Nokea
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.
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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.
A nurse is preparing to administer gentamicin to a child. The order is for 3 mg/kg IV daily in three divided doses. The client weighs 44.1 kg (97.02 lbs). How many milligrams should the nurse administer per dose? Fill in the blank. Round your answer to the nearest whole number.
Correct Answer: 44 mg
Rationale: Calculate total daily dose: 3 mg/kg × 44.1 kg = 132.3 mg. Divide by 3 doses: 132.3 mg ÷ 3 = 44.1 mg, rounded to 44 mg.
A nurse is preparing to administer vancomycin to a child. The order is for 50 mg/kg/day in three divided doses. The client weighs 13 kg (28.6 lbs). The medication label indicates vancomycin 500 mg in 100 mL of 0.9% saline. How many mL will the nurse administer per dose? Fill in the blank. Round your answer to the nearest whole number.
Correct Answer: 43 mL
Rationale: Calculate daily dose: 50 mg/kg × 13 kg = 650 mg. Per dose: 650 mg ÷ 3 = 216.67 mg. Convert: (216.67 mg ÷ 500 mg) × 100 mL = 43.33 mL, rounded to 43 mL.
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 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.