Kee: Pharmacology, 6th Edition

Test Bank Chapter 4: Medications and Calculations SHORT ANSWER

1. Order: trihexyphenidyl hydrochloride (Artane) 6 mg, PO, daily.

Available:

How many tablet(s) should you give?

ANS: 3 tablets DIF: Cognitive Level: Behavioral Questioning TOP: Nursing Process: Intervention/Implementation MSC: CONTENT CATEGORY: Physiological Integrity: Pharmacological and Parenteral Therapies 2. Order: hydralazine hydrochloride 50 mg, PO, qid.

Available:

a. Are these two drug labels the same?

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b. Which labeled drug container should you use? c. How many tablet(s) should you give?
ANS:

a. no, different drugs b. hydralazine 25 mg c. 2 tablets

DIF: Cognitive Level: Behavioral Questioning TOP: Nursing Process: Intervention/Implementation MSC: CONTENT CATEGORY: Physiological Integrity: Pharmacological and Parenteral Therapies 3. Order: allopurinol (Zyloprim) 150 mg, PO, qid.

Available:

a. How many tablet(s) should you give per dose? b. How many mg will the client receive per day?
ANS:

a. tablet b. 600 mg (150 mg times 4)

DIF: Cognitive Level: Behavioral Questioning TOP: Nursing Process: Intervention/Implementation MSC: CONTENT CATEGORY: Physiological Integrity: Pharmacological and Parenteral Therapies 4. Order: doxycycline hyclate (Vibra-Tabs) 100 mg, PO, first day q12h; then 0.1 mg, PO,

daily.

Test Bank Available:

43

a. How many tablet(s) should the client receive the first day? b. How many tablet(s) should the client receive daily after the first day?
ANS:

a. 2 tablets first day b. 1 tablet after the first day

DIF: Cognitive Level: Behavioral Questioning TOP: Nursing Process: Intervention/Implementation MSC: CONTENT CATEGORY: Physiological Integrity: Pharmacological and Parenteral Therapies 5. Order: Augmentin 500 mg, PO, q8h.

Available:

How many tablet(s) should you give per dose?

ANS: 2 capsules DIF: Cognitive Level: Behavioral Questioning TOP: Nursing Process: Intervention/Implementation MSC: CONTENT CATEGORY: Physiological Integrity: Pharmacological and Parenteral Therapies 6. Order: Aldomet 0.3 g, PO, bid.

Available:

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How many tablet(s) should you give per dose?

ANS: Dose cannot be given in this drug form. Drug also comes in liquid form. DIF: Cognitive Level: Behavioral Questioning TOP: Nursing Process: Intervention/Implementation MSC: CONTENT CATEGORY: Physiological Integrity: Pharmacological and Parenteral Therapies 7. Order: aminocaproic acid (Amicar) 1.5 g STAT and repeat in 1 hour.

Available:

How many tablet(s) should you give STAT?

ANS: 3 tablets DIF: Cognitive Level: Behavioral Questioning TOP: Nursing Process: Intervention/Implementation MSC: CONTENT CATEGORY: Physiological Integrity: Pharmacological and Parenteral Therapies 8. Order: lorazepam (Ativan) 1 mg, PO, tid.

Available: Ativan 0.5 mg a. How many mg of Ativan will the client receive per day? b. How many tablet(s) should you give per dose?
ANS:

a. 3 mg b. 2 tablets
DIF: Cognitive Level: Behavioral Questioning TOP: Nursing Process: Intervention/Implementation

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45

MSC: CONTENT CATEGORY: Physiological Integrity: Pharmacological and Parenteral Therapies 9. Order: Coumadin 7.5 mg, PO, daily.

Available:

a. Which labeled Coumadin container should you select? b. How many tablets are equivalent to Coumadin 7.5 mg?
ANS:

a. Coumadin 5 mg b. 1 tablets
DIF: Cognitive Level: Behavioral Questioning TOP: Nursing Process: Intervention/Implementation MSC: CONTENT CATEGORY: Physiological Integrity: Pharmacological and Parenteral Therapies 10. Which of the following nitroglycerin preparations is the most potent?

Available:

a. Which is most potent? b. How is Nitrostat SL administered?

ANS:

a. nitroglycerin 0.6 mg or gr 1/100

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b. tablet placed under the tongue, sublingual

DIF: Cognitive Level: Behavioral Questioning TOP: Nursing Process: Intervention/Implementation MSC: CONTENT CATEGORY: Physiological Integrity: Pharmacological and Parenteral Therapies 11. Ordered: digoxin 0.25 mg, PO, STAT.

Available:

How many tablets are equivalent to digoxin 0.25 mg?

ANS: 2 tablets DIF: Cognitive Level: Behavioral Questioning TOP: Nursing Process: Intervention/Implementation MSC: CONTENT CATEGORY: Physiological Integrity: Pharmacological and Parenteral Therapies 12. Order: ampicillin 0.5 g, PO, q6h.

Available:

How many capsule(s) should you give per dose?

