A nurse is preparing to administer methylprednisolone sodium succinate 30 mg/kg via intermittent IV bolus to a client who weighs 169 lb. Available is methylprednisolone sodium succinate 125 mg/mL. How many mL should the nurse administer?
(Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

What patient education should be given to a client going home with a new prescription for the potassium-sparing diuretic spironolactone?

A nurse is preparing to administer 0.45% sodium chloride 2.5 L IV to infuse over 24 hr. How many mL should the nurse administer?
(Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse is preparing to administer hydrocortisone 150 mg via IV bolus. Available is hydrocortisone 50 mg/mL. How many mL should the nurse administer?
(Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

A patient hospitalized for heart failure exacerbation has been receiving 40 mg furosemide IV twice daily. What statement by the client would alert the nurse to a possible toxic effect of this medication?

A nurse is preparing to administer clindamycin 1,200 mg IV bolus over 1 hr to a client who is allergic to penicillin. Available is clindamycin 1,200 mg in dextrose 5% in water 100 mL. The drop factor on the manual IV tubing is 15 gtt/mL.

The nurse should set the flow rate to deliver how many gtt/min?
(Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

The nurse is preparing medications for a client with a history of hypertension who is post-op day 3 following hip replacement.

Meds: Atenolol 25 mg PO, Captopril 10 mg PO, Glipizide 5 mg PO, and Warfarin 4 mg PO.

Vital signs: blood pressure 138/90, heart rate 82, respiratory rate 18, temperature 99.7, O2 saturation 96% on room air.

Today’s labs: sodium- 143 meq/L, potassium 4.8 mmol/L, Hemoglobin 11.1 gm/dL, white blood count 10.8, blood glucose 130, INR 2.2

What education would be a priority for this client?

A nurse is preparing to administer 12 L of lactated Ringer’s IV to infuse over 24 hr. Half of the fluid is to be administered in the first 8 hr. The nurse should set the IV pump to deliver how many mL/hr during the first 8 hr?
(Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

The nurse is preparing medications for a client with a history of hypertension who is post-op day 3 following hip replacement.

Meds: Atenolol 25 mg PO, Captopril 10 mg PO, Atorvastatin 40 mg PO, and Warfarin 4 mg PO.

Vital signs: blood pressure 138/90, heart rate 52, respiratory rate 18, temperature 99.7, O2 saturation 96% on room air.

Today’s labs: sodium- 143 meq/L, potassium 4.6 mmol/L, Hemoglobin 11.1 gm/dL, white blood count 10.8, INR 2.2

Which medication will the nurse hold?

A nurse is preparing to administer cefazolin 250 mg via intermittent IV bolus every 8 hr. Available is cefazolin 500 mg vial. The package insert instructs to add 2 mL of sterile water to yield a concentration of 225 mg/mL and then add to 50 mL of 0.9% sodium chloride.

How many mL of cefazolin should the nurse add to the 50 mL of 0.9% sodium chloride?
(Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

What labs would indicate a client may need a prescription for an HMG-CoA reductase inhibitor, such as atorvastatin?