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.
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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 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 three liters of 0.9% saline to infuse over 24-hours. How many mL per hour will be administered to the client? Fill in the blank.
Correct Answer: 125 mL/hour
Rationale: To calculate mL/hour, convert 3 liters to 3000 mL (since 1 L = 1000 mL) and divide by 24 hours: 3000 mL ÷ 24 hr = 125 mL/hour.
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.
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