ANS: 2 capsules DIF: Cognitive Level: Behavioral Questioning TOP: Nursing Process: Intervention/Implementation

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47

MSC: CONTENT CATEGORY: Physiological Integrity: Pharmacological and Parenteral Therapies 13. Order: minocycline hydrochloride 0.2 g, PO, STAT; then 0.1 g, PO, q12h.

Available:

a. How many capsule(s) would you give for the STAT dose? b. How many capsule(s) should the client receive every 12 hours?
ANS:

a. 4 capsules STAT b. 2 capsules q12h

DIF: Cognitive Level: Behavioral Questioning TOP: Nursing Process: Intervention/Implementation MSC: CONTENT CATEGORY: Physiological Integrity: Pharmacological and Parenteral Therapies 14. Order: lovastatin 30 mg, PO, every day with food.

Available:

a. Which label(s) of lovastatin would you select? b. How many tablet(s) should you give per day?
ANS:

a. either drug container

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b. Give one tablet from each container, which would be equal to 30 mg. If lovastatin 20 mg is given, administer 1 tablets.
DIF: Cognitive Level: Behavioral Questioning TOP: Nursing Process: Intervention/Implementation MSC: CONTENT CATEGORY: Physiological Integrity: Pharmacological and Parenteral Therapies 15. Order: prochlorperazine 10 mg, PO, tid.

Available:

a. Which brand name drug would you select? b. How many tablet(s) should you give per dose?
ANS:

a. Compazine b. 2 tablets
DIF: Cognitive Level: Behavioral Questioning TOP: Nursing Process: Intervention/Implementation MSC: CONTENT CATEGORY: Physiological Integrity: Pharmacological and Parenteral Therapies 16. Order codeine 60 mg, PO, STAT.

Available:

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49

How many tablet(s) should you give?

ANS: 2 tablets DIF: Cognitive Level: Behavioral Questioning TOP: Nursing Process: Intervention/Implementation MSC: CONTENT CATEGORY: Physiological Integrity: Pharmacological and Parenteral Therapies 17. Order: Crestor 10 mg, PO, in the evening.

Available:

a. Which bottle would you select? b. How many tablet(s) would you give?
ANS:

a. Crestor 5 mg bottle b. 2 tablets

DIF: Cognitive Level: Behavioral Questioning TOP: Nursing Process: Intervention/Implementation MSC: CONTENT CATEGORY: Physiological Integrity: Pharmacological and Parenteral Thera-

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pies 18. Order: Diovan HCT, 160 mg/25 mg, PO, daily.

Available:

How many tablet(s) would you give?

ANS: 2 tablets DIF: Cognitive Level: Behavioral Questioning TOP: Nursing Process: Intervention/Implementation MSC: CONTENT CATEGORY: Physiological Integrity: Pharmacological and Parenteral Therapies 19. Order: fluconazole (Diflucan) 200 mg, PO, first day; then 100 mg, PO daily for 20 days.

Available:

a. How may milliliters (ml) should you give initially (first day)? b. How many milliliters should the client receive daily for the next 20 days?
ANS:

a. 5 ml first day b. 2.5 ml daily for 20 days

DIF: Cognitive Level: Behavioral Questioning TOP: Nursing Process: Intervention/Implementation MSC: CONTENT CATEGORY: Physiological Integrity: Pharmacological and Parenteral Therapies

Test Bank
20. Order: cephalexin 400 mg, PO, q6h.

411

Available:

How many ml should you give per dose?

ANS: 8 ml DIF: Cognitive Level: Behavioral Questioning TOP: Nursing Process: Intervention/Implementation MSC: CONTENT CATEGORY: Physiological Integrity: Pharmacological and Parenteral Therapies 21. Order: erythromycin 350 mg, PO, q8h.

Available: erythromycin estolate 250 mg/5 ml How many ml should you give per dose?
ANS: 7 ml DIF: Cognitive Level: Behavioral Questioning TOP: Nursing Process: Intervention/Implementation MSC: CONTENT CATEGORY: Physiological Integrity: Pharmacological and Parenteral Therapies 22. Order: acetaminophen gr X (10), PO, q4-6h, PRN. (Note: Change grains to milligrams.)

Available:

How many tablet(s) should you give?

ANS: 2 tablets DIF: Cognitive Level: Behavioral Questioning TOP: Nursing Process: Intervention/Implementation MSC: CONTENT CATEGORY: Physiological Integrity: Pharmacological and Parenteral Therapies 23. Order: Augmentin 250 mg, PO, qid.

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Available: (This container of Augmentin powder is for oral use and is to be mixed with water before administration.)

a. How many ml of water should you add? b. Augmentin 250 mg = ____ ml. c. After administering Augmentin 250 mg, how many ml would be left?
ANS:

a. 5 ml of water b. 5 ml c. 0 ml or none left

DIF: Cognitive Level: Behavioral Questioning TOP: Nursing Process: Intervention/Implementation MSC: CONTENT CATEGORY: Physiological Integrity: Pharmacological and Parenteral Therapies 24. Order: Mycostatin U 300,000, PO, qid (swish and swallow).

