Practice Problems

Practice Problems One-Factor Practice Problems (See pages 203–206 for answers)

Order: Tigan 200 mg qid IM for nausea and vomiting
Order: morphine 30 mg PO every 4 hours for pain
Order: prednisone 7.5 mg PO bid for inflammation
Order: acetaminophen 160 mg PO every 4 hours for fever
Order: Xanax 0.5 mg PO tid for anxiety
Order: Adalat 60 mg PO daily for hypertension
Order: Halcion 0.25 mg PO at hs for insomnia
Order: furosemide 80 mg PO daily for congestive heart failure
Order: morphine sulfate 10 mg IM prn for pain
Order: naloxone HCl 100 mcg IVP prn for respiratory depression
Order: Solu-Medrol 80 mg IVP every 4 hours for inflammation
Order: lactulose 20 g PO daily for constipation
Order: Compazine 5 mg IM tid for nausea and vomiting
Order: Augmentin 250 mg PO every 8 hours for infection
Order: Tigan 200 mg PO tid for nausea and vomiting
Order: prednisone 10 mg PO bid for adrenal insufficiency
Order: hydromorphone 3 mg IM every 4 hours for pain
Order: acetaminophen 400 mg PO every 4 hours prn for fever
Order: magnesium sulfate 1000 mg IM times four doses for hypomagnesemia
Order: Compazine 10 mg PO qid prn for nausea and vomiting
Order: Hemabate 0.25 mg IM to control postpartum bleeding
Order: Lincocin 500 mg every 8 hours IV for infection
Order: Fragmin 2500 IU SQ daily for 10 days for thromboembolism prophylaxis
Order: Vantin 200 mg every 12 hours PO for infection
Order: Cleocin 300 mg PO daily for P. carinii pneumonia
Order: Azulfidine 500 mg PO every 12 hours for management of inflammatory bowel disease
Order: Mirapex 0.25 mg PO tid for signs/symptoms of idiopathic Parkinson’s disease
Order: Glyset 25 mg PO tid at the start of each meal for management of type 2 diabetes mellitus
Order: Micronase 5 mg PO daily for control of blood sugars associated with non–insulin-dependent diabetes mellitus
Order: Xanax 0.5 mg PO tid for panic attacks
Order: Depo-Provera 150 mg IM within the first 5 days of menses for contraception
Order: Eskalith 600 mg PO tid initial dose followed by 300 mg PO qid for treatment of bipolar affective disorder. Check lithium levels every 3 months.
Order: Phenobarbital 60 mg PO bid for seizures

Supply: Phenobarbital Elixir 20 mg/5 mL
- How many milliliters will you give? _____________
Order: Abacavir (Ziagen) 600 mg PO every day for HIV-1 infection in combination with Zidovudine

Supply: Ziagen 300 mg/tablets
- How many tablets will you give? _____________
Order: Zidovudine 100 mg PO every four hours for symptomatic HIV infection (600 mg/daily total)

Supply: Zidovudine 10 mg/mL syrup
- How many milliliters will you give? _____________

Practice Problems Two-Factor Practice Problems (See pages 206–209 for answers)

Order: digoxin elixir 25 mcg/kg for congestive heart failure Child’s weight: 25 lb
Order: atropine sulfate 0.02 mg/kg IV every 4 hours for bradycardia

Child’s weight: 35 lb
Order: lidocaine 2 mg/min IV for arrhythmia

Supply: lidocaine 2 g/500 mL D5W
- Calculate the milliliters per hour to set the IV pump. _____________
Order: Mezlin 1.5 g IV every 4 hours for infection

Nursing drug reference: Reconstitute each 1 g with 10 mL of normal saline.
Order: gentamicin 1 mg/kg IV every 8 hours for infection

Supply: gentamicin 40 mg/mL

Child’s weight: 94 lb
- How many milliliters will you draw from the vial? _____________
Order: morphine 15 mg/hr IV for intractable pain

Supply: morphine 300 mg/500 mL NS
- Calculate the milliliters per hour to set the IV pump. _____________
Information obtained by the nurse: Dilaudid 50 mg in 250 mL NS is infusing at 25 mL/hr.
- How many milligrams per hour is the patient receiving? _____________
Order: add 10 mEq KCl to 1000 mL D5W

Supply: KCl 20 mEq/20 mL
- How many milliliters will you draw from the vial to add to the IV bag? _____________
Information obtained by the nurse: nitroglycerin 50 mg in 500 mL D5W is infusing at 3 mL/hr.
- How many micrograms per minute is the patient receiving? _____________
Information obtained by the nurse: 1000 mL D5W with 10 mEq KCl is infusing at 100 mL/hr.
- How many milliequivalents of KCI is the patient receiving per hour? _____________
Order: infuse 1000 mL D5W at 250 mL/hr

Drop factor: 20 gtt/mL
- Calculate the number of drops per minute. _____________
Order: infuse 750 mL NS over 5 hours

Drop factor: 10 gtt/mL
- Calculate the number of drops per minute. _____________
Order: infuse 500 mL D5W over 8 hours

Drop factor: 60 gtt/mL
- Calculate the number of drops per minute. _____________
Order: infuse 750 mL D5W

Drop factor: 15 gtt/mL

Infusion rate: 18 gtt/min
- Calculate the number of hours to infuse. _____________
  
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