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The primary health care provider (PHCP) prescribes ondansetron 0.15 mg/kg IV to a pediatric client who weighs 18.18 kg (39.99 lbs). The medication label reads 2 mg/mL. How many milliliters will the nurse administer to the client? Fill in the blank. Round your answer using 1 decimal place.
Correct Answer: 2.7 mL
Rationale: Calculate dose: 0.15 mg/kg × 18.18 kg = 2.727 mg. Convert: 2.727 mg ÷ 2 mg/mL = 1.3635 mL, rounded to 2.7 mL.
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The primary healthcare provider (PHCP) prescribes one liter of 0.9% saline to infuse over 6 hours. 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: 167 mL/hr
Rationale: Convert 1 liter to 1000 mL. Divide by 6 hours: 1000 mL ÷ 6 hr = 166.67 mL/hr, rounded to 167 mL/hr.
The primary healthcare provider (PHCP) prescribes 4 mg of morphine intramuscular (IM). The medication vial reads morphine sulfate, 10 mg/mL. How many mL should the nurse administer? Fill in the blank. Record your answer using 1 decimal place.
Correct Answer: 0.4 mL
Rationale: Calculate: 4 mg ÷ 10 mg/mL = 0.4 mL.
The primary healthcare provider (PHCP) prescribes a regular insulin infusion. The prescription is for 4.5 units/hr. The label on the medication reads 250 mL of 0.9% saline containing 100 units of regular insulin. How many mL/hr should the client receive? Fill in the blank. Round your answer using 1 decimal place.
Correct Answer: 11.3 mL/hr
Rationale: Calculate: (4.5 units/hr ÷ 100 units) × 250 mL = 11.25 mL/hr, rounded to 11.3 mL/hr.
The nurse reviews the client's intake and output throughout the twelve-hour shift. ,¢ The client consumed three eight-ounce cups of water. ,¢ The client received 0.9% sodium chloride at 70 mL/hr for 12 hours. ,¢ The client received an infusion of 500 mg of azithromycin reconstituted in 250 mL of 0.9% sodium chloride to treat a bacterial infection. ,¢ The client received 5 mg of morphine sulfate diluted in 0.9% sodium chloride, totaling an infused volume of 7 mL. When calculating the total intake for the client for the shift, the nurse would document how many milliliters?
- A. 1817 mL
- B. 1815 mL
- C. 1810 mL
- D. 1800 mL
Correct Answer: A
Rationale: Calculate IV fluid: 70 mL/hr × 12 hr = 840 mL. Convert ounces to mL: 8 oz = 240 mL. Total: 720 mL (3 cups water) + 840 mL (saline) + 250 mL (azithromycin) + 7 mL (morphine) = 1817 mL.
The primary healthcare provider (PHCP) prescribes 2350 mL of 0.9% saline to be administered over five hours to a client with severe hypovolemia. How many mL/hr will the nurse administer? Fill in the blank.
Correct Answer: 470 mL/hr
Rationale: Calculate: 2350 mL ÷ 5 hr = 470 mL/hr.