Available: Mycostatin 100,000 units per ml

How many ml should you give?

ANS: 3 ml DIF: Cognitive Level: Behavioral Questioning TOP: Nursing Process: Intervention/Implementation MSC: CONTENT CATEGORY: Physiological Integrity: Pharmacological and Parenteral Therapies 25. Order: Norvir 600 mg, PO, bid.

Available:

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413

a. How many milliliters (ml) should the client receive per dose? b. How many milligrams (mg) should the client receive per day?
ANS:

a. 7.5 ml per dose b. 120 mg per day

DIF: Cognitive Level: Behavioral Questioning TOP: Nursing Process: Intervention/Implementation MSC: CONTENT CATEGORY: Physiological Integrity: Pharmacological and Parenteral Therapies 26. Order: amoxicillin/clavulanate 350 mg, PO q8h.

Available: <INSERT UNN FIGURE 4-26A&B HERE>

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a. Which drug label would you select? b. How much would you give per dose?
ANS:

a. 250 mg/5 ml b. 7 ml
DIF: Cognitive Level: Behavioral Questioning TOP: Nursing Process: Intervention/Implementation MSC: CONTENT CATEGORY: Physiological Integrity: Pharmacological and Parenteral Therapies 27. Order: methenamine mandelate 500 mg, PO, qid.

Available:

How many tablet(s) should you give per dose?

ANS: 1 tablet DIF: Cognitive Level: Behavioral Questioning TOP: Nursing Process: Intervention/Implementation MSC: CONTENT CATEGORY: Physiological Integrity: Pharmacological and Parenteral Therapies 28. Order: cefadroxil (Duricef) 0.4 g, PO, q12h.

Available:

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415

How many ml should you give per dose?

ANS: 8 ml DIF: Cognitive Level: Behavioral Questioning TOP: Nursing Process: Intervention/Implementation MSC: CONTENT CATEGORY: Physiological Integrity: Pharmacological and Parenteral Therapies 29. Order: methyldopa 125 mg, PO, bid.

Available:

How many ml should you give per dose?

ANS: 2.5 ml DIF: Cognitive Level: Behavioral Questioning TOP: Nursing Process: Intervention/Implementation MSC: CONTENT CATEGORY: Physiological Integrity: Pharmacological and Parenteral Therapies 30. Order: Serzone (nefazodone hydrochloride), PO, initially: 200 mg in 2 divided doses; 100

mg in 2 divided doses; may increase to 100 mg, bid. Available:

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a. How many tablets should the client initially receive? b. How many tablets should the client receive per dose when ordered 100 mg in 2 divided doses? c. How many tablets should the client receive per dose when increased to 100 mg, bid?
ANS:

a. 4 tablets b. 1 tablet per dose c. 2 tablets per dose

DIF: Cognitive Level: Behavioral Questioning TOP: Nursing Process: Intervention/Implementation MSC: CONTENT CATEGORY: Physiological Integrity: Pharmacological and Parenteral Therapies 31. Order cefuroxime axetil (Ceftin) 300 mg, PO, q12 h.

Available:

a. Which bottle of Ceftin would you select? b. How many milliliters (ml) should the client receive?
ANS:

a. either bottle; preferred Ceftin 250 mg/5 ml b. using the 250 mg/5 ml bottle, give 6 ml

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417

DIF: Cognitive Level: Behavioral Questioning TOP: Nursing Process: Intervention/Implementation MSC: CONTENT CATEGORY: Physiological Integrity: Pharmacological and Parenteral Therapies 32. Order: Hyzaar 100-25 mg/day, PO; decrease dose to 50-12.5 mg if systolic blood

pressure is less than 130 mm Hg. Clients present blood pressure is 166/86 mm Hg. Available:

How many tablet(s) should the client receive with the present blood pressure result?
ANS: 2 tablets of Hyzaar DIF: Cognitive Level: Behavioral Questioning TOP: Nursing Process: Intervention/Implementation MSC: CONTENT CATEGORY: Physiological Integrity: Pharmacological and Parenteral Therapies 33. Order: Zestril 10 mg, PO, initially and then 20 mg/day in 2 divided doses (10 mg, PO, bid

or q12h). Available:

a. How many Zestril tablet(s) should the client initially receive (first day)? b. How many tablets should the client receive per dose?
ANS:

a. 2 tablets of Zestril using the 5 mg drug label for initial dose b. 2 tablets of Zestril per dose, twice a day

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DIF: Cognitive Level: Behavioral Questioning TOP: Nursing Process: Intervention/Implementation MSC: CONTENT CATEGORY: Physiological Integrity: Pharmacological and Parenteral Therapies 34. Order: amoxicillin (Amoxil) 300 mg, PO, q8h.

