Med Math Quiz NURS 126 IV Calculation: Drip Factor,
Weight Based Dosage Calculations, Lilley Chapter 29:
Fluids & Electrolytes questions with verified answers
1 gr Ans✓✓✓ 60 mg
1 tsp Ans✓✓✓ 5 mL
A patient has been admitted with severe dehydration after working
outside on a very hot day. The nurse expects which intravenous
product to be ordered?
a. Albumin
b. Hetastarch
c. Fresh frozen plasma
d. 0.9% sodium chloride Ans✓✓✓ C
A patient is in an urgent care center and is receiving treatment for mild
hyponatremia after spending several hours doing gardening work in the
heat of the day. The nurse expects that which drug therapy will be used
to treat this condition?
a. Oral supplementation of fluids
b. Intravenous bolus of lactated Ringer's solution
c. Normal saline infusion, administered slowly
,d. Oral administration of sodium chloride tablets Ans✓✓✓ D
Mild hyponatremia is usually treated by oral administration of sodium
chloride tablets. Pronounced sodium depletion is treated by
intravenous normal saline or lactated Ringer's solution.
A patient is receiving an infusion of fresh frozen plasma. Based on this
order, the nurse interprets that this patient has which condition?
a. Hypovolemic shock
b. Anemia
c. Coagulation disorder
d. Previous transfusion reaction Ans✓✓✓ C
Fresh frozen plasma is used as an adjunct to massive blood transfusion
in the treatment of patients with underlying coagulation disorders. The
other options are not indications for fresh frozen plasma.
A patient is receiving conivaptan. Which action by the nurse is
appropriate?
a. Administer the drug by slow IV push over 10 minutes.
b. Report serum sodium levels of 149 mEq/L.
c. Monitor for hyperkalemia.
d. Implement measures to prevent constipation. Ans✓✓✓ B
, A patient who is severely anemic also has acute heart failure with
severe edema due to fluid overload. The prescriber wants to raise the
patient's hemoglobin and hematocrit levels. The nurse anticipates that
the patient will receive which blood product?
a. Fresh frozen plasma
b. Albumin
c. Packed red blood cells (PRBCs)
d. Whole blood Ans✓✓✓ C
PRBCs are given to increase the oxygen-carrying capacity in a patient
with anemia, in a patient with substantial hemoglobin deficits, and in a
patient who has lost up to 25% of total blood volume. A patient with a
coagulation disorder or a clotting-factor deficiency would receive fresh
frozen plasma; a patient who has lost a massive amount of blood would
receive whole blood.
A patient with a blood disorder needs a replacement product that
contains clotting factors. The nurse expects which product to be given?
a. Albumin
b. Fresh frozen plasma
c. Packed red blood cells
d. 0.9% normal saline Ans✓✓✓ B
Administration of a hypertonic intravenous fluid would result in which
of the following?
Weight Based Dosage Calculations, Lilley Chapter 29:
Fluids & Electrolytes questions with verified answers
1 gr Ans✓✓✓ 60 mg
1 tsp Ans✓✓✓ 5 mL
A patient has been admitted with severe dehydration after working
outside on a very hot day. The nurse expects which intravenous
product to be ordered?
a. Albumin
b. Hetastarch
c. Fresh frozen plasma
d. 0.9% sodium chloride Ans✓✓✓ C
A patient is in an urgent care center and is receiving treatment for mild
hyponatremia after spending several hours doing gardening work in the
heat of the day. The nurse expects that which drug therapy will be used
to treat this condition?
a. Oral supplementation of fluids
b. Intravenous bolus of lactated Ringer's solution
c. Normal saline infusion, administered slowly
,d. Oral administration of sodium chloride tablets Ans✓✓✓ D
Mild hyponatremia is usually treated by oral administration of sodium
chloride tablets. Pronounced sodium depletion is treated by
intravenous normal saline or lactated Ringer's solution.
A patient is receiving an infusion of fresh frozen plasma. Based on this
order, the nurse interprets that this patient has which condition?
a. Hypovolemic shock
b. Anemia
c. Coagulation disorder
d. Previous transfusion reaction Ans✓✓✓ C
Fresh frozen plasma is used as an adjunct to massive blood transfusion
in the treatment of patients with underlying coagulation disorders. The
other options are not indications for fresh frozen plasma.
A patient is receiving conivaptan. Which action by the nurse is
appropriate?
a. Administer the drug by slow IV push over 10 minutes.
b. Report serum sodium levels of 149 mEq/L.
c. Monitor for hyperkalemia.
d. Implement measures to prevent constipation. Ans✓✓✓ B
, A patient who is severely anemic also has acute heart failure with
severe edema due to fluid overload. The prescriber wants to raise the
patient's hemoglobin and hematocrit levels. The nurse anticipates that
the patient will receive which blood product?
a. Fresh frozen plasma
b. Albumin
c. Packed red blood cells (PRBCs)
d. Whole blood Ans✓✓✓ C
PRBCs are given to increase the oxygen-carrying capacity in a patient
with anemia, in a patient with substantial hemoglobin deficits, and in a
patient who has lost up to 25% of total blood volume. A patient with a
coagulation disorder or a clotting-factor deficiency would receive fresh
frozen plasma; a patient who has lost a massive amount of blood would
receive whole blood.
A patient with a blood disorder needs a replacement product that
contains clotting factors. The nurse expects which product to be given?
a. Albumin
b. Fresh frozen plasma
c. Packed red blood cells
d. 0.9% normal saline Ans✓✓✓ B
Administration of a hypertonic intravenous fluid would result in which
of the following?
