm down. The physician orders 0.5mg of lorazepam (Ativan) IM. Your pyxis is stocked with lorazepam 2mg/mL vials. How many mL will you administer?

0.25 mL (0.5mg/2mg) x mL

Your Ativan dose did not work on your patient and you call the physician again. This time, the physician orders olanzapine (Zyprexa) 2.5mg IM. The vial you receive from pharmacy contains 10mg of olanzapine powder. The vial states to mix in 2mL of sterile water.How many mL of reconstituted solution will you administer?

0.5mL (2.5/10) x 2mL =

1 ml equals how many cc?

1 cc

Normal magensium level

1.5-2.5 mg/dL

A health care provider prescribes 1 unit of packed red blood cells to infuse over 4 hours. The unit of blood contains 250 mL. The drop factor is 10 drops (gtt)/1 mL. The nurse prepares to set the flow rate at how many drops per minute? Record your answer to the nearest whole number.

10 gtt/min (250 mL x 10) / 240 mins =

1 gram is equal to how many milligrams (mg)?

1000 mg

normal sodium levels

135-145 mEq/L

1 tablespoon (tbsp) equals how many mL?

15 mL

1 kilogram (kg) is equal to how many pounds (lbs)

2.2 pounds (lbs)

normal phosphorus levels

2.5-4.5 mg/dL

normal HCO3 range

22-26

A health care provider's prescription reads clindamycin phosphate 0.3 g in 50 mL normal saline (NS) to be administered intravenously over 30 minutes. The medication label reads clindamycin phosphate 900 mg in 6 mL. The nurse prepares how many milliliters of the medication to administer the correct dose?

2mL (convert 0.3g to 300mg) (300mg x 6mL)/900mg =

normal potassium levels

3.5-5.0 mEq/L

1 ounce (oz) is how many mL?

30 mL

Gentamicin sulfate, 80 mg in 100 mL normal saline (NS), is to be administered over 30 minutes. The drop factor is 10 drops (gtt)/1 mL. The nurse sets the flow rate at how many drops per minute? Record your answer to the nearest whole number

33 drops per minute (gtt/min) (100mL x 10) /30 =

normal PaCo2 range

34-45

You have an order for 324mg of chewable aspirin. Your pyxis only has 81mg chewable tablets stocked. How many tablets will you administer?

4 tablets (324/81)

1 teaspoon (tsp) equals how many mL?

5 mL

normal blood pH levels

7.35-7.45

normal calcium levels

8.5-10 mg/dL

normal PaO2 range

80-100

normal chloride levels

95-105 mEq/L

What does ABCSD stands for?

Airway, Breathing, Circulation, Safety and Discomfort (ex: pain)

What does ADPIE stand for?

assess, diagnosis, planning, implementation, evaluation

what does standard precautions consist of?

gloves for every patient, clean equipments

what does covid-19 precautions consist of?

gloves, gown, face shield, n-95 (it is contact, droplet and airborne precaution).

what does contact ENTERIC precautions consist of?

gown, gloves and WASH HANDS WITH SOAP AND WATER clean with bleach

what does contact precautions consist of?

gown, gloves and clean hands

What does droplet precautions consist of?

mask, gown, eye protection/face shield and gloves, clean hands

what does airborne precautions consist of?

n-95 mask


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