The primary healthcare provider (PHCP) prescribes 30 mg of phenobarbital by mouth, once daily. The nurse has phenobarbital 10 mg tablets on hand. How many tablet(s) per dose should the nurse administer to the client? Fill in the blank.
Correct Answer: 3 tablets
Rationale: Calculate: 30 mg ÷ 10 mg/tablet = 3 tablets.
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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 primary healthcare provider (PHCP) prescribed ibuprofen 600 mg PO q 6 hours PRN pain. The medication label reads ibuprofen 200 mg tablets. How many tablets will be administered to achieve the correct dose?
- A. One tablet
- B. Five tablets
- C. Three tablets
- D. Two tablets
Correct Answer: C
Rationale: Calculate: 600 mg ÷ 200 mg/tablet = 3 tablets.
The nurse is reviewing a primary healthcare provider's prescription for 20 mEq of potassium chloride to be administered to a client with hypokalemia. The nurse has 20 mEq of potassium chloride in 250 mL of sodium chloride (normal saline) on hand. How many milliliters per hour (mL/hr) should the nurse set the infusion pump to when administering the medication over two hours? Fill in the blank. Round your answer to the nearest whole number.
Correct Answer: 125 mL/hr
Rationale: Flow rate: 250 mL ÷ 2 hr = 125 mL/hr.
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 (PHCP) prescribes a regular insulin infusion for a client with diabetic ketoacidosis (DKA). The prescription is for 2 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 to the nearest whole number.
Correct Answer: 5 mL/hr
Rationale: Calculate: (2 units/hr ÷ 100 units) × 250 mL = 5 mL/hr.
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