Dosage Calculations HESI Pharmacology Practice Question
500mg of ciprofloxacin is ordered to be given PO q12hr. A 250mg/5ml suspensions is available. How many mL will be administered per dose?
10 ml/dose
A child weighs 15lbs. The recommended dosage of penicillin oral solution for a child is 3.75 - 12.5 mg/kg q6h. What is the minimum safe daily dosage for this child? (Round to the nearest hundredth)
102.27 mg/day
IV flow rate for 598mL of D5W over 522 mins. Drop factor of 91 gtts. What is the IV drip rate? (Round to the nearest whole number
104 gtts/min
A vial of Doxorubicin reads 0.5 g per vial. Instructions say to reconstitute each 12 mg with 2.5 mL of NS. How many mL of NS will be needed to reconstitute the vial of the recommended concentration?
104.2 mL/vial
A client with Crohn's disease is receiving an intravenous infusion of 360mg in 0/9% sodium chloride, USP 260mL. The client is to receive the infusion over 2.5 hours. What rate should the nurse set the infusion pump at?
104mL
Amoxicillin suspension is available as 250mg/5mL. The doctor ordered amoxicillin 125mg PO four times daily. How many mL will you give per day?
10mL
A patient who is diagnosed with CHF and weighs 75kg is to receive Doubtamin 5mcg/kg/min on an infusion pump. The concentration is of the medication is 500mg in 250 mL of D5W. How many mL will be set on the pump to administer this medication effectively? (Round to the nearest whole number)
11 mL/hr
Determine the following in drops per minute using the drop factor provided. An IV of 1,000 mL 0.9 % NS is infusing at 18 macrogtt/min. The drop factor is 15 gtt/mL. How long will it take for the IV to infuse? (Express time in hours and minutes.): _____
11. ANS: 13 hr, 53 min
A client with cardiogenic shock weighs 220 lb and is receiving dopamine at the rate of 3 mcg/kg/minute. The solution strength available is dopamine 400 mg in 250 ml of D5W. The nurse should set the infusion pump to deliver how many ml/hour? (Enter numeric value only. If rounding is required, round to the nearest tenth.)
11.3
A client is receiving an IV solution of 2 grams of medication diluted in 100 ml of normal saline over a one hour time period. How many mg of medication is the client receiving per minute? (If rounding is required, round to the nearest whole number.)
33mg/min
The patient is to receive 500 mL of D5W with 20 units of synthetic oxytocin (Pitocin) IV at the rate of 0.002 units/min. •How many mL per hour will the patient receive? ______________
3 mL.hr
The medication order is to administer furosemide (Lasix) 2 mg/kg/day. The child weighs 33 pounds. Available: 8 mL vial labeled Lasix 10 mg/mL.How many mL will the nurse administer each day?
3 ml
A provider orders morphine 15 mg po. Morphine comes in a bottle of 5mg/mL. How many mL doses the patient receive?
3 ml/dose
The MD orders Nitroglycerin 5 mcg/minute. The pharmacy sends you a 500 mL solution of dextrose 5% in water with 50 mg of Nitroglycerin. At what rate in mL/hr should the nurse program the pump at?
3 ml/hr
A health care provider orders acetaminophen (Tylenol) supp 1 g pr q 6 hr prn temp > 101. Available: Tylenol supp. 325 mg (scored). How many supp. will you administer? Record your answer to the nearest whole number.
3 supp. Rationale: 1 g is equal to 1000 mg. Convert first by dividing 1 g with 325 mg to get 0.003 g. Then, use the standard formula above. Multiply 0.003 g to 1000 mg (desired dose) to get 3. Finally, multiply 3 to 1 supp (vehicle) to get 3 supp.
The PA just ordered 1550mg of vancomycin for your patient. The vial reads 2g, add 6mL of sterile water for a concentration of 500mg.ml. How many mL will be left in the vial after you draw up your dose?
3.1 mL
A client with hypertension who weighs 72.4 kg is receiving an infusion of nitroprusside (Nipride) 50 mg in D5W 250 ml at 75 ml/hour. How many mcg/kg/minute is the client receiving? (Enter numeric value only. If rounding is required, round to the nearest tenth.)
3.5
1L of Lactated Ringer is to be infused at a rate of 100mL/hour. You have a set with drip factor of 20 gtt/mL. At how many gtt/min should you regulate the IV?
33 gtt/min
A patient weighs 45kg and is prescribed a medication for 3mg/kg/dose. The stock strength is 2mg/0.5mL. What volume will you give the patient?
33.8mL
A child weighs 15lbs. The recommended dosage of penicillin oral solution for a child is 3.75 - 12.5 mg/kg q6h. What is the maximum safe daily dosage for this child? (Round to the nearest tenth)
340.9 mg/day
Doctor's order says 0.5L of normal saline to infuse over 6 hours. The drip factor is 30 drops. What is the drip rate (gtt/min)
42 gtt/min
The doctor ordered 1L of normal saline to infuse over 8 hours. The IV tubing is 20 gtt/mL. How many drops per minute will be infused?
42 gtt/min
The doctor orders 1 L of normal saline to infuse over 8 hours. The IV tubing is 20 gtts/mL. How many drops per minute will be infused?
42 gtt/min
The doctor orders 200mg of erythromycin in 250ml D5W to be infused over 1 hour. the drop factor is 10 gtt/mL. What is the IV rate in gtt/min?
42 gtt/min
An infusion of 1L of 4% dextrose in saline is required over 6hrs with a DF of 15. How many DPMs is this?
42 gtts/min
10 units of SC insulin is ordered to be administered every evening. You have a bottle of 100 units/mL insulin. How many mL will you administer?
0.1 ml/dose
Doctor ordered 24mg over 8 hours of a medication. You have 96mg/4 ml avaliable. What is the drip rate?
0.125 ml/hr
A dose of 2g of medication has ordered for a patient. The medication comes in 4g/0.4mL. What volume will you give the patient?
0.2 mL/dose
Your patient is admitted with meningitis and the doctor orders Rocephin 4500mg STAT and a head CT. You go to the pixies and the vial of Rocephin is for 50g and it states to add 5mL of sterile water for a concentration of 14g/mL. How many mL will you give to your patient?
0.32 mL
Convert 300mg to gm
0.3gm
The NP has ordered you to give your patient 400 mcg of Narcan. The medication is available in a vial that is labeled 1 mg/mL.How many mL of medication will the nurse administer? (If rounding is required, round to nearest tenth.)
0.4 mL
A nurse is ordered to administer Valium 2.5mg IM. When reconstituted with 1.4 mL of sterile water, vial of Valium has a concentration of 10mg/2mL. How many mL will the nurse administer?
0.5 mL
A client is prescribed Cytotec 0.1 mg four times a day. The pharmacy provides Cytotec 200 mcg tablets. How many tablets will the nurse give for each dose? (If rounding is required, round to the nearest tenth).
0.5 tablets
An order is placed for Heparin 5,000 units IV stat. Heparin comes in a vial with 10,000 unit per 1mL. How many mL will be given?
0.5mL
Solumedrol 1.5mg/kg is ordered for a child weighing 73lbs. Solumedrol is available as 75mg/1ml is available. How many mL must the nurse administer?
0.66mL
A doctor orders Pitocin at 8200 units for a client with chronic kidney disease. The 2mL multidose vial is labeled "each 1mL of solution contains 10,000 units of Pitocin". How many mL should the nurse administer?