Available:

a. How many ml should the client receive per dose? b. How many mg should the client receive per day? c. How many ml should the client receive per day?
ANS:

a. 7.5 (7) ml per dose of Amoxil b. 900 mg per day c. 22.5 ml per day of Amoxil
DIF: Cognitive Level: Behavioral Questioning TOP: Nursing Process: Intervention/Implementation MSC: CONTENT CATEGORY: Physiological Integrity: Pharmacological and Parenteral Therapies 35. Order: Thorazine 10 mg, IM (deep), STAT.

Available:

How many ml should you give?

ANS: 0.4 ml DIF: Cognitive Level: Behavioral Questioning TOP: Nursing Process: Intervention/Implementation MSC: CONTENT CATEGORY: Physiological Integrity: Pharmacological and Parenteral Therapies

Test Bank
36. Order: cefazolin (Ancef) 250 mg, IM q8h.

419

Available:

a. How many ml of diluent should be added to the vial? b. How many ml should you give per dose?
ANS:

a. 2.5 ml of sterile water, which yields 3.0 ml of drug b. 0.75 ml

DIF: Cognitive Level: Behavioral Questioning TOP: Nursing Process: Intervention/Implementation MSC: CONTENT CATEGORY: Physiological Integrity: Pharmacological and Parenteral Therapies 37. Order: Compazine 7.5 mg, IM (deep), qid, PRN.

Available:

How many ml should you give per dose?

ANS: 1.5 ml DIF: Cognitive Level: Behavioral Questioning TOP: Nursing Process: Intervention/Implementation MSC: CONTENT CATEGORY: Physiological Integrity: Pharmacological and Parenteral Therapies 38. Preoperative order: meperidine (Demerol) 60 mg, IM; atropine sulfate 0.3 mg, IM.

Available: atropine sulfate 0.4 mg = 1 ml

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a. How many ml of meperidine should you discard and how many ml should you administer? b. How many ml of atropine should you administer?
ANS:

a. Discard 0.4 ml of meperidine and administer 0.6 ml. b. Administer 0.75 or 0.8 ml of atropine.
DIF: Cognitive Level: Behavioral Questioning TOP: Nursing Process: Intervention/Implementation MSC: CONTENT CATEGORY: Physiological Integrity: Pharmacological and Parenteral Therapies 39. Order: codeine gr

(), Sub Q, STAT. Available: 60 mg (gr I)/ml a. gr = ____ mg. b. How many ml should you give?
ANS:

a. 30 mg b. 0.5 ml
DIF: Cognitive Level: Behavioral Questioning TOP: Nursing Process: Intervention/Implementation MSC: CONTENT CATEGORY: Physiological Integrity: Pharmacological and Parenteral Therapies 40. Order: loxapine (Loxitane) 75 mg, IM, daily.

Available:

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421

How many milliliters (ml) should the client receive?

ANS: 1.5 ml DIF: Cognitive Level: Behavioral Questioning TOP: Nursing Process: Intervention/Implementation MSC: CONTENT CATEGORY: Physiological Integrity: Pharmacological and Parenteral Therapies 41. Order: midazolam (Versed) 3 mg, IM, STAT.

Available: Versed 10 mg/2 ml How many ml should you give?

ANS: 0.6 ml DIF: Cognitive Level: Behavioral Questioning TOP: Nursing Process: Intervention/Implementation MSC: CONTENT CATEGORY: Physiological Integrity: Pharmacological and Parenteral Therapies 42. Order: vitamin B12 (cyanocobalamin) 750 mcg, IM, every month.

Available:

How many ml of cyanocobalamin should you discard and how many ml should you administer?
ANS: Discard 0.25 ml; give 0.75 ml DIF: Cognitive Level: Behavioral Questioning

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TOP: Nursing Process: Intervention/Implementation MSC: CONTENT CATEGORY: Physiological Integrity: Pharmacological and Parenteral Therapies 43. Order: heparin U 5000, Sub Q, q6h.

Available:

How many ml of heparin should you discard from the prefilled cartridge and how many ml should you administer?
ANS: Discard 0.5 ml; give 0.5 ml DIF: Cognitive Level: Behavioral Questioning TOP: Nursing Process: Intervention/Implementation MSC: CONTENT CATEGORY: Physiological Integrity: Pharmacological and Parenteral Therapies 44. Order: morphine sulfate 10 mg, Sub Q, STAT.

Available:

a. At what angle(s) may the subcutaneous morphine be given? b. How many ml should you give?
ANS:

a. 45, 60, or 90 degrees (depends on the amount of adipose tissue) b. 0.67 or 0.7 ml
DIF: Cognitive Level: Behavioral Questioning TOP: Nursing Process: Intervention/Implementation MSC: CONTENT CATEGORY: Physiological Integrity: Pharmacological and Parenteral Therapies

Test Bank
45. Order: diazepam 8 mg, IM, STAT and repeat in 4 hours if necessary.

