Nokea
The nurse is caring for a client with an oral temperature of 100.6° F. What temperature in Celsius should the nurse document in the medical record? (Enter numerical value only. If rounding is required, round to the nearest tenth.)
Correct Answer: 38.1
Rationale: C = (F - 32) × 5/9 = (100.6 - 32) × 5/9 = 38.111, rounded to 38.1°C.
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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.
A client receives a prescription for oxytocin 2 milliunits/min intravenously (IV) for labor augmentation. The IV bag contains oxytocin 20 units in lactated Ringer's 1 liter. How many mL/hour should the nurse program the infusion pump to deliver? (Enter numerical value only.)
Correct Answer: 6
Rationale: Concentration: 20 units = 20000 milliunits in 1000 mL = 20 milliunits/mL. Dose: 2 milliunits/min × 60 = 120 milliunits/hour. Volume = 120 / 20 = 6 mL/hour.
Filgrastim 5 mcg/kg/day subcutaneous is prescribed for a child with cancer who weighs 88 pounds. The medication is labeled 300 mcg/mL. How many mL should the nurse administer daily to this child? (Enter the numerical value only. If rounding is required, round to the nearest tenth.)
Correct Answer: 0.7
Rationale: Weight: 88 × 0.454 = 39.952 kg. Dose: 5 mcg/kg/day × 39.952 = 199.76 mcg/day. Volume: 199.76 / 300 = 0.66587 mL, rounded to 0.7 mL.
A child is to receive vancomycin 40 mg/kg intravenously one hour before a scheduled procedure. The child weighs 44 pounds. How many mg of the medication should the nurse administer? (Enter numeric value only.)
Correct Answer: 798
Rationale: Weight: 44 × 0.4536 = 19.9584 kg. Dose: 40 mg/kg × 19.9584 = 798.336 mg, rounded to 798.
A client with human immunodeficiency virus (HIV) begins active labor at 38 weeks gestation and receives a prescription for zidovudine 2 mg/kg IV, to be administered over 1 hour. The client weighs 185 lbs. Based on the client's weight, how many mg should the nurse prepare to administer? (Enter numerical value only. If rounding is required, round to the nearest whole number.)
Correct Answer: 168
Rationale: Weight: 185 / 2.2 = 84.09 kg. Dose: 2 mg/kg × 84.09 = 168.18 mg, rounded to 168 mg.