0.8 mL
7,500 units of Heparin is to be given SC q12hr. The available solution contains 10,000 units/ml. How many mL should be injected? Round to the tenth
0.8 ml/dose
Heparin protocol is prescribed for a client weighing 90 kg. Per protocol, the heparin loading dose is 60 units/kg IV rounded to the nearest 100 units, with a maximum loading dose of 4,000 units. The heparin vial is labeled 5,000 units/ml. How many ml should the nurse administer? (If rounding is required, round to the nearest tenth.)
0.8ml
A client's daily PO prescription for aripiprazole (Abilify) is increased from 15 mg to 30 mg. The medication is available in 15 mg tablets, and the client already received one tablet today. How many additional tablets should the nurse administer so the client receives the total newly prescribed dose for the day? (Enter numeric value only.)
1
The nurse is preparing to administer 0.25 mg of bumetanide (Bumex) IV. The medication is available in a vial labeled 1 mg/4 ml. How many ml of medication should the nurse administer? (Enter numeric value only.)
1
A provider prescribes Phenytonin 0.2G PO BID. The amount available is 200mg per capsule. How many capsules should the nurse give? Round to the nearest whole number
1 capsule
A patient is prescribed 2 tablets of acetaminophen 325 mg every 4 to 6 hours. The total daily dose is not to exceed 4 grams, how many individual tablets can the patient safely take in one day?
1 tab= 325 mg •Prescribed 2 tabs which is 650 mg every 4-6 hr •Every 4 hours= 3,900 mg which is 3.9 g (below our 4 g max) 6 doses x 2 tabs= 12 individual tabs
Determine the following in drops per minute using the drop factor provided. D5 NS is infusing at 28 macrogtt/min. The drop factor is 10 gtt/mL. How much fluid volume will the client receive in 8 hr? _____
1,344 mL
A client is receiving an IV solution of sodium chloride 0.9% (Normal Saline) 250 ml with amiodarone (Cordarone) 1 gram at 17 ml/hour. How many mg/minute of amiodarone is infusing? (If rounding is required, round to the nearest tenth.)
1.1 mg/min
Your patient is admitted with PNA and the doctor orders ceftriacone 1200mg STAT and a CXR. You go to the pixies and the vial of ceftriaxone is for 5g and it states to add 5mL of sterile water for a concentration of 1g/ml. How many mL will you give to your patient?
1.2mL
A dose of 4500mg of medications has been ordered for a patient. The medication comes in 5g/0.3ml. What volume will you give the patient?
1.4mL
Doctor orders 15mg by mouth 4 hours. Pharmacy dispenses you 30mg/3ml. How many mL will you administer per dose?
1.5 mL/hr
A provider prescribes Haloperidol (Haldol) 3mg, PO TID. The amount avlaible is 2mg/tablet. How many tablets should the nurse administer with each dose? Round to the nearest tenth
1.5 tablets
The nurse plans to administer labetalol hydrochloride (Trandate) 0.3 grams PO to a client with hypertension. Trandateis available in 200 mg scored tablets. How many tablets should the nurse administer?
1.5 tablets
a provider prescribes 150mg of sertraline. The pharmacy sends a unit dose package labeled 100mg per tablet. How many tablets will the nurse administer?
1.5 tablets
A provider prescribes Heparin 8000units subcutaneously Q12 hours. The amount available is 5000 units/mL. How many mL should the nurse administer? Round to the nearest tenth?
1.6 mL
The nurse is reconstituting a vial of powder labeled 0.8 mg. How many mL of dilute should the nurse use to provide a single dose of 0.5mg/mL
1.6 mL
A doctor orders a one time dose of morphine sulfate 0.05mg/kg. Your client weighs 36 pounds. The syringe of morphine is labeled 0.5mg/ml. How many mL will you give?
1.6mL
A patient weighs 16.5kg and is prescribed a medication for 0.4mg/kg/dose. the stock strength is 20mg/5mL. What volume will you give the patient?
1.7mL
What volume is required for an injection if 750mg are ordered and stock ampules contain 350mg/mL? Round to the nearest tenth
1.7mL
What volume is required for an injection if 750mg are ordered and stock maples contain 200mg/ml? Round to the nearest tenth
1.8mL
A client who weighs 70 kg is receiving a dopamine solution of 800 mg/500 ml normal saline at 5 ml/hour. How many mcg/kg/minute is the client receiving? (Enter numeric value only. If rounding is required, round to the nearest tenth.)
1.9
A client who weighs 70 kg is receiving a dopamine solution of 800 mg/500 ml normal saline at 5 ml/hour. How many mcg/kg/minute is the client receiving? (If rounding is required, round to the nearest tenth.)
1.9 mcg/kg/min
The doctor orders 62.1mg of acetaminophen to be given PO q4h. Recommended dosage is 16mg/kg/dose. You have 160mg/5ml solution available. How many ml should be administered? Round to the tenth
1.9 ml/dose
Determine the infusion time for the following IV. State time in both traditional and military time. Round minutes to the nearest whole number of minutes. 60 mL of IV fluid with medication infusing at 50 macrogtt/min. Drop factor is 10 gtt/mL. Calculate the infusion time: _____
10 gtt: 1 mL = 50 gtt:x mL x = 5 mL/min 60 mL ÷ 5 mL/min = 12 min Infusion time: 12 min
Order: Etodolac 400 mg PO •Available: Etodolac comes in a bottle containing 1 gm medication •Reconstitution: Add 25 mL sterile water Question: How many mL will you give per dose?
10 mL
A provider orders an IV Heparin drip at 12 units/kg/hr and to administer a loading bolus dose of 60 units/kg IV before initiation of drip. Heparin bag reads: 25,000 units/250ml> Patient weighs 189lbs. What is the flow rate you will set the IV pump at?
10.3mL/hr
A 13kg child is ordered a medication for 2.5mg/kg/day with 3 doses per day. how many mg would you administer per dose?
10.8mg
A client who weighs 176 pounds is receiving an IV infusion with esmolol hydrochloride (Brevibloc) at 48 ml/hour. The IV solution is labeled with the concentration of Brevibloc 10 mg/ml. How many mcg/kg/minute is the client receiving? (Enter numeric value only.)
100
20 mEq Postassium Chloride in50 mL NS over 30 minutes. What is the hourly rate?
100 mL/hr
The doctor orders 1L NS to be infused over 10 hours. At how many mL/hr should the IV solution infuse?
100 mL/hr
The doctor orders 1L of D51/2NS with 50 mEq K+Cl added to be infused at a rate of 5mEq/hr. At what rate should the IV be infused?
100 mL/hr
Vancomycin 1 gram is to be given in 125ml of D5NS over 75 minutes. What is hourly rate?
100 mL/hr
A client who weights 176 pounds is receiving an IV infusion with esmolol hydrochloride (Brevibloc) at 48 ml/hour. The IV solution is labeled with the concentration of Brevibloc10 mg/ml. How many mcg/kg/minute is the client receiving?
100 mcg/kg/min
Your patient is admitted following a hip fracture and the doctor orders ceftriaxone 2.5g and admits the patient for surgery in the morning. Pharmacy sends up the vial of ceftiaxone is for 15g and its states to add 10mL of sterile water for a concentration of 2.5g/mL, then to further dilute to a concentration of 250mg/100mL. How many mL will you give to your patient?