423

Available:

a. Which ampule or vial of diazepam would you select? b. How many ml of diazepam should the client receive?
ANS:

a. Either the ampule or the vial could be used. The diazepam 5 mg/ml is a multiple-dose vial that contains 10 ml of drug solution. b. Ampule: Vial: = 1.6 ml = 1.6 ml of diazepam

DIF: Cognitive Level: Behavioral Questioning TOP: Nursing Process: Intervention/Implementation MSC: CONTENT CATEGORY: Physiological Integrity: Pharmacological and Parenteral Therapies 46. Order: amikacin 0.25 g, IM, bid.

Available:

How many ml should you give per dose?

ANS: 1 ml DIF: Cognitive Level: Behavioral Questioning TOP: Nursing Process: Intervention/Implementation MSC: CONTENT CATEGORY: Physiological Integrity: Pharmacological and Parenteral Therapies 47. Order: clindamycin 200 mg, IM, q6h.

Available:

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How many ml should you give per dose?

ANS: 1.3 ml DIF: Cognitive Level: Behavioral Questioning TOP: Nursing Process: Intervention/Implementation MSC: CONTENT CATEGORY: Physiological Integrity: Pharmacological and Parenteral Therapies 48. Order: kanamycin sulfate (Kantrex) 300 mg, IM, q8h.

Available:

How many ml should you give per dose?

ANS: 1.2 ml DIF: Cognitive Level: Behavioral Questioning TOP: Nursing Process: Intervention/Implementation MSC: CONTENT CATEGORY: Physiological Integrity: Pharmacological and Parenteral Therapies 49. Order: cefepime hydrochloride (Maxipime) 500 mg, IM, q12h.

Available:

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425

a. Which single-dose vial of Maxipime would you select? Explain. b. How many ml of diluent should you use for reconstitution of the drug? Note: The drug label does not indicate the amount of diluent to use. This may be found in the drug information insert. Usually if you inject 2.6 ml of diluent, the amount of drug solution may be 3 ml. If you inject 3.4 or 3.5 ml of diluent, the amount of drug solution should be 4 ml. c. How many ml of drug solution should the client receive?
ANS:

a. Select the Maxipime 1-g vial. The Maxipime 2-g vial is for intravenous use according to the drug label and cannot be used for intramuscular injection. b. 2.6 ml of diluent should be added; drug solution is 3 ml. c. 1.5 ml
DIF: Cognitive Level: Behavioral Questioning TOP: Nursing Process: Intervention/Implementation MSC: CONTENT CATEGORY: Physiological Integrity: Pharmacological and Parenteral Therapies 50. Order: nafcillin sodium 250 mg, IM, q6h.

Available:

a. 1 g = ____ mg. b. How many ml of diluent should be added to the vial? c. How many ml should you give per dose?
ANS:

a. 1000 mg b. 3.4 ml to yield 4 ml c. 1 ml

DIF: Cognitive Level: Behavioral Questioning TOP: Nursing Process: Intervention/Implementation MSC: CONTENT CATEGORY: Physiological Integrity: Pharmacological and Parenteral Therapies
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51. Order: Humulin regular insulin, 12 Units, Sub Q, STAT.

Available:

Mark on the insulin syringe the amount of insulin the client should receive.
ANS: 12 Units on the insulin syringe DIF: Cognitive Level: Behavioral Questioning TOP: Nursing Process: Intervention/Implementation MSC: CONTENT CATEGORY: Physiological Integrity: Pharmacological and Parenteral Therapies 52. Order: Humulin N 35 Units, Sub Q, in the AM.

Available:

Indicate on the insulin syringe how much Humulin N the client should receive.
ANS: 35 Units on the insulin syringe DIF: Cognitive Level: Behavioral Questioning TOP: Nursing Process: Intervention/Implementation MSC: CONTENT CATEGORY: Physiological Integrity: Pharmacological and Parenteral Therapies 53. Order NPH insulin 42 Units and regular insulin 5 Units, Sub Q, daily.

Available:

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427

a. Which of the insulins should be drawn up first? b. Indicate on the insulin syringe the amount of NPH and regular insulins.
ANS:

a. regular insulin first b. 5 Units of regular insulin and 42 Units of NPH, with the insulin syringe marked to 47 Units
DIF: Cognitive Level: Behavioral Questioning TOP: Nursing Process: Intervention/Implementation MSC: CONTENT CATEGORY: Physiological Integrity: Pharmacological and Parenteral Therapies 54. Order: heparin 3000 Units, Sub Q, q6h.

Available:

a. What type of syringe should you select? b. How many ml should you give per dose?
ANS:

a. tuberculin syringe b. 0.3 ml

DIF: Cognitive Level: Behavioral Questioning TOP: Nursing Process: Intervention/Implementation MSC: CONTENT CATEGORY: Physiological Integrity: Pharmacological and Parenteral Therapies 55. Order: Lovenox 30 mg, Sub Q, bid.

Available:

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How many milliliters should the client receive per dose?

ANS: 0.3 ml Sub Q DIF: Cognitive Level: Behavioral Questioning TOP: Nursing Process: Intervention/Implementation MSC: CONTENT CATEGORY: Physiological Integrity: Pharmacological and Parenteral Therapies 56. Order: 1000 ml of lactated Ringers (LR) solution to be administered in 6 hours.

