Question 1

The nurse is preparing potassium bicarbonate (TriLyte) for a pediatric patient scheduled for a colonoscopy. The directions state to provide the preparation at an estimated rate of 25 mL/kg/hr. The child weighs 55 lbs. The nurse should encourage the child to drink how much of the solution each hour?

Accepted Answer

Dimensional analysis solution:
11ecda9b_0d24_6e82_9d17_c340de6f9d5f_TB7936_11

Question 2

A patient admitted to the hospital with acute renal failure typically takes moexipril (Univasc) for hypertension. The patient's creatinine clearance is 32 mL/min, and the pharmacy recommends a 50% dose reduction for this medication. The patient's typical dose is 7.5 mg. The nurse would expect the physician to order which of the following doses?

Accepted Answer

With a creatinine clearance of 32 mL/min, the patient's kidney function is significantly impaired. A 50% dose reduction is recommended for moexipril, which would bring the dose down to 3.75 mg.

Question 3

While monitoring a patient receiving chemotherapy set to infuse over 3 hours, the nurse notes after the first hour that just over 160 mL of the original 500 mL has infused. Which action by the nurse is best?

Accepted Answer

D

Question 4

The nurse is preparing to provide finasteride (Proscar) 5 mg daily in combination with doxazosin (Cardura) 2 mg daily to a patient with benign prostatic hypertrophy. The pharmacy provides the finasteride in a 5-mg tablet and the doxazosin in a 1-mg tablet. How many tablets will the nurse provide?

Accepted Answer

The answer of The nurse is preparing to provide finasteride...

Question 5

The nurse is passing morning medications for a patient with hypertension taking fosinopril (Monopril) 30 mg. The pharmacy supplies this medication as a 20-mg tablet. How many tablets will the nurse provide?

Accepted Answer

The answer of The nurse is passing morning medications for...

Question 6

While working in the pediatric clinic, the nurse examines the mouth of a 5-year-old patient being treated for leukemia and notes white patches and scattered ecchymosis. The nurse suspects the child has thrush and expects the physician to order fluconazole (Diflucan). This medication is typically dosed at 3 mg/kg. The child weighs 42 lbs. How many mg will be in each dose? (Round to the nearest tenths.)

Accepted Answer

The answer of While working in the pediatric clinic, the...

Question 7

The nurse is caring for a 12-year-old patient who, after a kidney transplantation, is to receive sirolimus (Rapamune). The child weighs 38 kg and has a body surface area of 1.2 m². The medication has been ordered at a dose of 1 mg/m²/day and is provided by a pharmacy in a 60 mg/60 mL-solution mixed in glass bottle for oral provision. How many mL will the nurse provide each day? 1.2 m²x 1 mg = 1.2 mg/day; 1.2 mg/60 x 60 = 1.2 mL per day.

Accepted Answer

The answer of The nurse is caring for a 12-year-old...

Question 8

The nurse provides a patient with 20 mL of megestrol acetate (Megace 40 mg/mL strength) and the patient reports, "I usually take one teaspoon of the long-acting formulation. Are you sure this is the right stuff?" The nurse checks with the pharmacy and learns 5 mL of megestrol extended release (Megace ES 125 mg/mL) is equivalent to 800 mg of Megace. Which response by the nurse is best?

Accepted Answer

Dimensional analysis solution:
11ecda9a_e01d_a321_9d17_9ba002b6eb09_TB7936_11

Question 9

A nurse working in the oncology clinic is providing doxorubicin (Adriamycin) 60 mg/m² to a patient whose body surface area is 1.6 m². What dose of doxorubicin (in mg) will be sent by the pharmacy? 1.6 m² x 60 = 96 mg

Accepted Answer

The answer of A nurse working in the oncology clinic...

Question 10

The nurse is preparing to provide losartan (Cozaar) suspension (2.5 mg/mL) for a patient whose dose is 50 mg. How many mL will be provided?
50 mg divided by 2.5 multiplied by 1 = 20

Accepted Answer

The answer of The nurse is preparing to provide losartan...

Question 11

The student nurse is preparing to give a patient 20 mEq of potassium chloride (K-LOR). Directions state to mix the powdered medication with at least 4 oz of juice or water. The instructor would be satisfied with the student's preparation if the student had which of the following liquids?

Accepted Answer

Dimensional analysis solution:
11ecda9b_1caa_2023_9d17_cdf4eee9483d_TB7936_11

Question 12

While providing care to a patient with advanced neuroblastoma, the nurse is preparing chemotherapy dosed at 75 mg/m². The patient's body surface area is 1.8 m². What dose (in mg) of chemotherapy will be provided?

Accepted Answer

The answer of While providing care to a patient with...

Question 13

An antibiotic is reconstituted with 29 mL distilled water to create 50 mL of solution with a concentration of 100 mg/5 mL. How much medication, in mL, would the nurse obtain to provide a dose of 45 mg? (Round to the nearest hundredth.)