1000mL
The patient has orders for 1L normal saline to run over 10 hours. How many mL/hr will you set the iV pump to run at?
100mL/hr
A healthcare provider has ordered dobutamine 10 mcg/kg/min IV for your 65 YO patient who weighs 174 lb. The dobutamine is available as 1000 mg/250 mL. At what rate will you set the IV infusion pump?
11.9 ml/hr
Oxytocin (Pitocin) 4 milliunits/minute IV is prescribed for a client with an ineffective contraction pattern. To administer the prescribed dosage, the nurse adds 20 units of oxytocin to Ringer's Lactate 1,000 ml . The infusion pump should be set to deliver how many ml/hour.
12 ml/hr
Your patient is receiving a Eptifibatide drip and the order states 2mcg/kg/minute. Your patient weighs your 167lbs and the concentration you received from the pharmacy reads 75mg/100mL. How fast should your Eptifibatide be infusing at? (Round to the nearest hundredth)
12.15 mL/hr
A doctor orders 250 mg PO ampicillin. A nurse has a bottle that says every 5mL has 100mg of drug. How many mL will the nurse give?
12.5 mL
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 numeric value only. If rounding is required, round to the nearest whole number.)
120
Ancef 150mg is diluted in 50mL of D5W to infuse over 25 minute. What is the hourly rate?
120 ml/hr
Cimetidine 300mg is diluted in 100mL D5NS to be infused over 50 minutes. What is the hourly flow rate?
120 ml/hr
Instructions on a 2.5 g vial of Diurilreads to reconstitute with 20 mL of sterile water. This will provide a concentration of ____ mg/mL?
125
The doctor orders 1,000 mL NS to be infused over 8 hours. At how many mL/hr should the IV solution infuse?
125 mL/hr
The doctor orders 1L NS to be infused over 8 hours. At how many mL/hr should the IV solution infuse?
125 mL/hr
A provider prescribes Dextrose 5% in water 500mL IV two infused over the next 4 hours. The nurse should set the IV infusion pump to deliver how many mL/hr? Round to the nearest whole number
125 ml/hr
Order: 300mL 0.45 NS every 24 hour. What is the hourly rate?
125 ml/hr
Find the flow rate in mL per hour: 1500mL RL over 12 hours
125mL
Find the flow rate in mL per hour: 3000mL 0.45% over 24 hours
125mL
Your patient will receive 500mL of PRBCs to run over 4 hours. How many mL per hour will you set the IV pump to run at?
125mL
The doctor orders D5 LR at 75ml?HR? The drop factor is 10 gtt/mL. At what rate in gtt/min should the IV be regulated?
13 gtt/min
The doctor writes an order to infuse a solution. The order reads: "Infuse 2 L at 150 mL/hr." How long will it take for the infusion to complete?
13 hrs and 20 mins
The doctor orders 80mg/kg/day of Acyclovir PO in 4 divided doses. The patient weighs 60 lbs. The medications comes as 200mg/5ml. How many mLs will you administer? (Round to the nearest tenth)
13.6 mL/dose
Your patient has a Heparin drip running at 26ml/hr. The heparin bag reads 12,500 units/250mL. How many units per hour is the patient receiving?
1300 units
15 mEq of potassium chloride in 1L of D5 and 1/2 NS has been ordered to be administered at a rate of 2 mEq/hr. How many mL/hr should the solution's IV infuse at? (Round to nearest whole number)
133 mL/hr
Cefotaxime 1G by intermittent IV bolus is ordered by the physician. The amount available is Cefotaxime 1 g in 100 moof 0.9% sodium chloride. To infuse over 45 minutes. The nurse should set the IV infusion pump to deliver how many mL/hr? Round to the nearest whole number
133 mL/hr
The nurse is administering a secondary infusion of amikacin 600mg in 100mL of D5W over 45 minutes. The pharmacy delivers 375mg in 150mL IV bag. What should the nurse program the pump at to deliver mL/hour?
133 mL/hr
40 mEQ Potassium Chloride is ordered to be given in 100mL NS over 45 minutes. What is the hourly rate?
133 ml/hr
The doctor orders Mexlocilin 3g IVPB in 130mL NS at a rate of 51 mg/min. How many mL/hr should the IV solution infuse at? (Round to nearest whole number)
133 ml/hr
The patient is receiving secondary infusion of erythromycin 1 gram in 100 ml dextrose 5% in water to be infused in 45 minutes. How many ml/hrshould the nurse program the infusion pump? Please round to nearest whole number.
133 ml?hr
Calculate the flow rate for manually regulated IV using the drops per minute: 1000mL NS over 24 hours, tubing is 20 gtt/mL. (Round to the nearest whole number)
14 gtts/min
Calculate the flow rate for manually regulated IV using the drops per minute: 250 mL D5W over 3 hours, tubing is 10 gtts/mL. (Round to the nearest whole number)
14 gtts/min
The nurse is to administer a medication at an IV flow rate of 631mL of D5W over 936 mins. Drop factor is 21 gtts/ What is the IV drip rate? (Round to the nearest whole number)
14 gtts/min
You increase your patient's Heparin drip to 24 units/kg/hr. The Heparin bag reads 25,000 units/ 250 mL.What is the new flow rate (mL/hr)? The patient weights 129 lbs. Round to the nearest tenth.
14.1 mL/hr
You are changing shift and doing your IV check with the oncoming RN, Darlene. The IV pump states that the Pitocin is running at 22ml/hr. The bag reads, 20 units of Pitocin in 500mL D5LR. Darlene ask "How many mill units per minute of Pitocin is the patient ordered for?" (Round to the nearest hundredths)
14.67 mu/min
Your patient is receiving a Doubtamine drip and the order states 6mcg/kg/minute. Your patient weighs 187lbs and the concentration you received from the pharmacy reads 500mg/250mL. How fast should your Dobutamine be infusing at?
15.3 mL/hr
A school-age child is prescribed 20 mg/kg/day of erythromycin over 4 divided doses. The child weighs 66 lbs. How many mg will the child receive each with dose?
150 mg for each dose
The MD prescribes 150 mg of an antibiotic IM daily for 7 days. The pharmacy sends you a vial with 2 grams of powder that is reconstituted with 5 mL of sterile water for total volume of 2 g in 5 mL.How many total mg will you administer in one week?
150 mg x 7 days= 1050 mg in one week
A client is prescribed to receive an intravenous infusion of 48 ml/kg/24 hours. The client weighs 165 lbs. How many milliliters per hour will the nurse administer? (If rounding is required, round to nearest whole number).
150 ml/hr
1000mL LR over 6 hours. Find the flow rate in mL per hour? (Round to whole number)
150mL
A client returns from surgery with a bag of IV that has 630mL of saline left from its starting volume of 1000mL. Per the order from the surgeon: "continue the IV for the next 7 hours" The IV pump is set to deliver 10gtts/min. What is the mL/hr that needs to be set?
15mL/hr
The doctor orders 1000ml of lactated ringer solution to be infused over 16 hours. The drop factor is 15 gtt/mL. At what rate in gtt/min should the IV be regulated?
16 gtt/min
An order is prescribed for Tobramycin 80mg in 120 mL over 1.5 hours. The drop factor is 12 drops. What is the drip rate?
