A client with a stroke is prescribed alteplase. The prescription is for 0.9 mg/kg. The client weighs 116.82 kg (257 lbs). How many milligrams will the nurse administer? Fill in the blank. Record your answer to the nearest whole number.
Correct Answer: 105 mg
Rationale: Calculate dose: 0.9 mg/kg × 116.82 kg = 105.138 mg, rounded to 105 mg.
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The nurse is caring for a client receiving a continuous infusion of heparin. The label reads 25,000 units of heparin in 500 mL of dextrose 5% in water (D5W). The client is receiving 1,500 units per hour. How many milliliters (mL) did the client receive in an eight-hour shift? Fill in the blank.
Correct Answer: 480 mL
Rationale: Calculate mL/hr: (1500 units/hr ÷ 25,000 units) × 500 mL = 30 mL/hr. For 8 hours: 30 mL/hr × 8 hr = 480 mL.
The primary healthcare provider prescribes 30 mL/kg of 0.9% saline to a client with suspected sepsis who weighs 107.27 kg (235.99 lbs). How many mL will the nurse administer to the client? Fill in the blank. Round your answer to the nearest whole number.
Correct Answer: 3218 mL
Rationale: Calculate: 30 mL/kg × 107.27 kg = 3218.1 mL, rounded to 3218 mL.
The primary healthcare provider (PHCP) prescribes 400,000 units of penicillinG benzathine. The label on the medication reads penicillinG benzathine 300,000 units / 10 mL. How many milliliters will the nurse administer to the client? Fill in the blank. Round your answer to the nearest whole number.
Correct Answer: 13 mL
Rationale: Calculate: (400,000 units ÷ 300,000 units) × 10 mL = 1.333 × 10 = 13.33 mL, rounded to 13 mL.
The nurse is calculating intake for a client. The client received: ,¢ One 100 mL intravenous antibiotic ,¢ One eight-ounce cup of ice chips ,¢ One eight-ounce cup of coffee ,¢ One eight-ounce cup of ice cream ,¢ Three eight-ounce cups of water. The nurse should calculate the client's total intake as how many mL? Fill in the blank.
Correct Answer: 1080 mL
Rationale: Convert ounces to mL: 8 oz = 240 mL. Ice chips count as half volume: 240 mL ÷ 2 = 120 mL. Total: 100 mL (antibiotic) + 120 mL (ice chips) + 240 mL (coffee) + 240 mL (ice cream) + 720 mL (3 cups water) = 1080 mL.
The primary healthcare provider (PHCP) prescribes 125 mcg of digoxin by mouth daily. The medication label reads digoxin 0.25 mg per tablet. How many tablet(s) will the nurse administer to the client? Fill in the blank. Record your answer using 1 decimal place.
Correct Answer: 0.5 tablet
Rationale: Convert 125 mcg to 0.125 mg. Calculate: 0.125 mg ÷ 0.25 mg/tablet = 0.5 tablet.
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