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A client with a stroke is prescribed alteplase. The prescription is for 0.9 mg/kg. The client weighs 61.81 kg (135.98 lbs). What is the total dose in milligrams (mg) that the client will receive? Fill in the blank. Round your answer to the nearest whole number.
Correct Answer: 56 mg
Rationale: Calculate: 0.9 mg/kg × 61.81 kg = 55.629 mg, rounded to 56 mg.
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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 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 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 primary healthcare provider (PHCP) prescribes 250 mL of 0.9% saline to infuse over 75 minutes. How many mL per hour will be administered to the client? Fill in the blank.
Correct Answer: 200 mL/hr
Rationale: Convert 75 minutes to 1.25 hours. Flow rate: 250 mL ÷ 1.25 hr = 200 mL/hr.
The primary healthcare provider (PHCP) prescribed azithromycin 500 mg daily for a client with sepsis. The medication label reads 500 mg of azithromycin mixed in 250 mL of 0.9% saline. The drop factor is 15. The nurse sets the flow rate at how many drops per minute? Fill in the blank. Round your answer to the nearest whole number.
Correct Answer: 63 gtts/minute
Rationale: Assume 1-hour infusion (standard for azithromycin IV). Calculate: (250 mL × 15 gtts/mL) ÷ 60 min = 3750 gtts ÷ 60 = 62.5 gtts/min, rounded to 63 gtts/min.