16 gtts/min
Calculate the flow rate for manually regulated IV using the drops per minute: 500mL NS over 8 hours, tubing is 15 gtt/mL. (Round to the nearest whole number)
16 gtts/min
The pharmacy delivers IV solution of 50,000 units of heparin mixed in 1 liter of normal saline. The infusion is to be administered at 32 mL/hr. How many units of heparin per hour will the patient receive?
1600 units per hour
Order: 1000mL LR over 6 hours. What is the hourly rate?
167 ml/hr
500ml 5% Dextrose 0.45% NS over 3 hours. Find the flow rate per hour? (Round to the whole number)
167mL
An elderly patient has been diagnosed with pneumonia and has recieved an prescription for azithromycin to be infused over 90 nminutes. The pharmacy sends you a bag of azithromycin 500mg/200mL. What is the mL/hr for the IV pump to be set to? (Round to the nearest whole number)
167mL
The healthcare provider prescribes dilarid 375mg every 12 hours to infuse over 90 minutes. The pharmacy delivers 375mg in a 150ml bag. How many drops per minutes should the nurse regulate the gravity infusion using a drip chamber that delivers 10 drops/mL
17 gtt/min
You are hanging Dexedetomidine on your patient. The order says 0.8 mcg/kg/hr and the bag you received from the pharmacy says 1mg/250mL. Your patient weighs 189 lbs. How will you set up your IV pump?
17.18 mL/hr
Your patient is receiving a Dopamine drip and the order states 11mcg/kg/minute. Your patient weighs 190lbs and the concentration you received from the pharmacy reads 800mg/250mL. How fast should your Dobutamine be infusing at? (Round to the nearest hundredth)
17.8 mL/hr
The doctor orders 80mg/kg/day of acyclovir PO in 4 divided doses. The patient weighs 75lbs. The medications comes as 200mg/5ml. How many mLs will you administer?
17mL/dose
A 3800g infamnts is ordered a medication for 0.6mg/kg/day over 6 doses per day. How much will you give the patient per day?
2.3.mg
You are taking a patient back from the operating room who just had a valve replaced. The MAR shows that they are sup[posed to be recieving 20 units of heparin per kg per hour. The pharmacy sends up a bag of heparin that is 75,000 units/1000mL. The patient's medical records show weighs 150lbs. What will you set the IV pump to run? Round the nearest hundreth
18.18 mL/hr
A patient weighing 33 lbsis prescribed amoxicillin 250 mg by mouth every 8 hours. The medication is available as 200 mg/5 mL.The medication reference guide states that the safe dose of this medication is 25 to 50 mg/kg/day in divided doses. How many mL of the medication will the nurse provide to the client each day? If rounding is required, round to neared tenth.
18.8
The NP prescribes intravenous heparin bolus of 50 units/kg followed by an infusion of 36,000 units over 24 hours. The client weighs 187 lbs. How many units of heparin will the client receive during the bolus and the first hour of infusion?
187 lbs/2.2= 85 kg •50 units x 85 kg= 4,250 •36,000 units/24 hours= 1,500 units per hr •1,500 units + 4,250 units= 5,750 units
A 180-pound adult male is admitted to the Emergency Center after receiving thermal burns to 60 percent of his body. Using the Parkland formula of 4 ml/kg/24 hours, the client should receive how many ml of fluid during the first 24 hours? (Enter numeric value only. If rounding is required, round to the nearest whole number.)
19,632
A 150 lb patient has an order for dopamine 15 mcg/kg/min to treat heart failure. The courteous pharmacy staff sends a 250 mL bag labeled dopamine 3200 mcg/mL. At what rate will you set the IV infusion pump?
19.2ml/hr
A provider prescribed Erythromycin oral suspension 0.25g PO TID. The amount available is erthromycin oral suspension, 250 mg/mL. How many mL should the nurse administer with each dose? Round to the nearest tenth
1mL
The nurse is to give Gentamycin 100mg IM. The pharmacy sends a vial of Gentamycin labeled 0.5 grams/5mL. How many mL will the nurse administer?
1mL
A male client receives a prescription for ondansetron hydrochloride (Zofran) 4 mg IV to prevent postoperative nausea after an inguinal hernia repair. The medication is available in 2 mg/ml. How many ml should the nurse administer? (Enter numeric value only.)
2
400mg ibuprofen is ordered to be given PO q6h. The bottle available states that each pill contains 200 mg. How many pills should be given per dose?
2 pills
An order from the provider is sent over for Levothroxine 0.1 mg po daily. The package is available in tablets of Levothyroxine 50mcg. How many tablets would you administer?
2 tablets
The doctor orders 650mg of acetaminophen to be given PO q4h. The pharmacy has 325mg tablets available. How many tablets should be given?
2 tablets
500mg of ciprofloxacin is order to be given PO q12 hours. 250 mg tablets are available in the pharmacy. How many tablets will be given?
2 tablets/dose
Mineral oil U.S.P 30 ml PO daily for 3 days is prescribed for a client who is experiencing severe constipation. The dose cup is marked in tablespoons. How many tablespoons should the nurse administer? (Enter numeric value only.)
2 tbs
A client with pericardial effusion has phrenic nerve compression resulting in recurrent hiccups. The healthcare provider prescribes metoclopramide (Reglan) liquid 10 mg PO q 6 hours. Reglan is available as 5 mg/5 ml. A measuring device marked in teaspoons is being used. How many teaspoons should the nurse administer?
2 tsp
A child weighs 13.5kg and is prescribed for a medication for 0.8mg/kg/dose. The stock strength is 10mg/2mL. What volume will you give the patient?
2.2 mL
A healthcare provider prescribes an antibiotic 800mg to be given every 6 hours. The available vial is labeled "amoxillcin 1gram" and the instructions for reconstitution state, add 2.5 mL sterile water for injection to provide a total volume of 3.0mL. How many mL should the nurse administer?
2.4 mL
You'll be giving 50mg of Medication B mixed in 250mL of normal saline. The order says to run it at 100mL per hour. How long will it take for the whole bag to infuse, in hours?
2.5 hours
Convert 2500mcg to mg
2.5mg
Your 65 kg patient is receiving a dopamine infusion at the rate of 13 mL/h. The dopamine is mixed as 200 mg of dopamine in 250 mL of D5W. The infusion has been running for 1 hour 45 minutes. How many mcg/kg/min is the patient receiving
2.7mcg/kg/min
Your patient is admitted with cellulitis and the doctor ordered Rocephin 4300mg STAT. The medical assistant brings you a vial of Rocephin that the pharmacy just dropped off for your patient. The vial states Rocephin 12g and it states add 10mL of sterile water for a concentration of 1.5g/mL. How many mL will you give to your patient?
2.87mL
The doctors 5.7 mg of morphine sulfate to be administered via IM q2-qh prn. The pharmacy sends a bottle containing 2mg/ml. How many mL will be injected? Round to the tenth
2.96 ml/dose
You are doing your hourly checks in your patient's Suzy's room and you overhear her telling her daughter, "I am getting 1000 units of heparin per hour now instead of 1200 units of heparin, and I weigh 140lbs instead of 145lbs. so I must be getting better." The heparin bag reads 25,000 units/500 mL. What should her IV pump be set at? Round to the nearest hundredth
20
The patient will receive 1200mL of Rigners lactate solution to run over 10 hours. The IV tubing you'll use says "macro drip" at 10gtts/mL. How many drops per minute will be infused?
