Practice quiz 18

The physician orders Keflex 250 mg po for strep throat. After reconstitution, the medication is available as 125 mg/5 mL. How many milliliters will the nurse administer?

10 ml

The physician orders erythromycin 1 g in 100 mL of D5W to infuse in 30 minutes. Calculate the flow rate in milliliters per hour. ____________________

200 ml/ h

The nurse is educating an older adult patient who is taking antihypertensives with diuretics. Which information regarding safety precautions is most important for the nurse to include?

Sit on the side of the bed before standing.

Which problems are potential complications of uncontrolled hypertension? (Select all that apply.)

Stroke b. Kidney failure c. Heart attack Congestive heart failure

The physician orders Ampicillin 150 mg IM for a systemic infection. After reconstitution, the medication is available as 125 mg/mL. How many milliliters will the nurse administer?

1.2 ml

Which blood pressure findings constitute a diagnosis of hypertension?

140/90 × 2, 2 weeks apart

The physician orders Pepcid 20 mg IVPB every 12 hours. The medication is supplied in 20 mg/100 mL to infuse over 30 minutes. Calculate the flow rate in milliliters per hour. ____________________

200ml/hr

The physician orders a continuous IV morphine drip to infuse at 6 mg/h. The medication is supplied in 50 mg/50 mL. Calculate the flow rate in milliliters per hour. ____________________

6 ml

The physician orders Vancocin 375 mg po for a staph infection. After reconstitution, the medication is available as 250 mg/5 mL. How many milliliters will the nurse administer?

7.5 ml

The patient has been prescribed a low-sodium diet. Which food choice indicates that the patient requires additional teaching?

Pickles

The nurse is caring for a patient with Raynaud disease who is employed as a construction worker, has hypertension, and smokes one-half to one pack of cigarettes per day. What teaching points should the nurse include in discharge instructions? (Select all that apply.)

Wear gloves when handling cold items. Wear insulated socks when working in cool weather. d. Attend a smoking program. e. Use a heating pad to stay warm.

Maintenance Rate Table Weight Range Required Daily Fluid 0-1 kg 100 mL per kg 10-20 kg 1000 mL + 50 mL per kg above 10 kg 20-70 kg 1500 mL + 20 mL per kg above 20 kg Over 70 kg 2500 mL (adult requirement) A child is to receive IV fluids at maintenance rate. The child weighs 28 lb. a. What is the child's weight in kilograms? _____________ b. Calculate the 24-hour fluid requirements for this patient. __________________ c. How many milliliters per hour are needed to deliver the maintenance fluids? _______________

a. 12.7 kg or b. 1135 mL or c. 47.3 mL/h

The physician orders Keflex 250 mg oral every 6 hours for a child weighing 40 lb. The Keflex is available in a 250 mg/5 mL concentration. The recommended dose is 50 to 100 mg/kg/24 h divided in four doses. a. What is the child's weight in kilograms? _____________ b. How many milligrams per kilogram per 24 hours is the patient receiving? ___________ c. Is the order safe? ________________ d. If yes, how many milliliters are needed for each dose? ________________

a. 18.2 kg or b. 54.9 mg/kg/24 h or c. Yes or d. 5 mL

The recommended dosage of Dilantin for a child is 7 mg/kg/24 h given q12 h. The child's weight is 55 lb. The medication is supplied in 125 mg/5 mL. a. What is the child's weight in kilograms? _____________ b. Calculate the safe dose for this child. ____________________ c. How many milliliters will be administered for each dose? ____________________

a. 25 kg or b. 87.5 mg/dose or c. 3.5 mL POINTS:

The patient who has a history of smoking and alcohol abuse is most likely to develop __________ hypertension.

secondary

The student nurse is planning a community group presentation on hypertension. Which group of individuals should the student identify as having the highest incidence of hypertension?

African Americans

The nurse is caring for a patient with a deep venous thrombosis (DVT). Which finding requires the nurse's immediate attention?

Hemoptysis

The recommended safe dose of rifampin for a child is 5 mg/kg/dose. The child's weight is 11 lb. The medication is supplied in 10 mg/mL. a. What is the child's weight in kilograms? _____________ b. Calculate the safe dose for this child. ____________________ c. How many milliliters will be administered for each dose? ____________________

a. 5 kg or b. 25 mg/dose or c. 2.5 mL