A child with a seizure disorder receives a prescription for phenytoin 20 mg by mouth every 8 hours. The suspension is available in 125 mg/5 mL. How many ml. should the nurse administer? (Enter the numerical value only. If rounding is required, round to the nearest tenth.)
Correct Answer: 0.8
Rationale: Volume = 20 mg × (5 mL / 125 mg) = 0.8 mL.
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The healthcare provider prescribes 1 liter of lactate Ringers to infuse in 8 hours. The IV administration set delivers 15 gtt/mL. How many mL/hour should the nurse program the infusion pump? (Enter numeric value only. If rounding is required, round to the nearest whole number.)
Correct Answer: 125
Rationale: Infusion rate = 1000 mL / 8 hours = 125 mL/hour.
A client receives a prescription for amoxicillin 2 g/clavulanate 125 mg by mouth every 12 hours for 10 days. The medication is available in 1000 mg/62.5 mg extended release tablets. How many tablets should the nurse administer? (Enter numerical value only.)
Correct Answer: 2
Rationale: Total dose = 2000 mg amoxicillin + 125 mg clavulanate. Tablet strength = 1000 mg/62.5 mg. Tablets = (2000 + 125) / (1000 + 62.5) = 2 tablets.
The healthcare provider prescribes amoxicillin 500 mg every 8 hours for a child who weighs 88 pounds. The recommended maximum safe dose is 50 mg/kg/24 hour. The available suspension is labeled, Amoxicillin Suspension 250 mg/5 mL. Based on this child weight, how many mL should the nurse administer ? (Enter numerical value only. (If rounding is required, round to the whole number.))
Correct Answer: 3
Rationale: Weight: 88 × 0.454 = 39.952 kg. Max safe dose: 50 mg/kg/day × 39.952 = 1997.6 mg/day. Per dose (3 doses/day): 1997.6 / 3 = 665.87 mg. Volume: 665.87 / (250 mg / 5 mL) = 2.6635 mL, rounded to 3 mL.
The healthcare provider prescribes a hydration infusion of normal saline to run over 3 hours at 30 mL/kg for a client who is dehydrated and weighs 70 kg. The nurse should program the infusion pump to deliver how many mL/hour? (Enter numeric value only.)
Correct Answer: 700
Rationale: Volume: 30 mL/kg × 70 kg = 2100 mL. Infusion rate = 2100 / 3 = 700 mL/hour.
The healthcare provider prescribes metoclopramide 7.5 mg/mL IM every 3 hours PRN vomiting for a client who is receiving chemotherapy. The nurse prepares an injection using a 2 ml. prefilled syringe cartridge labeled, 'metoclopramide 5 mg/mL.' How many mL should the nurse administer? (Enter numeric value only. If rounding is required, round to the nearest tenth.)
Correct Answer: 1.5
Rationale: Volume = 7.5 mg / 5 mg/mL = 1.5 mL.
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