Accepted Answer

The answer of An antibiotic is reconstituted with 29 mL...

Question 14

The nurse receives orders to start metronidazole (Flagyl) 50 mg/kg/24 hours divided into three equal doses for a child who weighs 33 lb. The medication is provided in 250-mg tablets. How many tablets will the nurse provide with each dose?
Convert 33 lb to kg = 33/2.2 = 15 kg; 50 mg per kg = 50 x 15 = 750 mg given in 3 doses = 250 mg per dose. Tablets come in 250 mg so give 1 tablet.

Accepted Answer

The answer of The nurse receives orders to start metronidazole...

Question 15

The nurse is caring for a patient starting diuretic therapy and is placed on strict intake and output measurements. In counseling this patient to maintain at least 1,500 mL intake per day, which beverages should the nurse instruct the patient to avoid?

Accepted Answer

Coffee, beer, and most soda pop are diuretics and can increase urine output, leading to dehydration. It is important for the patient to avoid these beverages to prevent excessive fluid loss.

Question 16

Trimethoprim and sulfamethoxazole (Septra) suspension contains 200 mg sulfamethaxazole in each 5 mL. The physician has ordered 10 mL every 12 hours. What is the total daily dose of sulfamethaxazole in mg?

Accepted Answer

The answer of Trimethoprim and sulfamethoxazole (Septra) suspension contains 200...

Question 17

The nurse is preparing to provide evening medications. It is currently 8 p.m. At which scheduled military time will the nurse pass medications?

Accepted Answer

The nurse will pass medications at the scheduled military time of 20:00, which is the same as 8 p.m. Military time is in a 24-hour clock format, with 12:00 p.m. being represented as 12:00 and 12:00 a.m. being represented as 00:00. Therefore, 8 p.m. would be represented as 20:00 in military time.

Question 18

Meloxicam (Mobic) is dispensed in solution with 7.5 mg/5 mL. The physician has ordered 0.125 mg/kg daily for a child with juvenile arthritis who weighs 68 lb. How many mL will the nurse provide? (Round to the nearest tenth.)
Convert 68 lb to kg = 68/2.2 = 30.9 kg; 0.125 mg per kg = 30.9 x 0.125 = 3.86 mg
3.86/7.5 x 5 = 2.57 mL = 2.6 mL

Accepted Answer

The answer of Meloxicam (Mobic) is dispensed in solution with...

Question 19

A patient's physician orders read, "Cisplatin 20 mg/m²." The nurse has 100 mg/100 mL vial of cisplatin, and the patient's body surface area is 1.4 m². How much cisplatin in mL will the nurse draw up for infusion?

Accepted Answer

The answer of A patient's physician orders read, "Cisplatin 20...

Question 20

The drug label of cefpodoxime (Vantin) indicates it should be suspended in 44 mL of distilled water to create 75 mL with a final concentration of 50 mg/5 mL. The patient's dose is 10 mg/kg/day divided into two equal doses. The patient weighs 88 lb. How many mL will the nurse provide with each dose? (Round to the nearest full mL.)

Accepted Answer

The answer of The drug label of cefpodoxime (Vantin) indicates...

Quiz 8: Dosage Calculations

The nurse is preparing potassium bicarbonate (TriLyte) for a pediatric patient scheduled for a colonoscopy. The directions state to provide the preparation at an estimated rate of 25 mL/kg/hr. The child weighs 55 lbs. The nurse should encourage the child to drink how much of the solution each hour?

While monitoring a patient receiving chemotherapy set to infuse over 3 hours, the nurse notes after the first hour that just over 160 mL of the original 500 mL has infused. Which action by the nurse is best?

The nurse is preparing to provide finasteride (Proscar) 5 mg daily in combination with doxazosin (Cardura) 2 mg daily to a patient with benign prostatic hypertrophy. The pharmacy provides the finasteride in a 5-mg tablet and the doxazosin in a 1-mg tablet. How many tablets will the nurse provide?

The nurse is passing morning medications for a patient with hypertension taking fosinopril (Monopril) 30 mg. The pharmacy supplies this medication as a 20-mg tablet. How many tablets will the nurse provide?

A nurse working in the oncology clinic is providing doxorubicin (Adriamycin) 60 mg/m² to a patient whose body surface area is 1.6 m². What dose of doxorubicin (in mg) will be sent by the pharmacy? 1.6 m² x 60 = 96 mg

The nurse is preparing to provide losartan (Cozaar) suspension (2.5 mg/mL) for a patient whose dose is 50 mg. How many mL will be provided? 50 mg divided by 2.5 multiplied by 1 = 20

The student nurse is preparing to give a patient 20 mEq of potassium chloride (K-LOR) . Directions state to mix the powdered medication with at least 4 oz of juice or water. The instructor would be satisfied with the student's preparation if the student had which of the following liquids?

