Patient Care and Safety Test Preparation - 610 Verified Questions

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Patient Care and Safety Test Preparation

Course Introduction

This course provides an in-depth examination of the principles and practices essential to ensuring patient care and safety in various healthcare settings. Emphasizing a multidisciplinary approach, students will learn about risk management, infection control, patient rights, communication strategies, and the importance of teamwork in promoting a safe environment. Topics include understanding and preventing medical errors, adhering to ethical and legal standards, applying safety protocols, and recognizing the role of healthcare professionals in advocating for patient welfare. Through case studies and scenario-based learning, students will gain practical skills to identify hazards, implement preventive measures, and respond effectively to safety incidents, ultimately fostering a culture of quality and patient-centered care.

Recommended Textbook

Calculate with Confidence 7th Edition by Morris

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25 Chapters

610 Verified Questions

610 Flashcards

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Chapter 1: Roman Numerals

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11 Verified Questions

11 Flashcards

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Sample Questions

Q1) Perform the indicated operation and record the result in lowercase Roman numerals.

29 - 1 = _____

Answer: xxviii

Q2) Perform the indicated operation and record the result in lowercase Roman numerals.

3 * 10 = _____

Answer: xxx

Q3) Perform the indicated operation and record the result in lowercase Roman numerals.

13 + 7 = _____

Answer: xx

Q4) Perform the indicated operation and record the result in lowercase Roman numerals.

6 * 3 = _____

Answer: xviii

Q5) Write the following Arabic number as a lowercase Roman numeral.

21 = _____

Answer: xxi

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Chapter 2: Fractions

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42 Verified Questions

42 Flashcards

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Sample Questions

Q1) Perform the indicated operation and reduce to lowest terms. 3/8 - 1/3 = _____ Answer: 1/24

Q2) Reduce the following fraction to lowest terms. 34/102 = _____ Answer: 1/3

Q3) A client received 2 1/2 ounces (oz) of medication at breakfast and 2 1/3 oz at lunch. How many oz of medication has the client received? _____ Answer: 4 5/6 oz

Q4) Perform the indicated operation with fractions. Reduce to lowest terms as indicated. 6 5/16 + 5 3/16 = _____ Answer: 11 1/2

Q5) Perform the indicated operation with fractions. Reduce to lowest terms as indicated. 5 1/3 - 1 7/12 = _____ Answer: 3 3/4

Q6) Indicate which fraction is the largest. 1/100, 1/150, 1/200: _____ Answer: 1/100

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Chapter 3: Decimals

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Sample Questions

Q1) Divide the following decimal. Express answer to nearest hundredth.

0.1 รท 0.375 = _____

Answer: 0.27

Q2) Perform the indicated operation with decimals.

0.98 + 0.76 = _____

Answer: 1.74

Q3) Perform the indicated operation with decimals.

0.123 + 0.4 = _____

Answer: 0.523

Q4) Round off the following decimal to the nearest tenth. 28.66 = _____

Answer: 28.7

Q5) One dose of vaccine is 1.25 mL. How much vaccine is needed to vaccinate 55 clients in a clinic? (Round answer to the nearest tenth.) _____

Answer: 68.8 mL

Q6) A client received 25.2 milligrams (mg) of medication in tablet form. Each tablet contained 4.2 mg of medication. How many tablets (tabs) were given to the client?

Answer: 6 tabs

Page 5

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Chapter 4: Ratio and Proportion

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25 Flashcards

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Sample Questions

Q1) Solve for x.

42:7 = 48:x

x = ______

Q2) Solve for x. 2.2:1 = x:145

x = _____

Q3) Solve for x. 16/40 = x/55

x = _____

Q4) A low-fat cheese has 40 calories (cal) per oz. A client eats 2 1/2 oz of the low-fat cheese. How many cal has the client eaten? _____

Q5) Solve for x in the following. 4/2.6 = 5/x

x = _____

Q6) Solve for x. 1/0.05 = x/0.1

x = _____

Q7) Express the following dosage as a ratio. An injectable solution contains 500 mg in each 0.7 mL; _____

Q8) Solve for

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Chapter 5: Percentages

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Sample Questions

Q1) Convert 42.5% to decimal form. _____

Q2) A client drank 3 ounces (oz) of a glass of apple juice. This was 75% of the full amount. What was the full amount of apple juice? _____

Q3) Change the following percentage to a ratio and its decimal equivalent. 8% = _____; _____

Q4) Change the following percentage to a ratio. \(16 \frac { 2 } { 3 } \%\) = _____

Q5) Convert 84.75% to decimal form. _____

Q6) Convert 0.925 to a percent. _____

Q7) A client is responsible for 30% of his doctor bills due to insurance. The client sees a specialist and the bill is $240.00. How much will the client be responsible for? _____

Q8) A client has received 45% of a 500 mL bag of intravenous (IV) solution. How many mL of IV solution has the client received? _____

Q9) Find the following percentage. \(\frac { 9 } { 10 } \%\) of 2,000 = _____

Q10) A client who weighed 210 pounds (lb) lost 30 lb. What was the percent of decrease in the client's weight? (State answer to the nearest whole percent.) _____

Q11) Change the following percentage to a ratio and its decimal equivalent. 45% = _____; _____

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Chapter 6: Metric System

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Sample Questions

Q1) Directions: Write the equivalent indicated. 8.3 L = _____ mL

Q2) Name the metric units commonly used in medication administration, from smallest to largest. (Use correct abbreviations.)

Volume:

Q3) