NURS 222 Exam

NURS 222 Exam 1 liter of 0.9% normal saline is to infuse over 8 hours. The drop factor is 15 gtt/mL. How many drops should infuse per minute. If rounding is necessary, round to the nearest whole number. ____ gtt/min - Correct Answer-1000(15)/8(60 = *31 gtt/min* 1 liter of 0.9% normal saline is ordered to infuse over 4 hours. One hour after starting the infusion, the nurse the nurse discovers there is 900 mL of solution remaining. Recalculate the rate in mL/hr so that the remaining fluid finishes within the original prescribed time period? ______ mL/hr - Correct Answer-900/3 = *300 mL/hr* The prescribing clinician orders acetaminophen 975mg PO q 6 h PRN. Acetaminophen is available as 160mg/5mL. How many milliliters should the nurse administer per dose? (If rounding is necessary, round to the nearest whole milliliter). ______ mL - Correct Answer-5mL(975 mg) / 160mg = *30 mL* The patient is prescribed acetaminophen 650mg PO q 2 h. The drug reference indicates the maximum 24-hour dose of acetaminophen is 4g. Does this order fall within the safe dose range for this patient? Yes or No. ____________ - Correct Answer-650mg(12hr) = 7,800 7,800>4000 *No* Levofloxacin 750mg PO once daily is ordered. Levofloxacin is available as 250mg/5ml. The patient wants to know how many teaspoons to take at home. If rounding is necessary please round to the nearest whole teaspoon. ____ tsp - Correct Answer-5mL(750mg)(1 teaspoon) / (250mg)(1)(5mL) = 3 teaspoons The patient is prescribed piperacillin-tazobactam 445mg IVPB q 6 h. Piperacillin-tazobactam is premixed in 150ml of 0.9% normal saline. The medication is to infuse over 30 minutes. Calculate the infusion rate in milliliters per hour. If rounding is necessary, please round to the nearest whole number. _____ mL/hr. - Correct Answer-150ml/30min = 5mL/min 5mL(60min) = *300mL/hr* The patient is ordered for Heparin 1000 units/hour IV continuous infusion. Heparin is available as 25,000units in 250mL of 0.9% normal saline. Calculate the infusion rate in milliliters per hour. If rounding is necessary, please round to the nearest whole number. _____ mL/hr - Correct Answer-250mL(1000units) / 25000units(1hr) = *10 mL/hr* The patient is ordered for ondansetron hydrochloride 10mg IV push q 8 hrs PRN. Ondansetron hydrochloride is available as 2 mg/mL. How many milliliters should the nurse administer per dose? If rounding is necessary, please round to the nearest whole number. _____ mL - Correct Answer-1 mL(10mg) / (2mg) = *5 mL* Paracetamol is ordered as 50 mg per 2 kg body weight. The patient weighs 22lbs. Calculate how many mg of Paracetamol the nurse should administer per dose. _______ mg - Correct Answer-22lbs = 10kg 10/2 = 5 5kg(50mL) = *250mg* Digoxin 0.5mg PO once daily is ordered. Digoxin is available as 125mcg/tablet. How many tablets should be administered per dose?________ tablet(s) - Correct Answer-125mcg=0.125mg 0.5mg/.125mg = *4 tablets* Lactated ringers solution is infusing at 30 drops per minute via a macrodrip tubing with a 15gtt/ml drop factor. Calculate the infusion rate in milliliters per hour? ______ mL/hr - Correct Answer-1mL(30gtt)(60min)/15gtt(1min)(1hr) = *120 mL/hr* D50.45% NS is infusing at 24 mL/hr. The IV tubing has a drop factor of 60 gtt/mL. Calculate the infusion rate in drops per minute? If rounding is necessary, please round to the nearest whole number.______ gtt/min - Correct Answer-60gtt(24mL)(1hr) / (1mL)(1hr)(60min) = *24 gtt/min* A client's full day oral intake included 5 tsp of gelatin, 7 oz of juice, and 6 Tbs of broth. What is the total intake documented by the nurse? Record your answer as a whole number. __________ mL - Correct Answer-5(5) + 7(30) + 6(15) = *325 mL* Convert 980 mcg to mg. ______ mg - Correct Answer-980/1000 = *0.98* Convert 8 lbs 4 oz to kg. _______kg - Correct Answer-4oz = .25 pounds (divide 4 by 16) 8.25 pounds = *3.75 kg* (divide 8.25 by 2.2) The patient is ordered for an IV bolus of regular insulin to run at 0.15 units/kg. The patient's weight is 125 lbs. The pharmacy dispenses regular insulin 250 units regular insulin in 250 mL of 0.9% NS. Calculate the bolus amount of regular insulin the nurse should administer in milliliters. ______ mL - Correct Answer-250mL(0.15units)(1kg)(125lbs) / 250units(1kg)(2.2lbs) = *8.5mL* The patient is ordered milrinone continuous IV infusion to run at 0.5 mcg/kg/minute. The patient's weight is 23.4 kg. The pharmacy dispenses milrinone 10 mg/40 mL 0.45% NACL. Calculate the infusion rate in milliliters per hour. If rounding is necessary, please round to the nearest tenth of a milliliter. _____mL/hr - Correct Answer-40mL(0.0117mg)(60min) / (10mg)(1min)(1hr) = *2.8 mL/hr* The patient is prescribed dopamine hydrochloride IV infusion to run at 4 mL/hr continuously. The pharmacy dispenses dopamine hydrochloride 400 mg in 250 mL D5W. Calculate how many milligrams the patient is receiving per hour. If rounding is necessary, please round to the nearest tenth of a milligram. ____ mg/hr - Correct Answer-400mg(4mL) / 250mL(1hr) = *6.4 mg/hr* The patient is ordered for hydrochlorothiazide 25 mg PO daily. How many tablets should the pharmacy dispense to fill a 90 day supply of hydrochlorothiazide? The bottle contains hydrochlorothiazide 50 mg/tablet (scored). ____ tablet(s) - Correct Answer-pt only needs 0.5 tablets a day 90(0.5) = *45* How to go from oz to pounds? - Correct Answer-divide oz by 16 1 pound = 16 oz HOW MANY ML IS A TEASPOON - Correct Answer-5mL How many ml is a tablespoon? - Correct Answer-15 mL How many mL is 1 oz? - Correct Answer-30 mL How to get from mcg to mg? - Correct Answer-divide by 1000 there is 1000 mcg in 1 mg