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Ati dosage calculation rn medical surgical proctored assessment 3.1

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Total Questions : 30

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Question 1:

A nurse is preparing to administer hydrochlorothiazide 150 mg PO daily in 3 equally divided doses. Available is hydrochlorothiazide oral solution is 50 mg/5 mL. 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.)

Answer and Explanation
Correct Answer: "5" mL per dose

Explanation

Determine the single dose:

Total daily dose = 150 mg

Divided into 3 equal doses = 150 mg / 3 = 50 mg per dose

Determine the volume to administer:

Available concentration = 50 mg/5 mL

Desired dose = 50 mg

Volume to administer = (Desired dose / Available concentration) * Volume per dose

Volume to administer = (50 mg / 50 mg/mL) * 5 mL = 5 mL

Therefore, the nurse should administer 5 mL per dose.


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Question 2:

A nurse is preparing to administer phenytoin 200 mg via a gastrostomy tube. Available is phenytoin oral suspension 125 mg/5 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.)

Answer and Explanation
Correct Answer: "8" mL of phenytoin

Explanation

Desired dose: 200 mg

Available concentration: 125 mg/5 mL

To find the volume to administer, we can use the following formula:

Volume to administer (mL) = Desired dose (mg) / Concentration (mg/mL) * Volume per dose

Volume to administer = (200 mg / 125 mg/mL) * 5 mL = 8 mL

Therefore, the nurse should administer 8 mL of phenytoin oral suspension.


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Question 3:

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.)

Answer and Explanation
Correct Answer: "18" ml

Explanation

Step 1: Convert pounds to kilograms

1 lb = 0.453592 kg

169 lb * 0.453592 kg/lb = 76.65 kg

Step 2: Calculate the total dose of methylprednisolone

Dose = 30 mg/kg * 76.65 kg = 2299.5 mg

Step 3: Calculate the volume to administer

The medication concentration is 125 mg/mL.

Volume = Total dose / Concentration = 2299.5 mg / 125 mg/mL = 18.396 mL

Step 4: Round to the nearest whole number

Volume = 18 mL

Therefore, the nurse should administer 18 mL of methylprednisolone sodium succinate.


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Question 4:

A nurse is preparing to administer gentamicin 5 mg/kg via intermittent IV bolus to a client who weighs 210 lb. The amount available is gentamicin 10 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.)

Answer and Explanation
Correct Answer: "48" ml

Explanation

Step 1: Convert pounds to kilograms

1 lb = 0.453592 kg

210 lb * 0.453592 kg/lb = 95.25 kg

Step 2: Calculate the total dose of gentamicin

Dose = 5 mg/kg * 95.25 kg = 476.25 mg

Step 3: Calculate the volume to administer

The medication concentration is 10 mg/mL.

Volume = Total dose / Concentration = 476.25 mg / 10 mg/mL = 47.625 mL

Step 4: Round to the nearest whole number

Volume = 48 mL

Therefore, the nurse should administer 48 mL of gentamicin.


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Question 5:

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.)

Answer and Explanation
Correct Answer: "25" gt/min

Explanation

Convert hours to minutes:

1 hour = 60 minutes

Calculate the total number of drops:

Total drops = volume (mL) * drop factor (gtt/mL) = 100 mL * 15 gtt/mL = 1500 gtt

Calculate the flow rate:

Flow rate (gtt/min) = Total drops / Total minutes = 1500 gtt / 60 min = 25 gtt/min

Therefore, the nurse should set the flow rate to 25 gtt/min.


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Question 6:

A nurse is preparing to administer megestrol 200 mg PO to a client. Available is megestrol oral suspension 40 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.)

Answer and Explanation
Correct Answer: "5" ml

Explanation

Understanding the problem

We need to administer 200 mg of megestrol.

The available medication is a suspension with a concentration of 40 mg/mL.

We need to determine the volume to administer.

