Client’s PTT is 40 seconds. The client weighs 198 lbs. Use the heparin protocol chart provided. Heparin 25,000 units in 500 mL with a rate of 32 mL/hr. Since a bolus dose is required, calculate the dose for this client in units. Round to the nearest whole number.

(a)  

Use heparin 25,000 units in 500 mL as your IV solution. The client’s weight is 70 kg. Beginning infusion rate for each problem is 25.2 mL/hour. The client’s PTT is 59 seconds. There is a change in the infusion rate. Calculate the new rate in ml/hr. Round to the nearest tenths place.

(a)  

You have an order to run dopamine at 15 mcg/kg/min. Your IV bag has 500 mg dopamine in 500 mL. Your patient weighs 50 kg. What rate in ml/hr will you set for your IV? Round to the nearest whole number.

(a)  

12-year-old Sandra has not voided since her appendectomy. The physician orders 300 mL NS to be infused over 3 hours.  There is no IV pump available.  The nurse selects IV tubing with a drip factor of 60.  What would be the indicated drops/minute to administer the NS over 3 hours?

(a)  

A nurse is preparing to administer 0.9% sodium chloride (0.9% NaCl) 500 mL IV to infuse over 6 hr. The drop factor of the manual IV tubing is 60 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min?

(a)  

A nurse is preparing to administer a loading dose of phenytoin (Dilantin) 5 mg/kg/day divided equally ever 12 hr for an infant who weighs 12 lb 4 oz. How many mg should the nurse administer per dose? Round to the nearest tenth.

(a)  

A nurse is caring for an infant who weighs 11 lb 4 oz. What is the infant's weighs in kg? Round to the nearest hundredth.

(a)  

For the first 10 kg of body weight=100 mL/kg

For the next 10 kg of body weight=50 mL/kg

For each kg above 20 kg of body weight= 20 mL/kg

Kim is hospitalized for cholecystitis. She weighs 60 kg. What would her daily (24 hour) IV fluid maintenance needs be in milliliters?

(a)  

A child weighs 42 lbs and is 34 inches. Calculate the BSA to the nearest hundredth.

(a)  

A client consumed 2 oz. of coffee, 2/3 oz. of ice cream, and 1 oz of beef broth. What is the total amount consumed in ml that should be documented for the client?

(a)  

A nurse is preparing to administer levothyroxine 0.25 mg iv bolus stat. Available is levothyroxine injection 100 mcg/ml. How many ml should the nurse administer? Round to the nearest tenths place.

(a)  

Insulin Sliding Scale reads:

BG 0–180 mg/dL no coverage

BG 181 mg/dL–240 mg/dL 3 units subcutaneously

BG 241 mg/dL–300 mg/dL 6 units subcutaneously

BG 301 mg/dL–400 mg/dL 9 units subcutaneously

BG >400 mg 12 units subcutaneously and call the physician

At 12 noon , the client's Accucheck reading was 256 mg/dL. How many units of Humulin R insulin would the client receive?

(a)  

Order: Cefaclor 480 mg PO

How much ml will the nurse give based on label provided? Round to the nearest tenth.

(a)  

Order: Ampicillin 2 g IVPB

Dose on hand: Ampicillin 2 g in 100mL D5W to infuse over 30 minutes

Tubing drop factor: 20 gtts/mL

Question: How many gtts/min does the nurse administer the IV fluids? Round to the nearest whole number.

(a)  

Order: daptomycin 360 mg IV bolus

Reconstitution: 0.5g/10mL

How many mL should the nurse administer?

(a)  

A nurse is caring for a school-age child who weighs 22 kg. what is the child's daily maintenance fluid requirement?

(a)  

A nurse is preparing to administer dexamethasone 0.3 mg/kg/day PO divided into equal doses every 12 hr to a school-age child who weighs 50 lb. available is dexamethasone oral solution 0.5 mg/5 ml. How many ml should the nurse administer per dose?

(a)  

The nurse administers a sleep medication to a patient with insomnia at 10:00 PM. What time did the nurse administer the medication using the 24-hour clock?

(a)  

Order: 2.75 g of a medication

Supply: 30 mg/ml of a medication

How much ml will the nurse administer?

Round to the nearest whole number

(a)  

For the first 10 kg of body weight=100 mL/kg

For the next 10 kg of body weight=50 mL/kg

For each kg above 20 kg of body weight= 20 mL/kg 

Danielle weighs 8 kg is hospitalized for vomiting/diarrhea.  What would her daily (24 hour) fluid maintenance needs be in milliliters? 

(a)  

The physician prescribes diltiazem HCL (Cardizem) 60 mg. Available supply is 30 mg tablets. How many tablets should the nurse administer?

(a)  

Calculate the BSA in meters squared (m2) for a client whose weight it 54 lbs and height is 56 inches.

(a)  

Order: Infuse gentamicin 70 mg every 8 hours at 200 mL/hr using a micro tubing set. Calculate the drip rate in gtt/min

(a)  

Calculate the daily fluid requirement for a 28 kg pediatric client

(a)