QUESTIONS WITH SOLUTIONS GRADED A+
◉What action should the nurse implement when accessing an
implanted infusion port for a client who receives long term IV
medications? Answer: Insert a Huber-point needle into the port
◉A client receives a prescription for an intravenous infusion of
Dextrose 5% in 0.45% Sodium chloride (D51/2 NS) 500 ml to be
infused over 6 hours. The nurse should program the infusion pump
to deliver how many ml/hour? (Enter numeric value only. If
rounding is required, round to the nearest whole number.) Answer:
83
◉The nurse is caring for a client who is receiving 24-hour total
parenteral nutrition (TPN) via a central line at 54 ml/hr. When
initially assessing the client, the nurse notes that the TPN solution
has run out and the next TPN solution is not available. What
immediate action should the nurse take? Answer: Infuse 10%
dextrose and water at 54 ml/hour.
◉A child with a urinary tract infection is receiving cephalexin
(Keflex) 100 mg suspension PO QID. Keflex oral suspension is
,labeled "125 mg in 5 ml." How many ml should the nurse
administer? (Enter numeric value only. If rounding is required,
round to the nearest tenth.) Answer: 4
◉The nurse notes that a client is receiving an oxytocin (Pitocin)
infusion via a pump that is programmed to deliver 30 ml/hour. The
available solution is Ringer's Lactated 1,000 ml with Pitocin 20
units. How many milliunits/minute is the client receiving? (Enter
numeric value only, whole number.) Answer: 10
◉A child who weighs 55 pounds receives a prescription for
atovaquone with proguanil (Malarone Pediatric) 125 mg/50 mg PO
daily. A drug reference states that children 11 to 20 kg should
receive 1 pediatric tablet daily; 21 to 30 kg should receive 2
pediatric tablets daily; 31 to 40 kg should receive 3 pediatric tablets
daily; and greater than 40 kg should receive 1 adult tablet daily with
food. The drug is available as atovaquone 62.5 mg/proguanil 25 mg
pediatric tablets. How many tablets should the nurse administer?
Answer: 2
◉A client who had mitral valve replacement surgery receives a
prescription for Dextrose 5% in Water (D5W) 250 ml with
dobutamine 0.5 grams for IV infusion at a rate of 5 mcg/kg/minute.
The client weighs 75 kg. The nurse should program the infusion
pump to deliver how many ml/hr? (Enter numeric value only. If
rounding is required, round to the nearest tenth.) Answer: 11.3
, ◉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? (Enter
numeric value only. If rounding is required, round to the nearest
tenth.) Answer: 1.1
◉A client receives a prescription for inamrinone (Inocor) 0.75
mg/kg IV bolus to be delivered over 3 minutes. The client weighs 80
kg. Inamrinone is available for injection, 100 mg/20 ml. How many
ml of inamrinone should the nurse administer? (Enter numeric
value only. If rounding is required, round to the nearest whole
number.) Answer: 12
◉A client scheduled for surgery is to receive an IV infusion of 0.9%
sodium chloride with prochlorperazine edisylate (Compazine) 10
mg/50 ml over 30 minutes. The nurse should program the infusion
pump to deliver how many ml/hour? (Enter numeric value only, as a
whole number.) Answer: 100
◉A client receives a prescription for a dose of medication 300 mg IV
every 6 hours. The preparation arrives from the pharmacy diluted in
a secondary infusion of 0.9% Sodium Chloride (NaCl) 50 ml. The
nurse plans to administer the dose over 20 minutes. How many
ml/hour should the nurse program the infusion pump to deliver the
secondary infusion? (Enter the numeric value only, rounded to a
whole number.) Answer: 150