Step-by-step calculation

Use the formula:

Volume (mL) = Desired dose (mg) / Concentration (mg/mL)

Substitute the values:

Volume (mL) = 200 mg / 40 mg/mL

Calculate the volume:

Volume (mL) = 5 mL

Therefore, the nurse should administer 5 mL of megestrol oral suspension.


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Question 7:

A nurse is preparing to administer enoxaparin 40 mg subcutaneous for prevention of deep vein thrombosis. Available is enoxaparin 100 mg/mL. 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.)

Answer and Explanation
Correct Answer: "0.4" ml

Explanation

Understanding the problem

We need to administer 40 mg of enoxaparin.

The available medication is a solution with a concentration of 100 mg/mL.

We need to determine the volume to administer.

Step-by-step calculation

Use the formula:

Volume (mL) = Desired dose (mg) / Concentration (mg/mL)

Substitute the values:

Volume (mL) = 40 mg / 100 mg/mL

Calculate the volume:

Volume (mL) = 0.4 mL

Therefore, the nurse should administer 0.4 mL of enoxaparin.


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Question 8:

A nurse is preparing to administer amoxicillin 775 mg PO. Available is amoxicillin oral suspension 400 mg/5 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.)

Answer and Explanation
Correct Answer: "10" ml

Explanation

nderstanding the problem

We need to administer 775 mg of amoxicillin.

The available medication is a suspension with a concentration of 400 mg/5 mL.

We need to determine the volume to administer.

Step-by-step calculation

Use the formula:

Volume (mL) = Desired dose (mg) / Concentration (mg/mL)

Substitute the values:

Volume (mL) = 775 mg / (400 mg/5 mL)

Simplify the equation:

Volume (mL) = (775 mg * 5 mL) / 400 mg

Calculate the volume:

Volume (mL) = 3875 mL / 400 = 9.6875 mL

Round to the nearest whole number:

Volume (mL) = 10 mL

Therefore, the nurse should administer 10 mL of amoxicillin oral suspension.


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Question 9:

A nurse is preparing to administer cefazolin 1 g intermittent IV bolus in 0.9% sodium chloride 250 mL over 30 min. The drop factor on the manual IV tubing is 10 gtt/mL. The nurse should set the manual IV 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.)

Answer and Explanation
Correct Answer: "83" gtt/min

Explanation

Understanding the problem

We need to administer 250 mL of cefazolin over 30 minutes.

The drop factor of the IV tubing is 10 gtt/mL.

We need to determine the flow rate in drops per minute (gtt/min).

Step-by-step calculation

Convert minutes to hours:

30 minutes = 0.5 hours

Calculate the flow rate in mL/hour:

Flow rate (mL/hour) = Total volume (mL) / Total time (hours) = 250 mL / 0.5 hours = 500 mL/hour

Calculate the flow rate in gtt/min:

Flow rate (gtt/min) = Flow rate (mL/hour) * Drop factor (gtt/mL) / 60 min/hour = 500 mL/hour * 10 gtt/mL / 60 min/hour = 83.33 gtt/min

Round to the nearest whole number:

Flow rate (gtt/min) = 83 gtt/min

Therefore, the nurse should set the manual IV flow rate to 83 gtt/min.


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Question 10:

A nurse is preparing to administer voriconazole 6 mg/kg via intermittent IV bolus to a client who weighs 127 lb. Available is voriconazole 5 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)

Answer and Explanation
Correct Answer: "69" ml

Explanation

Step-by-step solution:

1. Convert pounds to kilograms:

1 lb = 0.453592 kg

127 lb * 0.453592 kg/lb = 57.61 kg

2. Calculate the total dose of voriconazole:

Dose = 6 mg/kg * 57.61 kg = 345.66 mg

3. Calculate the volume to administer:

The medication concentration is 5 mg/mL.

Volume = Total dose / Concentration = 345.66 mg / 5 mg/mL = 69.132 mL

4. Round to the nearest whole number:

Volume = 69 mL

Therefore, the nurse should administer 69 mL of voriconazole.


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