Available: 1 L LR Macrodrip set labeled 10 gtt/ml. a. How many ml of LR should be infused in 1 hour? b. How many drops per minute (gtt/min) should the client receive?
ANS:

a. 167 ml per hour (1000 ml 6 = 166.6 = 167 ml) b. 28 gtt/min ([167 10 gtt] 60 min = 27.8 or 28 gtt/min)
DIF: Cognitive Level: Behavioral Questioning TOP: Nursing Process: Intervention/Implementation MSC: CONTENT CATEGORY: Physiological Integrity: Pharmacological and Parenteral Therapies 57. Order: aminocaproic acid 4 g in 250 ml D5W to infuse in 1 hour.

Set: secondary set labeled 15 gtt/min Available:

a. How many ml of aminocaproic acid should be mixed in 250 ml of D5W? b. How many gtt/min should the client receive?
ANS:

a. 16 ml b. 62 gtt/min
DIF: Cognitive Level: Behavioral Questioning TOP: Nursing Process: Intervention/Implementation

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429

MSC: CONTENT CATEGORY: Physiological Integrity: Pharmacological and Parenteral Therapies 58. Order: kanamycin 750 mg, IV, q6h.

Available:

Set and solution: Buretrol set (cylinder set) with drop factor 60 gtt/ml; 500 ml D5W Instruction: Dilute drug in 100 ml of D5W and infuse in 30 minutes. a. How many ml are equivalent to kanamycin 750 mg? b. How many drops per minute are needed for the drug to infuse in 30 minutes?
ANS:

a. 2.25 ml b. 200 gtt/min

DIF: Cognitive Level: Behavioral Questioning TOP: Nursing Process: Intervention/Implementation MSC: CONTENT CATEGORY: Physiological Integrity: Pharmacological and Parenteral Therapies 59. Order: clindamycin 300 mg, IV, q6h.

Available:

Set and solution: cylinder set with drop factor 60 gtt/min; 250 ml of D5W Instruction: Dilute drug in 50 ml of D5W and infuse in 20 minutes. a. How many ml are equivalent to clindamycin 300 mg? b. What is the IV flow rate to infuse in 20 minutes?
ANS:

a. 2 ml b. 150 gtt/min
DIF: Cognitive Level: Behavioral Questioning

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TOP: Nursing Process: Intervention/Implementation MSC: CONTENT CATEGORY: Physiological Integrity: Pharmacological and Parenteral Therapies 60. Order: cefamandole 500 mg, IV, q8h.

Available:

Set and solution: secondary set with drop factor 15 gtt/min; 100 ml of D5W Instruction: Dilute drug in 100 ml of D5W and infuse in 40 minutes. a. How much diluent (ml) should be inserted in the drug vial? b. How many ml are equivalent to cefamandole 500 mg? c. How many drops per minute are needed for the drug to infuse in 40 minutes?
ANS:

a. 3 ml to yield 3.5 ml b. 1.75 or 1.8 ml c. 37-38 gtt/min

DIF: Cognitive Level: Behavioral Questioning TOP: Nursing Process: Intervention/Implementation MSC: CONTENT CATEGORY: Physiological Integrity: Pharmacological and Parenteral Therapies 61. Order: cephapirin (Cefadyl) 500 mg, IV, q6h.

Available:

Set and solution: volumetric infusion pump; 100 ml of D5W Instruction: Dilute drug in 100 ml of D5W and infuse in 45 minutes. a. How much diluent (ml) should be added to the Cefadyl and how many ml are equivalent to Cefadyl 500 mg? b. At how many ml/hr should the volumetric pump be set? Use the formula:

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431

ANS:

a. 10 ml; 2.5 ml

b.
DIF: Cognitive Level: Behavioral Questioning TOP: Nursing Process: Intervention/Implementation MSC: CONTENT CATEGORY: Physiological Integrity: Pharmacological and Parenteral Therapies 62. Order: piperacillin/tazobactam (Zosyn) 1000 mg, IV, q6h.

Available: Add 5.0 ml of diluent for every 1 g.

Set and solution: Buretrol set with drop factor 60 gtt/ml; 500 ml of D5W Instruction: Dilute drug in 50 ml of D5W and infuse in 30 minutes. a. How many ml are equivalent to Zosyn 1000 mg? b. What is the flow rate to infuse the drug solution?
ANS:

(piperacillin 4 g; tazobactam 0.5 g) a. 5 ml = 1000 mg or 1 g of Zosyn

b.
DIF: Cognitive Level: Behavioral Questioning TOP: Nursing Process: Intervention/Implementation MSC: CONTENT CATEGORY: Physiological Integrity: Pharmacological and Parenteral Therapies 63. Order: cyclophosphamide (Cytoxan) 400 mg, IV, every week.

