The nurse is calculating intake for a client. The client rec...

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 Ã· 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.

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The nurse is calculating the total intake for a client diagnosed with acute kidney injury. The client's urinary output for the shift is 820 mL. The client received: ,¢ 650 mL of intravenous fluid ,¢ 6 ounces of water ,¢ 8 ounces of chicken broth. What is the total intake the nurse will document for this client? Fill in the blank.

Correct Answer: 1030 mL

Rationale: Convert ounces to mL: 6 oz water = 180 mL, 8 oz broth = 240 mL (1 oz â‰ˆ 30 mL). Total: 650 mL (IV) + 180 mL + 240 mL = 1030 mL.

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 Ã— 116.82 kg = 105.138 mg, rounded to 105 mg.

The primary healthcare provider (PHCP) prescribes dopamine at 5 mcg/kg/minute. The client weighs 80.9 kg (177.98 lbs). The medication label reads dopamine 800 mg in 500 mL of dextrose 5% water (D5W). How many mL per hour will the nurse administer to the client? Fill in the blank. Round your answer to the nearest whole number.

Correct Answer: 15 mL/hr

Rationale: Calculate dose: 5 mcg/kg/min Ã— 80.9 kg = 404.5 mcg/min. Convert: 800 mg = 800,000 mcg, so 800,000 mcg/500 mL = 1600 mcg/mL. Flow rate: (404.5 mcg/min Ã· 1600 mcg/mL) Ã— 60 min/hr = 15.17 mL/hr, rounded to 15 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 Ã— 15 gtts/mL) Ã· 60 min = 3750 gtts Ã· 60 = 62.5 gtts/min, rounded to 63 gtts/min.

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 Ã— 18.5 kg = 925 mg. Four doses per day: 925 mg Ã· 4 = 231.25 mg, rounded to 231 mg.