Question 1

Ordered: Children's acetaminophen suspension 160 mg PO stat for a 3-year-old child with a fever who weighs 30 lb  a. What is the recommended dose in mg and mL for this child?
b. If safe, how many mg will you be administering?
c. How many mL equivalents will you give using the calibrated equipment supplied with the medicine?

Accepted Answer

a. 160 mg (5 mL) is recommended manufacturer dose for a 3-year-old child
b. Safe to give. 160 mg.
c. 5 mL in the dosing cup (1 metric teaspoon)

Question 2

Directions: Calculate the 24-hour dose in milligrams. Use a calculator to solve these problems.
-Order: 15 mg PO bid
Child's weight: 10 kg
SDR for this child's weight: 3 mg per kg per day in 3 divided doses
Safe or hold?

Accepted Answer

30 mg in 3 divided doses (10 mg per dose)
Hold (insufficient frequency schedule; single dose overdoses)

Question 3

Directions: Calculate the 24-hour dose in milligrams. Use a calculator to solve these problems.
-Order: 0.5 g q12h
What is the 24-hour dose in milligrams?

Accepted Answer

1000 mg

Question 4

Directions: Calculate the 24-hour dose in milligrams. Use a calculator to solve these problems.
-Order: 5 mg per kg stat
Child's weight: 10 kg
SDR for this child's weight: 60 mg maximum per dose
Safe or hold?

Accepted Answer

The answer of Directions: Calculate the 24-hour dose in milligrams....

Question 5

Ordered: Mycostatin (nystatin) oral syrup 200,000 units bid for a 4-month-old infant with thrush (oral candidiasis)
SDR for children and infants over 3 months: 250,000 to 500,000 units per day
Directions: Place half the dose in either side of the mouth.  a. Is the order within the SDR?
b. How many mL will you prepare?
c. How many mL will you administer on each side of the mouth?

Accepted Answer

The answer of Ordered: Mycostatin (nystatin) oral syrup 200,000 units...

Question 6

Ordered: Digoxin 50 mg IV for a child with congestive heart failure
SDR: 0.015 to 0.35 mg per kg
Child's weight: 10 kg
a. What is the SDR for this child?
b. Decision: Is the ordered dose safe to give or should it the nurse hold, recalculate, and contact prescriber promptly?
c. If safe to give, how many mL will you prepare?

Accepted Answer

The answer of Ordered: Digoxin 50 mg IV for a...

Question 7

Directions: Calculate the 24-hour dose in milligrams. Use a calculator to solve these problems.
-Order: 100 mg PO daily
Child's weight: 20 kg
SDR for this child's weight: 25 mg per kg per day
Safe or hold?

Accepted Answer

The answer of Directions: Calculate the 24-hour dose in milligrams....

Question 8

Ordered: Furosemide 30 mg q12hr for a child with congestive heart failure weighing 35 lb
SDR: 0.5 to 2 mg per kg per dose q6-12h  Use a calculator. Enter the data twice for verification.
a. Estimated weight in kilograms
b. Exact weight in kilograms to the nearest tenth
c. SDR for this child to nearest tenth of a mg
d. Ordered dose
e. Evaluation and decision
f. Volume to be administered (if applicable)

Accepted Answer

The answer of Ordered: Furosemide 30 mg q12hr for a...

Question 9

An IV of 250 mL of lactated Ringer solution is ordered q24h for a child.
Pediatric policy states that a buretrol must be used and that it may only contain a maximum of 2 hour's worth of the ordered flow rate.
How many mL will the nurse place in the buretrol to the nearest mL?

Accepted Answer

The answer of An IV of 250 mL of lactated...

Question 10

Directions: Fill in the desired dose to the nearest tenth of a unit. Use a calculator to solve these problems.
-Order:10 mg per kg
Weight or body surface area (BSA): 35 kg
What is the dose in milligrams?

Accepted Answer

The answer of Directions: Fill in the desired dose to...

Question 11

A medicated IV of 100 mL of D₅W q5h is ordered for a child. Pediatric policy states that a buretrol must be used and that it may only contain a maximum of 1 hour's worth of the ordered flow rate. a. How many mL will the nurse place in the buretrol? b. What is the purpose of the buretrol?

Accepted Answer

The answer of A medicated IV of 100 mL of...

Question 12

Directions: Calculate the 24-hour dose in milligrams. Use a calculator to solve these problems.
-Order: 50 mg PO daily
Child's weight: 22 lb
SDR for this child's weight: 10 to 20 mg per kg per day
Safe or hold?

Accepted Answer

The answer of Directions: Calculate the 24-hour dose in milligrams....

Question 13

Directions: Fill in the desired dose to the nearest tenth of a unit. Use a calculator to solve these problems.
-Order: 0.25 g per kg
Weight or body surface area (BSA): 13.2 lb
What is the dose in milligrams?

Accepted Answer

The answer of Directions: Fill in the desired dose to...

Question 14

Ordered: Furosemide 15 mg IV, initial dose for a child with edema
The nurse plans to deliver the medication in a volume control device, filling the container up to 20 mL with lactated Ringer solution from an existing infusion. It will be infused at the recommended rate of 1 minute per mL.
a. How long will it take to deliver the infusion
b. What will the flow rate be in mL per hr?

Accepted Answer

The answer of Ordered: Furosemide 15 mg IV, initial dose...

Question 15

Ordered: Morphine sulfate 3.5 mg IV for an adolescent undergoing a procedure
SDR: Adolescents: 3 to 4 mg IV. May be repeated in 5 minutes if necessary.  a. Is the order safe for this child?
b. If safe, how many mL will you prepare?