Drug dose parameter: 350-550 mg/m2 Client weight is 135 pounds and height is 63 inches. Available:

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Instruction: Dilute drug in 250 ml of D5W and infuse in 1 hour. a. How many ml of Cytoxan equals 400 mg? b. Using macrodrip set with drop factor of 10 gtt/ml, the infusion rate should be ____ gtt/min. c. Is the drug dose within safe parameters?
ANS:

a. 16 ml if 20 ml of diluent was added OR 20 ml if 25 ml of diluent was added b. 24-25 gtt/min c. Dose is less than the drug dose parameter.
DIF: Cognitive Level: Behavioral Questioning TOP: Nursing Process: Intervention/Implementation MSC: CONTENT CATEGORY: Physiological Integrity: Pharmacological and Parenteral Therapies 64. Order: protamine sulfate 40 mg, direct IV, STAT.

IV infusion should not exceed 5 mg/ min. Available:

a. How many milliliters (ml) should be administered? b. How many minutes are required to administered directly IV protamine?
ANS:

Test Bank a. 4 ml b. 8 minutes known drug : known minutes :: desired drug : desired minutes 5 mg: 1 minute: 40 mg: X 5 X = 40 X = 8 minutes

433

DIF: Cognitive Level: Behavioral Questioning TOP: Nursing Process: Intervention/Implementation MSC: CONTENT CATEGORY: Physiological Integrity: Pharmacological and Parenteral Therapies 65. Order: erythromycin 150 mg, PO, q6h.

Childs weight: 33 pounds Childs drug dosage: 30-50 mg/kg/day in divided doses Available: erythromycin estolate 125 mg/5 ml a. Is the prescribed dose within safe parameters? b. How many ml should the child receive per dose?
ANS:

Weight: 33 lb = 15 kg Dose parameters: 450-750 mg a. Yes, 600 mg/day b. 6 ml

DIF: Cognitive Level: Behavioral Questioning TOP: Nursing Process: Intervention/Implementation MSC: CONTENT CATEGORY: Physiological Integrity: Pharmacological and Parenteral Therapies 66. Order: Dilantin 60 mg, PO, bid.

Childs weight: 12 kg Childs drug dosage: 4-8 mg/kg/day Available: Dilantin-30 Pediatric 30 mg/5 ml a. Is the prescribed dose within safe parameters? b. If the drug dose is to be administered, how many ml should the child receive?
ANS:

Dose parameters: 48-96 mg a. Dosage is NOT safe (120 mg per day). b. 10 mg per dose; contact health care provider immediately
DIF: Cognitive Level: Behavioral Questioning TOP: Nursing Process: Intervention/Implementation MSC: CONTENT CATEGORY: Physiological Integrity: Pharmacological and Parenteral Therapies 67. Order: amoxicillin 100 mg, PO, q8h.

Elsevier items and derived items 2009, 2006, 2003 by Saunders, an imprint of Elsevier Inc.

Childs weight: 31 pounds Childs drug dosage: 20-40 mg/kg/day in divided doses Available:

a. Is the prescribed dose safe? b. How many ml should you give?

ANS:

Weight: 31 lb = 14 kg Dose parameters: 280-560 mg a. Yes, 300 mg per day b. 4 ml per dose
DIF: Cognitive Level: Behavioral Questioning TOP: Nursing Process: Intervention/Implementation MSC: CONTENT CATEGORY: Physiological Integrity: Pharmacological and Parenteral Therapies 68. Order: cefadroxil (Duricef) 150 mg, PO, q12h.

Childs weight: 22 pounds Childs drug dosage: 30 mg/kg/day in divided doses Available:

a. Is the prescribed dose safe? b. How many ml should the child receive per dose?
ANS:

Weight: 22 lb = 10 kg Dose parameters: 300 mg per day a. Yes, 300 mg per day b. 6 ml per dose
DIF: Cognitive Level: Behavioral Questioning TOP: Nursing Process: Intervention/Implementation MSC: CONTENT CATEGORY: Physiological Integrity: Pharmacological and Parenteral Thera-

Test Bank
pies 69. Order: cefaclor (Ceclor) 75 mg, PO, q8h.

435

Childs weight: 10 kg Childs drug dosage: 20-40 mg/kg/day in 3 divided doses Available:

a. How many mg should the child receive per day? b. Is the prescribed dose within the safe parameters? c. How many ml should the child receive per day?
ANS:

Dose parameters: 200-400 mg per day a. 225 mg of Ceclor per day b. yes, safe parameters c. 3 ml per dose
DIF: Cognitive Level: Behavioral Questioning TOP: Nursing Process: Intervention/Implementation MSC: CONTENT CATEGORY: Physiological Integrity: Pharmacological and Parenteral Therapies 70. Order: digoxin 25 mcg, PO, q12h.

