Sr. Seminar D&C Quiz

A nurse is providing teaching to a client who has a new prescription for alprazolam. Which of the following is the priority information the nurse should include in the teaching?

Use a reliable form of contraception while taking this mediation

a nurse is preparing to administer diphenhydramine 50 mg PO q 6 hrs. whats available is 25 mg.

D/H= 50/25= 2 mg

A nurse is caring for a client who has heart failure and a prescription for digoxin 125 mcg PO daily. Available is digoxin PO 0.25 mg/tablet. How many tablets should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

0.5 125 mcg= 0.125 mg 0.125 mg/0.25=D/H= 0.5

A nurse is providing discharge teaching to the parent of a child who is prescribed diphenhydramine 25 mg elixir every 4 hours as needed. The amount available is diphenhydramine elixir 12.5mg/5ml. How many mL should the nurse administer per dose?

10 mL D/H= 25/12.5= 10 mL

A nurse is calculating the total fluid intake for a client during a 4-hr period. The client consumes 1 cup of coffee, 4oz of orange juice, 3oz of water, 1 cup of flavored gelatin, 1 cup of tea, 5 oz of broth, and 3oz of water. The nurse should record how many mL of intake on the client's record?

1170 1 cup of coffee (8 oz)= 1 oz/ 30 ml= 8 oz/ X X=240 mL 4 oz of orange juice= 1oz/30ml=4oz/ X X=120 mL H2O 1oz/30ml= 3oz/ X X=90 mL Gelatin=240 Tea= 240 broth=150 3oz water= 90 all of this added up equals 1170 mL

A nurse is caring for a client who has schizophrenia and is experiencing hallucinations. The provider prescribes chlorpromazine 50 mg IM every 4 hr as needed. Available is chlorpromazine injection 25 mg/mL. how many mL should the nurse administer per dose? (Round the answer to the nearest whole number. Use leading zero if it applies. Do not use a trailing zero.)

2 mL D/H=50/25= 2

A nurse is preparing to instill 840 mL of enteral nutrition via a client's gastrostomy tube over 24 hr using an infusion pump. The nurse should set the infusion pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

35 ml/hr 840 ml/ 24 hrs= 35 ml/hr

A nurse in a clinic is talking with a client who has a new diagnosis of osteoarthritis. The nurse should anticipate that the client will require teaching about which of the following medications?

Acetaminophen

a nurse is caring for an adolescent client who has pneumonia and a prescription for cefpodoxime 5 mg/kg PO every 12 hr for 5 days. the client weights 88lb. how many mg should the nurse administer per dose.

200 mg weight= 40 kg=88 lb 5mg x 40 kg= 200 mg

A nurse is preparing to administer imipramine 200 mg PO daily divided equally every 12 hr. The amount available is imipramine 25 mg tablets. How many tablets should the nurse administer with each dose.

4 tabs D/H=200/25=8 tablets 8 tablets within 12 hrs means you have to divide 8 by 2 which means 4 tabs per dose

A nurse is preparing to administer vancomycin 15mg/kg/day divided equally every 12 hr. The client weighs 198 lb. How many mg should the nurse administer with each dose?

675 mg 198 lb= 90 kg 90 kg x 15 mg/kg/day= 1,350 "divided equally" so... 1350/2= 675 mg

A nurse is caring for a client who is postoperative following knee arthroplasty and has a new prescription for enoxaparin 1mg/kg/dose subcutaneous every 12 hr. The client weighs 95 lb. How many mg should the nurse administer per dose? (Round the answer to the nearest whole number/tenth. Use a leading zero if it applies/ Do not use a trailing zero.)

Order; enoxaparin 1mg/kg/dose Weight of the patient; 95 lbs 95 lbs/ 2.205 = 43.18 = 43.2 Mg has to be administered per dose

A nurse is preparing to administer haloperidol (Haldol) 5mg IM to a client. Available is haloperidol 20mg/ml. How many ml should the nurse administer?

0.25

A nurse is preparing to administer amantadine 150 mg PO every 12 hours. Available is amantadine 50 mg/5 ml syrup. How many mL should the nurse administer?

15 mL 150/50=D/H= 15 mL

A provider prescribes quetiapine 50 mg PO divided equally every 12 hr for 3 days. Available is quetiapine 25 mg tablets. How many tablets should the nurse administer per dose on day 3?

1 tablet Divide 50 mg into doses. 12 hrs means 2 doses. so 25 mg per dose. D/H= 25mg/25mg= 1 tablet

A nurse is preparing to administer lithium 300 mg PO every 8 hr. Available is lithium carbonate 150 mg capsules. How many capsules should the nurse administer per dose? (Write the number only, do not include the label. Round to the nearest 10th. Do not include a trailing zero. Put a leading zero if applicable).

Order:300mg in 4 divided doses. Mg/dose: 300mg Available : 150mg. Tablets should be administered= 2 D/H= 300/150=2

A nurse is caring for a client who is to receive liquid medications via a gastrostomy tube. The client is prescribed phenytoin 250 mg. the amount available is phenytoin oral solution 25 mg/5 ml. how many ml, should the nurse administer per dose?

Answer : prescribed dose of phenytoin = 250 mg amount available =25 mg/5 ml There for 1 ml = 25mg /5 =5mg So now we know that 1ml = 5mg So that 250mg / 50. =5mg = 5mg * 50. = 250 mg = 1ml * 50. = 50ml how many ml, should the nurse administer per dose. = 50ml

A nurse is preparing to administer morphine sulfate 2 mg IV bolus. Available is morphine sulfate 10 mg/mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth . Use a leading zero if it applies. Do not use a trailing zero.)

0.2 mL D/H= 2/10

1. A nurse is preparing to administer heparin 3000 units. Available heparin injection 5000 units/ml A nurse should administer

0.6ml D/H= 3000/5000=0.6

A nurse is reviewing the medical record of a client who has schizophrenia and is receiving olanzapine. Which of the following findings should the nurse identify as an adverse effect of olanzapine?

Weight gain of 3 lb in 2 weeks

A client is starting celecoxib to treat osteoarthritis. The nurse should instruct the client to watch and report which of the following adverse effects?

Black tarry stools

A nurse is caring for an infant who weighs 12 lb and is prescribed cefuroxime sodium 15mg/kg PO every 12 hrs. Available is cefuroxime sodium oral solution 125mg/5ml. How many mL should the nurse administer per dose? (round to the nearest tenth).

12 lb=5.45 kg 5.45 kg x 15 mg= 82.5=83 mg/kg (83/125) x 5 mL= 3.3

A nurse is preparing to administer metoprolol 5 mg IV bolus to a client for heart rate control. Available is metoprolol injection 1 mg/mL. How many mL should the nurse administer per dose?

5 mL D/H= 5/1=5

A nurse is preparing to administer heparin 2.000 units by IV bolus. Available is heparin injection 5.000 units/mL. How many ml should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

It means the available formulation contains 5000 units of heparin in 1 mL. So for 2000 units of heparin administration, the volume is to be taken can be calculated as: 5000/1 = 2000/X X = 2000/5000 X = 0.4 mL So, 0.4 mL of the available heparin should be administer to deliver the required Units of heparin.

A nurse is caring for a 1-month old infant who weighs 3500 g and is prescribed a dose of cephazolin 50 mg/kg by intermittent IV bolus 3x daily. How many mg should the nurse administer per dose (round to nearest tenth)

weight= 3500 g= 3.5 kg 3.5 kgx 50= 175