20 gtt/min
1L of Lactated Ringer is to be infused at a rate of 50mL/hr. How many hours will it take to infuse?
20 hours/infusion
The dose to be given of a medication is 5mg. The stock strength is 1mg/4ml. Calculate the mL needed rot deliver the medication
20 mL
A patient is prescribed 100 ml/hrof Dextrose 5% in 0.45 % normal saline for 8 hours and then 75 mL/hrof the same solution for the next 16 hours. How many total mL of fluid will the patient receive in 24 hours? (Calculate the number of mL.)
2000mL
Convert 2gram to mg
2000mg
The provider ordered 500 mg of Augmentin to be given to your patient every 12 hours. On hand: 125mg/5mL
20mL
You hear an IV pump beeping down the hall and go to investigate. You find that the heparin infusion is alarming occluded. The patient states they do not feel any discomfort, and their IV site is soft and is not red, so you go to restart the infusion. The bag reads 25,000 units/250ml. You check the MAR, and the patient is ordered for 2000 units per hour. What rate should your IV be infusing at?
20ml/hr
250 mL of normal saline is to be infused over 2 hours. You have a set with a drip factor of 10 gtt/ml. At how many gtt/min should you regulate the IV?
21 gtt/min
The doctor orders 150ml of D5W to be infused over 2 hour. The drop factor is 20 gets/ml. What is the flow rate in gtt/min?
25 gtt/min
Your patient is receiving a Esmolol drip and the order states 56mcg/kg/minute. Your patient weighs 138lbs and the concentration you received from the pharmacy reads 2500mg/250mL. How fast should your Esmolol be infusing at? (Round to the nearest hundredth)
21.08 mL/hr
Determine the following in drops per minute using the drop factor provided. Lactated Ringer solution is infusing at 45 microgtt/min. The drop factor is 60 gtt/mL. How much fluid volume will the client receive in 5 hr? _____
225 mL
Lactulose is prescribe with instructions to take 15grams PO daily. A 10g/15mL solution is available. How many mL should per administered? Round to the nearest whole number
23 ml/dose
The order is for 4g of procainamide in 1L D5W to be infused at a rate of 1.5mg/min. How many mL/hr should the solution infuse for?(Round to nearest whole number)
23 ml/hr
A client weighing 86 kg is receiving dopamine at 8 mcg/kg/minute. The drug is dispensed as dopamine 800 mg/500 ml. The nurse should program the infusion pump to deliver how many ml/hour? (If rounding is required, round to the nearest tenth.)
25.8 ml/hr
Mix 10 units of oxytocin in 1000 mL NS.Start infusion at 25 mL/hr.Increase by 5 mL/hrevery 10 minutes until uterine contractions are 2 to 3 minutes apart.Do not exceed 44 milliunits/min.Maintain total IV fluid volume at 100 mL/hr. How many milliunits per hour will be delivered? __________________
250 mL/hr
Order: 1 L of NS in 4 hours. What is the hourly rate?
250 mL/hr
Your patient is a 12 year old child male and and admitted for a fever. The resident is putting in orders and tell you he ordered 10mg/kg of Motrin. Your patient weighs 57lbs. How many mg of Motrin will you give? Round to the nearest whole number
259mg
Patient weighs 120 kg. How many lbs is this?
264 lbs
Your patient is receiving a Esmolol drip and the order states 48mcg/kg/min. Your patient weighs 220lbs and the concentration you received from the pharmacy reads 2500mg/250mL. How fast should your Esmolol be infusing at?
29.4 mL/hr
A provider prescribes cefixime 8mg/kg/day PO to be given in 2 divided doses. The client weighs 22lbs. The amount avlaibale is 100mg/5mL suspension. How many mL should the nurse administer per dose? Round to the nearest tenth
2mL
What volume is required for an injection if 500mg are ordered and stock maples contain 250mg/ml?
2mL
A provider prescribes cefixime *mg/KG/Day PO to be given in 2 divided doses. The client weighs 22lbs. The amount available is 100mg/5ml suspension. How many ml should the nurse administer per dose? Round to the nearest tenth
2ml/dose
A client with hypertension receives a prescription for carteolol (Cartel) 7.5 mg PO daily. The drug is available in 2.5 mg tablets. How many tablets should the nurse administer? (Enter numeric value only.)
3
The healthcare provider prescribes trimethoprim-sulfamethoxazole (Bactrim-DS Oral Suspension) 120 mg BID for a child with bronchitis. The Bactrim bottle is labeled 200 mg/5ml. How many ml should the nurse administer at each dose? (Enter numeric value only.)
3
A doctor ordered 196mg of medication X. You have 56mg per tablets of medications X available. How many tablets do you give?
3.5 tablets
Your patient is admitted with pericarditis and the doctor orders ceftriaxone 2900mg STAT and a CXR. The pixus has a vial of ceftiaxone is for 3g and it states to add 5ml of sterile water for a concentration of 800mg.ml. How many ml will you give to your patient?
3.6mL
The doctor orders 20g of a medication PO. Pharmacy gives 10g/15mL. how many mL will the nurse give per dose?
30 mL
There is a patient walking the hallway and he stops you and ask you "Since the machine says my heparin is going at 30mL/hr, how many units of heparin per hour amI getting now? Also where can I get some water?" You look at the medication bag and see it says Heparin 50,000units/500mL. How would you answer him?
3000 units
Your patient had orders for 1L of normal saline to run over 8 hours. You'll be using macro drip tubing at 15 gtt/mL. How many drops per minute will the patient receive?
31 gtts
Calculate the flow rate for manually regulated IV using the drops per minute: 40 mEq KCL in 100mL NS over 40 minutes, tubing is 20 gtt/mL. (Round to the nearest whole number)
31 gtts/min
Your patient has ingested 4 ounces of water and 6 ounces of coffee. The nurse also gives the patient one tablespoon of Robitussin. What is the total intake in mL after the fluids and medication have been administered?
315 mL
Your patient has had the following intake: 8 oz glasses of iced tea, 4 oz cartons of grape juice, ¾ pt of ice cream, 32 oz of juice, 1 ½ L of D5W IV and 6 oz of cottage cheese. What will you record as the total intake in mL for this patient?
3195 mL. Rationale: 1 pt = 500 ml 1 oz = 30 ml 8 oz is equal to 240 ml, 4 oz is equal to 120 ml, ¾ pt is equal to 375 ml, 32 oz is equal to 960 ml. Add 240 ml, 120 ml, 375 ml, 960 ml, and 1,500 ml to get 3,195 ml. 240 ml + 120 ml + 375 ml + 960 ml + 1,500 ml = 3,195 ml (Cottage cheese is not liquid at room temperature, so it is not included when calculating intake.)
Your patient is receiving a Dopamine drip and the order states 11mcg/kg/min. Your patient weighs 174lbs and the concentration you received from the pharmacy reads 400mg/250mL. How fast should your Dopamine be infusing at? (Round to the nearest hundredth)
32.63 mL/hr
Your patient has had the following intake: 2 ½ cups of coffee (240 mL/cup), 11.5 oz of grape juice, ¾ qt of milk, 320 mL of diet coke, 1 ¼ L of D5W IV and 2 oz of grits. What will you record as the total intake in mL for this patient?