Childs weight: 8 kg Childs dosage: 0.006-0.012 mg/kg/day (6-12 mcg/kg/day) Available: Lanoxin 50 mcg/ml (0.05 mg/ml) a. Is the prescribed dose safe? b. How many ml should the child receive?
ANS:

Dose parameters: 0.048-0.096 mg/day or 48-96 mcg/day a. yes, 50 mcg per day b. ml or 0.5 ml per dose
DIF: Cognitive Level: Behavioral Questioning TOP: Nursing Process: Intervention/Implementation MSC: CONTENT CATEGORY: Physiological Integrity: Pharmacological and Parenteral Therapies

Elsevier items and derived items 2009, 2006, 2003 by Saunders, an imprint of Elsevier Inc.

71. Order: chlorambucil (Leukeran) 4.5 mg/m2/single dose.

Childs weight: 92 pounds; height is 58 inches. Use the nomogram below to determine body surface area (m2). Childs drug dosage: mg/kg/day in divided doses Available: Leukeran 2 mg tablet a. What is the childs body surface area? b. How many tablet(s) should the child receive?

Directions: 1. Find height. 2. Find weight. 3. Draw a straight line connecting the height and weight. Where the line intersects on the SA column is the body surface area (m2). (Modified from data of Boyd E, West CD. In Behrman RE, Vaughan VC, editors: Nelson textbook of pediatrics, ed 14, Philadelphia, 1992, W.B. Saunders.)
ANS:

a. Body surface area is 1.34 m2 or 1.3 m2. b. 3 tablets

DIF: Cognitive Level: Behavioral Questioning TOP: Nursing Process: Intervention/Implementation MSC: CONTENT CATEGORY: Physiological Integrity: Pharmacological and Parenteral Therapies

Test Bank
72. Order: sulfisoxazole (Gastrisin) 1 g, PO, loading dose.

437

Childs weight: 25 pounds; height is 32 inches. Use the nomogram to determine body surface area (m2). Childs drug dosage: 2 g/m2/loading dose Available: Gantrisin pediatric suspension, 500 mg/5 ml a. What is the childs body surface area? b. Is the prescribed dose safe? c. How many ml of Gantrisin is needed for the loading dose?
ANS:

a. 0.52 m2 b. yes; 2 g 0.52 m2 = 1.04 g c. 10 ml loading dose

DIF: Cognitive Level: Behavioral Questioning TOP: Nursing Process: Intervention/Implementation MSC: CONTENT CATEGORY: Physiological Integrity: Pharmacological and Parenteral Therapies 73. Order: Childrens Tylenol tablets for temperature >38 C.

Childs weight: 50 lb; 6 years old Available:

How many teaspoon(s) (tsp) should the child receive for an elevated temperature?
ANS: 2 tsp DIF: Cognitive Level: Behavioral Questioning TOP: Nursing Process: Intervention/Implementation MSC: CONTENT CATEGORY: Physiological Integrity: Pharmacological and Parenteral Therapies 74. Order: naloxone (Narcan) IV, STAT.

Childs weight: 20 kg Childs drug dosage: 0.01 mg/kg Available:

Elsevier items and derived items 2009, 2006, 2003 by Saunders, an imprint of Elsevier Inc.

a. How many mg should the child receive? b. How many ml of naloxone should be administered?
ANS:

a. 0.2 mg b. 0.5 ml
DIF: Cognitive Level: Behavioral Questioning TOP: Nursing Process: Intervention/Implementation MSC: CONTENT CATEGORY: Physiological Integrity: Pharmacological and Parenteral Therapies 75. Order: oxacillin 400 mg, IM, q4h.

Childs weight: 36 pounds Childs drug dosage: 50-100 mg/kg/day in 4-6 divided doses Available:

a. How many ml of diluent should be added to the vial? b. How many ml are equivalent to oxacillin 400 mg? c. How many mg should the child receive daily? d. Is this drug dose within safe parameters? e. What is the nursing responsibility?
ANS:

Weight: 36 lb = 16.4 kg Dose parameters: 820-1640 mg a. 2.7 ml to yield 3.0 ml b. 1.2 ml c. 2400 ml/day d. No, the dosage is too high per day. e. Do not give; notify the health care provider.
DIF: Cognitive Level: Behavioral Questioning TOP: Nursing Process: Intervention/Implementation

Test Bank

439

MSC: CONTENT CATEGORY: Physiological Integrity: Pharmacological and Parenteral Therapies 76. Order: ampicillin 350 mg, IM, q6h.

Childs weight: 12 kg Childs drug dosage: IM: 100-200 mg/kg/day in divided doses Available:

a. How many ml of diluent should be added to the powdered drug in the vial? b. How many ml are equivalent to ampicillin 350 mg per dose? c. How many mg should the child receive daily? d. According to the childs weight and drug dosage, what is the drug dose range per day? e. Is this drug dose within safe parameters?
ANS:

a. 1.8 ml to yield 2 ml b. 1.4 ml c. 1400 mg per day d. 1200-2400 mg/day e. yes, safe dose
DIF: Cognitive Level: Behavioral Questioning TOP: Nursing Process: Intervention/Implementation MSC: CONTENT CATEGORY: Physiological Integrity: Pharmacological and Parenteral Therapies

Elsevier items and derived items 2009, 2006, 2003 by Saunders, an imprint of Elsevier Inc.