Accepted Answer

The answer of Ordered: Morphine sulfate 3.5 mg IV for...

Question 16

Ordered: Infant's acetaminophen suspension concentrated drops 160 mg for a 3-year-old child with a fever who weighs 30 lb  a. What is the recommended dose in mg and mL for this medicine for this child?
b. If safe, how many mL will you be administering?
c. Which is more concentrated, the children's acetaminophen (problem 34) or the infant's acetaminophen?

Accepted Answer

The answer of Ordered: Infant's acetaminophen suspension concentrated drops 160...

Question 17

Directions: Fill in the desired dose to the nearest tenth of a unit. Use a calculator to solve these problems. -Order: 500 mg per m² Weight or body surface area (BSA): BSA 0.45 m² What is the dose in milligrams?

Accepted Answer

The answer of Directions: Fill in the desired dose to...

Question 18

Directions: Calculate the 24-hour dose in milligrams. Use a calculator to solve these problems.
-Order: 0.25 g q8h
What is the 24-hour dose in milligrams?

Accepted Answer

The answer of Directions: Calculate the 24-hour dose in milligrams....

Question 19

Directions: Fill in the desired dose to the nearest tenth of a unit. Use a calculator to solve these problems. -Order: 20 units per m² Weight or body surface area (BSA): BSA 0.55 m² What is the dose in milligrams?

Accepted Answer

The answer of Directions: Fill in the desired dose to...

Question 20

Directions: Calculate the 24-hour dose in milligrams. Use a calculator to solve these problems.
-Order: 200 mg PO daily
Child's weight: 15 kg
SDR for this child's weight: 5 to 10 mg per kg per dose
Safe or hold?

Accepted Answer

The answer of Directions: Calculate the 24-hour dose in milligrams....

Quiz 12: Childrens Dosages

Directions: Calculate the 24-hour dose in milligrams. Use a calculator to solve these problems. -Order: 15 mg PO bid Child's weight: 10 kg SDR for this child's weight: 3 mg per kg per day in 3 divided doses Safe or hold?

Directions: Calculate the 24-hour dose in milligrams. Use a calculator to solve these problems. -Order: 0.5 g q12h What is the 24-hour dose in milligrams?

Directions: Calculate the 24-hour dose in milligrams. Use a calculator to solve these problems. -Order: 5 mg per kg stat Child's weight: 10 kg SDR for this child's weight: 60 mg maximum per dose Safe or hold?

Directions: Calculate the 24-hour dose in milligrams. Use a calculator to solve these problems. -Order: 100 mg PO daily Child's weight: 20 kg SDR for this child's weight: 25 mg per kg per day Safe or hold?

An IV of 250 mL of lactated Ringer solution is ordered q24h for a child. Pediatric policy states that a buretrol must be used and that it may only contain a maximum of 2 hour's worth of the ordered flow rate. How many mL will the nurse place in the buretrol to the nearest mL?

Directions: Fill in the desired dose to the nearest tenth of a unit. Use a calculator to solve these problems. -Order:10 mg per kg Weight or body surface area (BSA): 35 kg What is the dose in milligrams?

A medicated IV of 100 mL of D5W q5h is ordered for a child. Pediatric policy states that a buretrol must be used and that it may only contain a maximum of 1 hour's worth of the ordered flow rate. a. How many mL will the nurse place in the buretrol? b. What is the purpose of the buretrol?

Directions: Calculate the 24-hour dose in milligrams. Use a calculator to solve these problems. -Order: 50 mg PO daily Child's weight: 22 lb SDR for this child's weight: 10 to 20 mg per kg per day Safe or hold?

Directions: Fill in the desired dose to the nearest tenth of a unit. Use a calculator to solve these problems. -Order: 0.25 g per kg Weight or body surface area (BSA): 13.2 lb What is the dose in milligrams?

Ordered: Morphine sulfate 3.5 mg IV for an adolescent undergoing a procedure SDR: Adolescents: 3 to 4 mg IV. May be repeated in 5 minutes if necessary. a. Is the order safe for this child? b. If safe, how many mL will you prepare?

Directions: Fill in the desired dose to the nearest tenth of a unit. Use a calculator to solve these problems. -Order: 500 mg per m2 Weight or body surface area (BSA): BSA 0.45 m2 What is the dose in milligrams?

Directions: Calculate the 24-hour dose in milligrams. Use a calculator to solve these problems. -Order: 0.25 g q8h What is the 24-hour dose in milligrams?

Directions: Fill in the desired dose to the nearest tenth of a unit. Use a calculator to solve these problems. -Order: 20 units per m2 Weight or body surface area (BSA): BSA 0.55 m2 What is the dose in milligrams?

Directions: Calculate the 24-hour dose in milligrams. Use a calculator to solve these problems. -Order: 200 mg PO daily Child's weight: 15 kg SDR for this child's weight: 5 to 10 mg per kg per dose Safe or hold?

A medicated IV of 100 mL of D₅W q5h is ordered for a child. Pediatric policy states that a buretrol must be used and that it may only contain a maximum of 1 hour's worth of the ordered flow rate. a. How many mL will the nurse place in the buretrol? b. What is the purpose of the buretrol?

Directions: Fill in the desired dose to the nearest tenth of a unit. Use a calculator to solve these problems. -Order: 500 mg per m² Weight or body surface area (BSA): BSA 0.45 m² What is the dose in milligrams?

Directions: Fill in the desired dose to the nearest tenth of a unit. Use a calculator to solve these problems. -Order: 20 units per m² Weight or body surface area (BSA): BSA 0.55 m² What is the dose in milligrams?