3265 mL Rationale: 1 qt = 1,000 ml 1 oz = 30 ml 2 ½ cups is equal to 600 ml. 11.5 oz is equal to 345 ml. ¾ qt is equal to 750 ml. Add 600 ml, 345 ml, 750 ml, 320 ml, and 1250 ml to get 3,265 ml. 600 ml + 345 ml + 750 ml + 320 ml + 1,250 ml = 3,265 ml (Grits is not liquid at room temperature, so it is not included when calculating intake.)
The NP orders 36,000 units of heparin over 24 hours. The pharmacy sends you a solution of 50,000 units mixed in 500 mL of 0.9% normal saline. How many mL/hr should the nurse administer? If rounding is required, round to the nearest whole number.
36,000 units/24= 1,500 units/hr 15 ml/hr
Your 57 YO female patient, who has been diagnosed with septic shock, weighs 155 lb. She has an order for norepinephrine 0.1 mcg/kg/min IV. The pharmacy delivers a bag containing 4 mg norepinephrine in 250 mL D5NS. At what rate will you set the IV infusion pump?
36.4ml/hr
Your patient Lionel is recovering from a TBI and is on heparin therapy. The pharmacy sends up a heparin bag that reads 50,000units/1000mL. The order is written to run heparin at 75mL/hr. How many units of heparin is Lionel receiving per hour. Round to the nearest hundredth
3750 units
The doctor orders to give a patient 15.6mg of dopamine in 345 mL of F5W to be infused at a rate of 18mg/hr. Calculate the flow rate in mL/hr?
398.1 ml/hr
Mix 10 units of oxytocin in 1000 mL NS.Start infusion at 25 mL/hr.Increase by 5 mL/hrevery 10 minutes until uterine contractions are 2 to 3 minutes apart.Do not exceed 44 milliunits/min.Maintain total IV fluid volume at 100 mL/hr.You have calculated that 250 milliunits/hrwill be delivered.How many milliunits per minute will be delivered? Round to nearest hundredth.
4.17 millunits/Per min
A 3.4kg child is ordered a medication for 5mg/kg/day with 4 doses per day. How many mg would you admisnter per dose?
4.3mg
Lactulose is prescribed with instructions to take 3000mg PO TID. A 10g/15ml solution is available. How many mL should be administered?
4.5 ml/dose
Your patient is ordered for ampicillin 4500mg and the vial states 5g add 4.7mL of sterile water for a final concentration of 1g/mL and then further dilute for a max concentration of 100mg/50mL. How many mL will you draw out of the vial?
4.5mL
You are hanging Dexmedetomidine on your patient. The order say 0.3mcg/kg/hr and the bag you received from the pharmacy says 2mg/500mL. Your patients weighs 144lbs. How will you set up your IV pump? (Round to the nearest hundredth)
4.91 mL/hr
Convert 4mg to mcg
4000mcg
A client with acute decompensated heart failure (HF) is to receive an IV infusion of 0.9% normal saline with inamrinone(Inocor) 0.1 grams/100 ml at a rate of 8 mcg/kg/minute. The client' s current weight is 183 lbs. The nurse should program the infusion pump to deliver how many ml/hour? (If rounding is required, round to the nearest whole number.)
40ml/hr
Your patient will receive a blood transfusion of 500mL of red blood cells to run over 2 hours. Your IV tubing has a drip rate of 10 gtts/mL. How many drops per minute will be infused?
42 gtt//min
1L D5 33% NS has been ordered to be infused over 6 hours. The drop factor is 15 gtt/mL. At what rate in gtt/min should the IV be regulated?
42 gtt/min
A client recieves a prescription for 1 liter of lactated ringer's IV to be infused over 8 hours. The IV adminstration is set to run at 20 mL/hr. How many gtt/min should the nurse regulate the infusion?
42 gtt/min
You are discharging your patient, Rachel, and her mom shows you her Tylenol prescription. It says 12.5mg/kg/dose every 6 hours. Her mom is confused and ask how many mg she should be giving her. You know you just weighed Rachel this morning and she was 77lbs. How many mg should you tell Rachel's mom to give her?
437.5mg
A client is receiving a continuous infusion at 40mg/hr. The pharmacy provides a liter of normal saline with 900mg of the medication. The nurse should program the infusion pump to deliver how many mL/hour?
44
A patient is to receive Lidocaine at 3mg per minute. The drip contains a concentration of 1000mg of Lidocaine in 250mL of D5W. How many mL/hr will be set on the IV pump to infuse the medication?
45 mL/hr
Convert 99lbs to kg
45kg
The total volume ordered is 550ml NS 0.9% IV. The time over which it is to be given is 4 hours. The drop factor is 20. How many drops per minute will be delivered?
46 gtt/min
Doctor orders Amoxil for a child that weighs 63 lbs. The safe dosage range for this medication is 50 mg/kg/day every 8 hours. What is the safe dose for this child per dose?
477.27 mg/dose
A provider prescribes amoxicillin 30mg/kg/day PO to be given in 3 divided doses. the client weighs 44lbs. The amount available is amoxicillin 250mg/5mL. How many mL should the nurse adminster per dose? Round to the nearest tenth
4mL
0.5L of Lactated Ringer is to be infused at a rate of 100mL/hour. At how many hours will it take to infuse?
5 Hours/Infusion
The MD orders 1500 mg of a medication to be given IV q 6 hrs. The pharmacy sent a vial of 3 g with instructions to reconstitute with 9.6 mL NS for a final volume of 10 mL.How many mL of this medication will you give for each dose?
5 mL
The doctor prescribes 200mg TID of posaconazole to be given PO. a 40mg/ml suspensions is available. How many mL will be administered per dose?
5 ml/dose
Your patient is currently receiving 1,000 units of heparin an hour. The pharmacy sends you 50,000 units in 500 mL of 0.9 % Normal Saline. The NP changed your order to 500 units per hour. How many mL/hrwill you set the pump to?
5 ml/hr
You hear an IV pump beeping down the hall and go to investigate. You see heparin running at 50ml/hr. The bag reads 50,000 units/500mL of heparin. The patient states "the nurse was just in here pushing buttons on the beeping machine. Did they increase the units of heparin I am getting?" You respond with, "You are currently getting ________ units of heparin per hour, Mr. Roland. I will check with your nurse to find out if it was adjusted"
5,000 units
A child weighing 28.4 kg is in hypertensive crisis. The healthcare provider prescribes methyldopa (Aldomet) 40 mg/kg/day IV in 4 divided doses. The pharmacy provides a 50 mg/ml injection vial. How many ml should the nurse administer? (If rounding is required, round to the nearest tenth.)
5.7 ml/hr
The nurse is to administer Keflin 1 gm in 50mL over 20 minutes. The drop factor is 20 drops. What is the drip rate?
50 gtts/min
Instructions on a vial of 1 gram doxorubicin instructs to reconstitute with NS to make a concentration of 1 mg/mL.After reconstituting two vials, you would administer ____mL to administer a 500 mg dose?
500 mL/dose
The total volume ordered is 1.5L NS 0.9% IV. The time over which it is to be given is 3 hours. How many mL per hour would be delivered?
500mL/hr
A patient is having an annual exam and the scale says the patients weighs 110lbs. What is weight in Kg?
50kg
500 mg ampicillin in 100mL NS to infuse over 30 minutes. What is the flow rate per hour?
50mL
The doctor orders 5.7 units of Humulin regular insulin to be infused per hour. 50 units of insulin is placed in 500mL NS. How many mL/hr should the IV infuse at?
