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After receiving a bolus of intravenous (IV) fluids, the infant's diaper weighs 35 grams (after subtracting dry diaper weight). How many mL of urine should the nurse record in the medical record? Fill in the blank.
Correct Answer: 35 mL
Rationale: Urine weight in grams is equivalent to mL (1 g ≈ 1 mL for urine). Thus, 35 g = 35 mL.
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The primary healthcare provider (PHCP) prescribes 1 mg/kg of enoxaparin for a client weighing 60 kg (132 lbs). How many mL should the nurse administer to the client when the prefilled syringe reads 60mg/0.6mL? Fill in the blank. Round your answer using 1 decimal place.
Correct Answer: 0.6 mL
Rationale: Calculate dose: 1 mg/kg × 60 kg = 60 mg. Syringe: 60 mg/0.6 mL, so 60 mg = 0.6 mL.
The primary healthcare provider (PHCP) prescribes 1.5 grams of vancomycin to be infused over 90 minutes. The pharmacy supplies the medication in a bag labeled 1500 mg of Vancomycin in 250 mL of 0.9% saline. How many mL/hour should the nurse administer? Fill in the blank. Round your answer to the nearest whole number.
Correct Answer: 167 mL/hr
Rationale: Convert 90 minutes to 1.5 hours. Flow rate: 250 mL ÷ 1.5 hr = 166.67 mL/hr, rounded to 167 mL/hr.
The nurse is calculating intake for a client. The client received: ,¢ 0.9% saline at 70 mL/hr for four hours ,¢ two eight-ounce cups of ice chips ,¢ one eight-ounce cup of coffee ,¢ 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: 1240 mL
Rationale: Calculate IV fluid: 70 mL/hr × 4 hr = 280 mL. Convert ounces to mL: 8 oz = 240 mL. Ice chips count as half volume: 240 mL ÷ 2 = 120 mL per cup. Total: 280 mL + 240 mL (2 cups ice chips) + 240 mL (coffee) + 720 mL (3 cups water) = 1240 mL.
The nurse is preparing to administer penicillin V potassium to a child with pneumonia. The child weighs 18.5 kg (40.7 lbs). The prescription is for 50 mg/kg/day PO in divided doses every six hours. How many milligrams should the child receive with each dose? Fill in the blank. Round your answer to the nearest whole number.
Correct Answer: 231 mg
Rationale: Calculate daily dose: 50 mg/kg × 18.5 kg = 925 mg. Four doses per day: 925 mg ÷ 4 = 231.25 mg, rounded to 231 mg.
The primary healthcare provider (PHCP) prescribes 0.5 grams of cefaclor by mouth, twice a day. The nurse has cefaclor 500 mg capsules on hand. How many capsule(s) should the nurse administer per dose? Fill in the blank.
Correct Answer: 1 capsule
Rationale: Convert 0橡0.5 g to 500 mg. Dose: 500 mg ÷ 500 mg/capsule = 1 capsule.