ANSWERS
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1 of 56
Term
A client receives a prescription for ciprofloxacin 400 mg intravenously
(IV) every 12 hours to be infused over an hour. The IV bag contains
ciprofloxacin 400 mg in dextrose 5% in water (DW) 200 milk The
nurse should program the infusion pump to deliver how many mL/hr?
(Enter numerical value only.)
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4
calculations:
desired dose: 1.2 million units
available dose: 600,000 units/2 ml
to find the volume to administer, we can use the following formula:
volume to administer = (desired dose / available dose) * volume per dose
volume to administer = (1,200,000 units / 600,000 units/ml) * 2 ml = 4 ml
therefore, the nurse should administer 4 ml of the penicillin solution.
, 37.5
determine the concentration of magnesium sulfate in the iv bag:
the iv bag contains 4 grams (4000 mg) of magnesium sulfate in 500 ml.
concentration = 4000 mg / 500 ml = 8 mg/ml
determine the prescribed infusion rate:
the prescription is for 300 mg/hour.
calculate the infusion rate in ml/hour:
infusion rate (ml/hour) = prescribed dose (mg/hour) / concentration (mg/ml)
infusion rate (ml/hour) = 300 mg/hour / 8 mg/ml
infusion rate (ml/hour) = 37.5 ml/hour
200
1.7
to find out how many ml the nurse should
administer: we can set up a proportion to solve for
the unknown. given:
the prescription is for 1,000,000 units of penicillin g.
the available medication is 1,200,000 units/2 ml.
we can set up the proportion as follows:
1,000,000 units/ x ml = 1,200,000 units/2 ml
solving for x gives us the volume in ml that the nurse should
administer. cross-multiplying and solving for x:
x = 1,000,000 units×2 ml/1,200,000 units
after performing the calculation, we find that x equals 1.67 ml.
so, the nurse should administer 1.7 ml (rounded to the nearest tenth) of the
medication.
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2 of 56
Term
, The healthcare provider prescribes propylthiouracil (PTU) and
Lugol's solution, a strong iodine solution, for a client with
hyperthyroidism. How should the nurse schedule the administration
of these medications?
A. Offer both drugs together with a meal.
B.Schedule both medications at bedtime.
C. Give parental dose once every 24 hours.
D.Administer iodine one hour before PTU.
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D. Double the dose if a dose is D. Decrease cigarette use to a pack
missed. per day.
D. Administer iodine one B. When signs of severe
hour before PTU. hypoglycemia occur.
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3 of 56
Term
A client with generalized anxiety disorder (GAD) receives a new
prescription for lorazepam. Which statement provided by the client
requires additional instruction by the nurse?
A. Use relaxation techniques to reduce excessive anxiety.
B.Move slowly from a sitting position to a standing position.
, C. Avoid alcohol and other sedatives while taking the medication.
D.Stop taking the medication if intended effect is not immediate
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. D. Stop taking the medication if
D. Hemoglobin level intended effect is not immediate
D. Decrease cigarette use to a B. Take measures to avoid
pack per day. dehydration and over-heating
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4 of 56
Term
A client with benign prostatic hyperplasia receives a new
prescription of tamsulosin. Which intervention should the nurse
perform to monitor for an adverse reaction?
A. Perform a bladder scan.
B.Monitor blood pressure.
C. Obtain daily weights.
D.Assess urine output.
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