The primary healthcare provider (PHCP) prescribes 0.5 g of acetaminophen by mouth every six hours. The nurse has administered 3 doses. How many total milligrams has the client received? Fill in the blank.
Correct Answer: 1500 mg
Rationale: Convert 0.5 g to 500 mg (1 g = 1000 mg). Three doses: 500 mg × 3 = 1500 mg.
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The nurse is calculating intake for a client. The client received: ,¢ Two 100 mL intravenous antibiotics ,¢ Two eight-ounce cups of ice ,¢ One eight-ounce cup of coffee ,¢ Three eight-ounce cups of water. The nurse should document the client's total intake as how many mL? Fill in the blank.
Correct Answer: 1160 mL
Rationale: Convert ounces to mL: 8 oz = 240 mL. Ice counts as half volume: 240 mL ÷ 2 = 120 mL per cup. Total: 200 mL (antibiotics) + 240 mL (2 cups ice) + 240 mL (coffee) + 720 mL (3 cups water) = 1160 mL.
The primary healthcare provider (PHCP) prescribes 0.375 mg of digoxin intravenously (IV) to a client. The nurse has 0.25 mg/mL of digoxin on hand. How many mL will the nurse administer? Fill in the blank. Record your answer using 1 decimal place.
Correct Answer: 1.5 mL
Rationale: Calculate: 0.375 mg ÷ 0.25 mg/mL = 1.5 mL.
The primary healthcare provider (PHCP) prescribes cefdinir 25 mg/kg/day in divided doses every six hours. The infant weighs 8 kg (17.6 lbs). How many milligrams should the nurse administer per dose? Fill in the blank. Round your answer to a whole number.
Correct Answer: 50 mg
Rationale: Calculate daily dose: 25 mg/kg × 8 kg = 200 mg. Four doses per day: 200 mg ÷ 4 = 50 mg per dose.
The primary healthcare provider (PHCP) prescribes 100 mL of 0.9% sodium chloride (normal saline) to infuse over two hours via intravenous microdrip tubing. 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: 50 drops per minute
Rationale: Microdrip tubing has a drop factor of 60 gtts/mL. Calculate: (100 mL × 60 gtts/mL) ÷ (2 hr × 60 min/hr) = 6000 gtts ÷ 120 min = 50 gtts/min.
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.
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