Pharm ATI Case Study 3

A nurse is preparing to administer ceftazidime (Fortaz) 30 mg/kg/day IV bolus divided in equal doses every 8 hr to a preschool-age child who weighs 36 lb. Available is ceftazidime injection 280 mg/mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth.)

0.6 mL

A nurse is preparing to administer 0.9% sodium chloride (0.9% NaCl) 1,000 mL IV to infuse over 6 hr. The drop factor of the manual IV tubing is 10 gtt/mL. The nurse should set the manual IV infusion pump to deliver how gtt/min? (Round the answer to the nearest whole number.)

28 gtt/min

A nurse is preparing to administer amoxicillin (Amoxil) 300 mg PO every 8 hr. Available is amoxicillin oral suspension 250 mg/5 mL. How many mL should the nurse administer per dose? (Round the answer to the nearest whole number.)

6 mL

A nurse is converting an infant's weight from lb to kg. If the infant weighs 13 lb 8 oz, what is the weight in kg? (Round the answer to the nearest tenth.)

6.1 kg

A nurse is preparing to administer tobramycin (Tobrex) 2.5 mg/kg/day IM divided in equal doses every 8 hr to a client who weighs 45 kg. Available is tobramycin injection 40 mg/mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth.)

0.9 mL

A nurse is preparing to administer IV fluid replacement for an adolescent who weighs 55 kg. What is the adolescent's daily maintenance fluid requirement? (Round the answer to the nearest whole number.)

2200 mL

A nurse is preparing to administer haloperidol (Haldol) 1.5 mg IM to a client for agitation. Available is haloperidol injection 5 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth.)

0.3 mL

A nurse is preparing to administer penicillin G benzathine (Bicillin L-A) 750,000 units IM. Available is penicillin G benzathine injection 2,400,000 units/4 mL. How many mL should the nurse administer? (Round the answer to the nearest tenth.)

1.3 mL

A nurse is preparing to administer cefotaxime (Claforan) 1 g intermittent IV bolus. Available is cefotaxime 1 g in dextrose 5% in water (D5W) 50 mL to infuse over 30 min. The nurse should set the IV infusion pump to deliver how many mL/hr? (Round the answer to the nearest whole number.)

100 mL/hr

A nurse is preparing to administer phenobarbital sodium (Luminal) 6 mg/kg/day PO divided in equal doses every 8 hr to a client who weighs 44 lb. Available is phenobarbital liquid 15 mg/5 mL. The nurse should administer how many mL per dose? (Round the answer to the nearest tenth.)

13.3 mL

A nurse is preparing to administer cefoxitin (Mefoxin) 1 g intermittent IV bolus to infuse over 30 min. Available is cefoxitin 1 g in dextrose 5% in water (D5W) 100 mL. The nurse should set the IV infusion pump to deliver how many mL/hr? (Round the answer to the nearest whole number.)

200 mL/hr

A nurse is preparing to administer 0.9% sodium chloride (0.9% NaCl) 1,000 mL IV to infuse at 125 mL/hr. The drop factor of the manual IV tubing is 20 gtt/mL. The nurse should set the manual IV infusion pump to deliver how many gtt/min? (Round the answer to the nearest whole number.)

42 gtt/min

A nurse is preparing to administer lactated Ringer's (LR) 1,500 mL IV to infuse over 8 hr. The drop factor of the manual IV tubing is 15 gtt/mL. The nurse should set the manual IV infusion pump to deliver how many gtt/min? (Round the answer to the nearest whole number.)

47 gtt/min

A nurse is preparing to administer cefotetan (Cefotan) 500 mg IV bolus every 12 hr. Available is cefotetan injection 1 g/10 mL. How many mL should the nurse administer per dose? (Round the answer to the nearest whole number.)

5 mL

A nurse is preparing to administer vancomycin hydrochloride (Vancocin) 500 mg intermittent IV bolus. Available is vancomycin hydrochloride 500 mg in 0.9% sodium chloride (0.9% NaCl) 100 mL to infuse over 90 min. The nurse should set the IV infusion pump to deliver how many mL/hr? (Round the answer to the nearest whole number.)

67 mL/hr

A nurse is preparing to administer ribavirin (Virazole) 600 mg PO every 12 hr. Available is ribavirin 200 mg/capsules. How many capsules should the nurse administer per dose? (Round the answer to the nearest whole number.)

3 capsules

A nurse is preparing to administer cefazolin (Ancef) 1 g IV bolus. The nurse reconstitutes cefazolin 1 g vial with sterile water to yield 330 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest whole number.)

3 mL

A nurse is preparing to administer imipramine hydrochloride 80 mg PO daily. Available is imipramine hydrochloride oral concentrate 25 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth.)

3.2 mL

A nurse is preparing to administer diphenhydramine (Benadryl) 40 mg IM stat. Available is diphenhydramine injection 0.05 g/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth.)

0.8 mL

A nurse is preparing to administer valproic acid (Depakote) 45 mg/kg/day PO divided in equal doses every 8 hr to a child who weighs 78 lb. Available is valproic acid syrup 250 mg/5 mL. How many mL should the nurse administer per dose? (Round the answer to the nearest whole number.)

11 mL

​A nurse is preparing to administer epoetin alfa (Epogen) 50 units/kg subcutaneous to an adolescent who weighs 110 lb. Available is epoetin alfa injection 2,000 units/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth.)

1.3 mL

A nurse is preparing to administer ceftriaxone (Rocephin) 500 mg IM as a one-time dose. The nurse reconstitutes ceftriaxone 1 g vial with sterile water to yield 350 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth.)

1.4 mL

A nurse is preparing to administer phenytoin (Dilantin) 300 mg PO daily. Available is phenytoin suspension 125 mg/5 mL. How many mL should the nurse administer? (Round the answer to the nearest whole number.)

12 mL

A nurse in a provider's office is reinforcing teaching with a client who has a prescription for codeine 30 mg PO every 4 hr PRN pain. Available is codeine oral solution 15 mg/5 mL. The nurse should instruct the client to take how many tsp per dose? (Round the answer to the nearest whole number.)

2 tsp

A nurse is preparing to administer 0.9% sodium chloride (0.9% NaCl) 500 mL IV to infuse over 2 hr. The nurse should set the IV infusion pump to deliver how many mL/hr? (Round the answer to the nearest whole number.)

250 mL/hr