57 ml/hr
Your patient is receiving a Dopamine drip and the order states 17mcg/kg/min. Your patient weighs 197lbs and the concentration you received from the pharmacy reads 1600mg/1L. How fast should your Dopamine be infusing at? (Round to the nearest hundredth)
57.09 mL/hr
Your patient's recent PTT is 45. According to protocol, you need to increase the Heparin drip by 2 units/kg/hrand administer 30 units/kg IV bolus. You will recheck the PTT in 6 hours. The patient is currently receiving a Heparin drip at 22 units/kg/hrfrom a bag that reads 25,000 units/250 mL.The patient weighs 129 lbs. How many units will the patient receive as a bolus, and how many units per kilogram per hour will the patient receive based on the new PTT result?
58.6 x 30=1,758 units 24 units/kg/hr
Calculate the IV drip rate for 0.91L of 0.9% NaCl over 22.1 hours. Drop factor is 86. What is drip rate in gtts/min?
59 gtts/min
A school-age client who weighs 44 lbsis prescribed clarithromycin oral suspension 7.5 mg/kg by mouth every 12 hours. The medication is available as 250 mg/5 mL.How many mL of medication will the nurse provide the client in one day?
6 mL
An IV infusion of dextrose 5% in normal saline with oxytocin (Pitocin) 20 units in 1,000 ml is prescribed for a client to control postpartum bleeding. The solution is to be administered at a rate of 2 mu/minute. The nurse should program the infusion pump to administer how many ml/hour? (If rounding is required, round to the nearest whole number.)
6 ml/hr
A nurse needs to give 30mL of Colace to a patient. How many teaspoons is this?
6 teaspoons
The doctor orders 122.5mg of ibuprofen to be given PO q6h. the oral suspension available contains 100mg/5ml. How many ml should be given? Round to the tenth
6.1 mL/dose
A pediatric client weighs 40lbs. The provider ordered Gantrsisin Pediatric Suspension 150mg per kg PO in four divided doses per day. The label reads:" Gantrisin 0.5g per tsp. How many mL should the nurse administer per dose?
6.8 ml/dose
The total volume ordered 1200mL NS 0.9% IV. The time over which it is to be given is 2 hours. How many mL per hour would be delivered?
600mL/hr
An infusion of 1.5mL of 0.9% saline is required over 8 hours with a DF of 20. How DPOM is this?
62 dpm
250 mL of lactated ringer is to be infused over 4 hours. You have a micro drip set available. At how many gtt/min should you regulate the IV? (hint: microdrip sets only come in 60 gtt/ml)
63 gtt/min
Order: 0.5 L D5LR in 8 hours. What is the hourly rate? Round to the nearest whole
63 mL
At the end of the shift, the nurse is recording the fluid balance for a client receiving a continuous gastrostomy tube (GT) feeding. Based on the client's records, how many ml should the nurse record for the total fluid balance (intake - output) for the shift that started at 0700 and ended at 1900? (Enter numeric value only.) (Click on each image asset for additional information.)
695
The dose to be given of a medication is 1.2 gram. The stock strength is 2g/10mL. Calculate the mL needed to deliver the medication
6mL
A child weighs 22lbs. An order for Augmentin Oral Suspension is prescribed at 30mg per kg/day PO in two divided dose. The label reads: 125mg/5ml. How many ml should be administered per dose?
6mL/dose
The doctor orders 50mg of a medication PO. Pharmacy gives 100mg/15mL. How many mL will the nurse give?
7.5 mL
Peter had an allergic reaction to a bee sting and his pediatrician told his mom to give 3mL of Benadryl. the bottle of Benadryl bottle reads 12.5mg/5mL. How many mg will his mom give him?
7.5mg
A 22 lb, 11-month-old infant, in shock has an order for norepinephrine 0.1 mcg/kg/min IV. The norepinephrine is available in a concentration of 8 mcg/mL. At what rate will you set the IV infusion pump?
7.5ml/hr
The healthcare providers prescribes a hydration infusion of normal saline to run over 3 hours at 30mL/kg for a client who is dehydrated and weighs 70kg. The nurse should program the infusion pump to deliver how mL/hour?
700
An infusion of 850mL of 0.9% saline is required over 12 hours with a DF of 60. How many dpm is this?
71dpms
The doctor order says: Vancomycin 2,000 mcg IV. The instructions on the vial of Vancomycin says to reconstitute with sterile water for a concentration of 2 mg/mL then to dilute each 2 mg in 75 mL of sterile normal saline. How many mL will you use to administer this ordered dose?
75 mL/dose
Order: 1800mL 1/2 NS per day by infusion pump. What is the hourly rate?
75 ml/hr
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 nurse should program the infusion pump to deliver how many ml/hour? (If rounding is required, round to the nearest hundredth.)
75 ml/hr
Find the flow rate in mL per hour: 40 mEq KCL in 100mL NS over 45 minutes
75mL
A client weighs 96 kg receives a prescription for heparin at 80 units/kg intravenous for treatment of deep vein thrombosis. How many units should the nurse administer?
7680 units
The doctor ordered your patient to receive 1200mL of lactated ringers to run at a rate of 150mL per hour. How many hours will it take for it all to be infuse?
8 hours
Provider ordered Digoxin Elixir pediatric 15mcg/kg of body weight per dose PO now. Label reads: Digoxin 0.52 mg per mL. How many should a child receive per dose? Child weighs 60lbs
8.2ml/dose
You are hanging Dexmedetomidine on your patient/ The order says 0.9 mcg/kg/hr and the bag you received from pharmacy says 200 mcg/50mL. Your patient weighs 84 lbs. How will you set up your IV pump? (Round to the nearest hundredth)
8.59 mL/hr
Donna, your 7-year old patient, is being discharged home with Tylenol. She is prescribed 12.5mg/kg every 4 hours and weighs 48lbs. Her mom shows you her bottle of Tylenol from home is asking how many mL of Tylenol she should give Donna. The bottle of Tylenol says 160mg/5ml. how many mL should Donna's mom give to her every 4 hours?
8.5mL
You are coming onto your shift and doing your IV check with the off going RN. The IV pump states that the Pitocin is running at 13mL/hr. The bag reads 40 units of Pitocin in 1000ml in D5LR. You can anticipate that the order should read how many milliunits per minute of Pitocin? (Round to the nearest hundredths)
8.67 mu/min
A client is prescribed to receive oxytocin (Pitocin). The pharmacy prepares the infusion by diluting 30 units of the medication in 1000 mL of dextrose 5% and water. If the infusion is to be provided over 6 hours, how many milliunits of the medication will the client receive each minute? (If rounding is required, round to the nearest whole number).
83
Find the flow rate in mL per hour: 1000mL NS over 12 hours. (Round to the nearest whole number)
83mL
The total volume ordered is 225mL NS 0.9% IV. The time over which it is to be given is 40 minutes. The drop factor is 15. How many drops per minute will be delivered?
84 gtts/min
Mary, your patient, is on heparin therapy recovering from a CVA. She is receiving heparin at a rate of 34 ml/hr. The bag of heparin reads 25,000 units/100mL. How many units of heparin is Mary receiving per hour?
850 units
0.5L of normal saline is to be infused at of 30ml/hour. You have a set with drip factor of 15 gtt/ml. At how many gtt/min should you regulate the IV?