While providing care to a patient with advanced neuroblastoma, the nurse is preparing chemotherapy dosed at 75 mg/m². The patient's body surface area is 1.8 m². What dose (in mg) of chemotherapy will be provided?

An antibiotic is reconstituted with 29 mL distilled water to create 50 mL of solution with a concentration of 100 mg/5 mL. How much medication, in mL, would the nurse obtain to provide a dose of 45 mg? (Round to the nearest hundredth.)

The nurse is caring for a patient starting diuretic therapy and is placed on strict intake and output measurements. In counseling this patient to maintain at least 1,500 mL intake per day, which beverages should the nurse instruct the patient to avoid?

Trimethoprim and sulfamethoxazole (Septra) suspension contains 200 mg sulfamethaxazole in each 5 mL. The physician has ordered 10 mL every 12 hours. What is the total daily dose of sulfamethaxazole in mg?

The nurse is preparing to provide evening medications. It is currently 8 p.m. At which scheduled military time will the nurse pass medications?

A patient's physician orders read, "Cisplatin 20 mg/m²." The nurse has 100 mg/100 mL vial of cisplatin, and the patient's body surface area is 1.4 m². How much cisplatin in mL will the nurse draw up for infusion?

Quiz 8: Dosage Calculations

The nurse is preparing potassium bicarbonate (TriLyte) for a pediatric patient scheduled for a colonoscopy. The directions state to provide the preparation at an estimated rate of 25 mL/kg/hr. The child weighs 55 lbs. The nurse should encourage the child to drink how much of the solution each hour?

While monitoring a patient receiving chemotherapy set to infuse over 3 hours, the nurse notes after the first hour that just over 160 mL of the original 500 mL has infused. Which action by the nurse is best?

The nurse is preparing to provide finasteride (Proscar) 5 mg daily in combination with doxazosin (Cardura) 2 mg daily to a patient with benign prostatic hypertrophy. The pharmacy provides the finasteride in a 5-mg tablet and the doxazosin in a 1-mg tablet. How many tablets will the nurse provide?

The nurse is passing morning medications for a patient with hypertension taking fosinopril (Monopril) 30 mg. The pharmacy supplies this medication as a 20-mg tablet. How many tablets will the nurse provide?

A nurse working in the oncology clinic is providing doxorubicin (Adriamycin) 60 mg/m2 to a patient whose body surface area is 1.6 m2. What dose of doxorubicin (in mg) will be sent by the pharmacy? 1.6 m2 x 60 = 96 mg

The nurse is preparing to provide losartan (Cozaar) suspension (2.5 mg/mL) for a patient whose dose is 50 mg. How many mL will be provided? 50 mg divided by 2.5 multiplied by 1 = 20

The student nurse is preparing to give a patient 20 mEq of potassium chloride (K-LOR) . Directions state to mix the powdered medication with at least 4 oz of juice or water. The instructor would be satisfied with the student's preparation if the student had which of the following liquids?

While providing care to a patient with advanced neuroblastoma, the nurse is preparing chemotherapy dosed at 75 mg/m2. The patient's body surface area is 1.8 m2. What dose (in mg) of chemotherapy will be provided?

An antibiotic is reconstituted with 29 mL distilled water to create 50 mL of solution with a concentration of 100 mg/5 mL. How much medication, in mL, would the nurse obtain to provide a dose of 45 mg? (Round to the nearest hundredth.)

The nurse is caring for a patient starting diuretic therapy and is placed on strict intake and output measurements. In counseling this patient to maintain at least 1,500 mL intake per day, which beverages should the nurse instruct the patient to avoid?

Trimethoprim and sulfamethoxazole (Septra) suspension contains 200 mg sulfamethaxazole in each 5 mL. The physician has ordered 10 mL every 12 hours. What is the total daily dose of sulfamethaxazole in mg?

The nurse is preparing to provide evening medications. It is currently 8 p.m. At which scheduled military time will the nurse pass medications?

A patient's physician orders read, "Cisplatin 20 mg/m2." The nurse has 100 mg/100 mL vial of cisplatin, and the patient's body surface area is 1.4 m2. How much cisplatin in mL will the nurse draw up for infusion?

A nurse working in the oncology clinic is providing doxorubicin (Adriamycin) 60 mg/m² to a patient whose body surface area is 1.6 m². What dose of doxorubicin (in mg) will be sent by the pharmacy? 1.6 m² x 60 = 96 mg

While providing care to a patient with advanced neuroblastoma, the nurse is preparing chemotherapy dosed at 75 mg/m². The patient's body surface area is 1.8 m². What dose (in mg) of chemotherapy will be provided?

A patient's physician orders read, "Cisplatin 20 mg/m²." The nurse has 100 mg/100 mL vial of cisplatin, and the patient's body surface area is 1.4 m². How much cisplatin in mL will the nurse draw up for infusion?