Postoperative hip arthroplasty

Q1. A nurse is caring for a client who is postoperative hip arthroplasty and has a new prescription for enoxaparin 1 mg/kg/dose subcutaneous every 12 hr. The client weighs 95 lbs. How many mg should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

a.

43.2 mg

b.

430 mg

c.

43 g

d.

4.3 mg

Q2. A nurse is preparing to administer vancomycin 15 mg/kg/day divided equally every 12 hr. The client weighs 198 lb. How many mg should the nurse administer with each dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

a.

64 mg

b.

65.7 mg

c.

680 mg

d.

675 mg

Q3. .A nurse is preparing to administer amantadine 150 mg PO every 12 hr. Available is amantadine 50 mg/5 mL syrup. How many mL should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

a.

5 mL

b.

15 mL

c.

1.5 mL

d.

2 mL

Q4. A nurse is preparing to administer amoxicillin 30 mg/kg/day in 2 equally divided doses every 12 hr to a toddler who weighs 33 lb. Available is amoxicillin 200 mg/5 mL suspension. How many mL should the nurse administer. (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

a.

6.5 mL

b.

5.6 mL

c.

56 mL

d.

5.7 mL

Q5. A nurse is preparing to administer levothyroxine 0.175 mg PO once a day. The amount available is levothyroxine 88 mcg/tablet. How many tablets should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

a.

1 tablet

b.

2 tablets

c.

2.5 tablets

d.

3 tablets

Q6. A nurse is caring for an adolescent client who has pneumonia and a prescription for cefpodoxime 5 mg/kg PO every 12 hr for 5 days. The client weighs 88 lb.  The nurse will administer a safe effective dose of 200 mg.

 

Select one:

True

False

Q7. A hospitalized adolescent is to be started on a heparin protocol due to valvular disease. The patient weighs 70 pounds and is to get a heparin bolus, followed by a continuous heparin infusion. The nurse has calculated the patient’s weight in kg and has administered the IV bolus and is now preparing the heparin infusion.

The physician has ordered a continuous heparin infusion at a rate of 20 units/kg/hr.

The pharmacy sends heparin 25,000 units/500 mL.

The nurse will administer the dose by setting the IV pump at _______ mL/hr (Please round to the nearest 10th place if rounding is necessary)

 

a.

12.7 mL/h

b.

1 mL/h

c.

127 mL/h

d.

1,237 mL/h

Q8. The patient has an order for Lidocaine 2.5 mcg/kg/min. The patient weighs 162 pounds. The pharmacy supplies Lidocaine 1000 mg in 500 mL D5W. The medication will be delivered by an infusion pump. The nurse will set the infusion to run @ 5.5 mL/hr  (Rounded to the nearest 10th)

Select one:

True

False

Q9. A nurse is caring for a client is who has a deep vein thrombosis and is prescribed heparin by continuous IV infusion at 1,200 units/hr. Available is heparin 25,000 units in 500 mL D5W. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest tenth/whole number. Use a leading zero if it applies. Do not use a trailing zero.)

a.

42 mL/h

b.

32 mL/h

c.

24 mL/h

d.

23 mL/h