Penicillin G procaine 240,000 units Intramuscularly is presc...

Penicillin G procaine 240,000 units Intramuscularly is prescribed for a 4-year-old child who has a streptococcal respiratory Infection. The medication vial is labeled 1,200,000 units/2 mL. How many ml. should the nurse administer? (Enter numeric value only. If rounding is required, round to the nearest tenth.)

Correct Answer: 0.4

Rationale: Concentration: 1,200,000 units / 2 mL = 600,000 units/mL. Volume = 240,000 / 600,000 = 0.4 mL.

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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 Ã— 70 kg = 2100 mL. Infusion rate = 2100 / 3 = 700 mL/hour.

The nurse plans to provide the next shift with the IV fluid balance for a client who had a 440 mL secondary infusion that was started 2 hours ago at a rate of 85 ml/hour via an infusion pump. What is the remaining volume to be infused? (Enter numeric value only.)

Correct Answer: 270

Rationale: Infused volume = 85 mL/hour Ã— 2 hours = 170 mL. Remaining volume = 440 - 170 = 270 mL.

The nurse plans to administer a bolus dose of IV Heparin based on the client's weight. The prescribed bolus dose is 100 units/kg. The client weighs 198 pounds. How many units of Heparin should the nurse administer? (Enter numeric value only.)

Correct Answer: 9000

Rationale: Weight: 198 pounds / 2.2 = 90 kg. Dose: 100 units/kg Ã— 90 = 9000 units.

The healthcare provider prescribes ganciclovir 375 mg intravenously (IV) every 12 hours to infuse over 90 minutes. The pharmacy delivers ganciclovir 375 mg in a 150 mL IV bag. How many mL/hour should the nurse program the infusion pump? (Enter a whole number only.)

Correct Answer: 100

Rationale: Infusion rate = 150 mL / (90 / 60) hours = 100 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.