8mL/dose
Find the flow rate in mL per hour: 75mL NS over 8 hours (Round to the nearest whole number)
94mL
The nurse 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. The nurse should report that how many ml remain to be infused by the on-coming nurse? (Enter numeric value only.)
95
Determine the infusion time for the following IV. State time in both traditional and military time. Round minutes to the nearest whole number of minutes. 150 mL D5W NS infusing at 20 macrogtt/min. Drop factor: 15 gtt/mL. Calculate the infusion time: _____
ANS: 15 gtt: 1 mL = 20 gtt:x mL x = 1.33 = 1.3 mL/min 60 min ´ 1.3 mL/min = 78 mL/hr 150 mL ÷ 78 mL/hr = 1.92 hr 60 min ´ 0.92 hr = 55.2 = 55 min Infusion time: 1 hr 55 min
Determine the following in drops per minute using the drop factor provided. 500 mL D5W is infusing at a rate of 25 macrogtt/min. The drop factor is 10 gtt/mL. How long will it take for the IV to infuse? (Express time in hours and minutes.): _____
ANS: 3 hr, 20 min
Determine the following in drops per minute using the drop factor provided. 0.45% NS at 30 mL/hr a. 10 gtt/mL _____ b. 15 gtt/mL _____ c. 20 gtt/mL _____ d. 60 gtt/mL _____
ANS: a. 5 gtt/min or 5 macrogtt/min b. 8 gtt/min or 8 macrogtt/min c. 10 gtt/min or 10 macrogtt/min d. 30 gtt/min or 30 microgtt/min
Your patient, Mary calls out and is ready to eat lunch. You check Mary's blood sugar, and it was 120. According to Mary's order she is supposed to get Humalog based on a sliding scale before every meal. With a blood glucose of 120, how much Humalog will you give Mary? Her sliding scale states: Blood Glucose: <99: 0 units 119-132: 2.5 units 133-139: 3.5 units 140-149: 6.5 units 150-159: 8 units 160-179: 10 units >180: 15 units
BG 120 = 2.5 units
Aaron your 32 year old patient, is getting ready for breakfast and is asking for his Novolin with his breakfast and his NPH. You check his blood sugar and it is 133. According to his orders he is supposed to get Novolin based on a sliding scale before every meal and with an evening snack and 13 units of NPH BID. How much Novolin will you give Aaron? His sliding scale is: Blood Glucose: <120 - 0.5 units 121-132 - 1.3 units 133-144 - 2.7 units 145 - 166 - 3.6 units 157 - 168 - 5.5 units >169 - 7.8 units
BG 133 = 2.7 units
Your patient Margaret calls out and is ready to eat dinner with he husband. On your way to the med room the medical assistant she just left Margaret's room and her blood sugar was 139. According to her orders, she is supposed to get Aspart based on a sliding scale before every meal. With a blood glucose of 139, how much Aspart will your give her? Her sliding scale reads: <99: 0 units 119-132: 1.5 units 133-139: 4.5 units 140-149: 6.5 units 150-175: 10 units 175-199: 15 units >200: 20 units
BG 139 = 4.5 units
Sam, your 16 year old patient is getting ready for bed and is asking for his Humalog with string cheese and his NPH. You check his blood sugar, and it is 153. According to his orders, he is supposed to get Humalog based on a sliding scale before every meal and with an evening snack and 10 units of NPH BID. How much Humalog will you give Sam? His sliding scale states: Blood Glucose: <130: 0.5 units 131-142: 1 unit 143-154: 2.5 units 155-166: 3 units 167-178: 5.5 units >179: 7 units
BG 153 = 2.5 units
Your patient Liam just woke up and is ready to eat his breakfast. You check his blood sugar and it is 153. According to his orders, he is supposed to get Lispro based on a sliding scale before every meal. How much lisper will you give Liam? His sliding scale states: Blood Glucose: <99: 0.5 units 119-132: 1 unit 133-139: 2.5 units 140-149: 3 units 150-155: 5 units >155: 7 units
BG 153 = 5 units
The MD orders your patient to start an IV Heparin drip at 18 units/kg/hrand to administer a loading bolus dose of 30 units/kg IV before initiation of the drip. You're supplied with a Heparin bag that reads 25,000 units/500 mL.The patient weighs 172 lbs. What is the flow rate you will set the IV pump at (mL/hr), and how many units will be administered for the IV bolus?
Bolus: 30 units x 78.2=2,346 units 28.1 mL/hr
Give Biaxin for a child whose BSA is 0.55 m2. The usual adult dose is 500 mg. Biaxin is available in an oral suspension. The 100ml bottle is labeled 50 mg/ml. How many ml would the nurse give per dose?
Child Dose BSA Formula: •Child's BSA x usual adult dose/1.73 m2= child's dose •0.55 x 500 mg= 275/1.73=158.95 3.2 mL
A 110-pound, adult female is admitted to the Emergency Center after receiving burns to 40 percent of her body. Using the Parkland formula, the client's fluid requirements for the first 24 hours after injury is calculated using Lactated Ringer's 4 ml solution x Body weight (in kilograms) x Percent burn. The client should receive one-half of the 24-hour calculated fluid volume in the first 8 hours of treatment. The nurse should set the infusion pump to deliver how many ml/hour during the first 8 hours? (Enter the numerical value only. If rounding is required, round to the nearest whole number.)
Parkland Formula •4 mL x kg x percent of burns •4 mL x 50 kg x 40%= 8,000mL •Half of 8,000 is 4,000 •4,000 mL/8 hours= 500 mL/hr
A patient is prescribed to receive a 20 mg of a medication intravenous push over 2 minutes. The medication is available as 5 mg/mL.How many mL of the medication will the nurse administer over 1 minute?
Total dose to administer over 2 minutes is 4 mL 4 divided by 2= 2 mL will be administered over 1 minute.
Determine the following in drops per minute using the drop factor provided. 3,000 mL D5W at 125 mL/hr a. 10 gtt/mL _____ b. 15 gtt/mL _____ c. 20 gtt/mL _____ d. 60 gtt/mL _____
a. 21 gtt/min or 21 macrogtt/min b. 31 gtt/min or 31 macrogtt/min c. 42 gtt/min or 42 macrogtt/min d. 125 gtt/min or 125 microgtt/min
: Determine the following in drops per minute using the drop factor provided. 0.33% NS at 200 mL/hr a. 10 gtt/mL _____ b. 15 gtt/mL _____ c. 20 gtt/mL _____ d. 60 gtt/mL _____
a. 33 gtt/min; 33 macrogtt/min b. 50 gtt/min; 50 macrogtt/min c. 67 gtt/min; 67 macrogtt/min d. 200 gtt/min; 200 microgtt/min
Determine the following in drops per minute using the drop factor provided. 2,500 mL RL in 12 hr a. 10 gtt/mL _____ b. 15 gtt/mL _____ c. 20 gtt/mL _____ d. 60 gtt/mL _____
a. 35 gtt/min; 35 macrogtt/min b. 52 gtt/min; 52 macrogtt/min c. 69 gtt/min; 69 macrogtt/min d. 208 gtt/min; 208 microgtt/min
Determine the following in drops per minute using the drop factor provided. 250 mL of packed cells in 4 hr a. mL/hr _____ b. gtt/min (drop factor: 20 gtt/mL): _____
a. 63 mL/hr b. 21 gtt/min or 21 macrogtt/min
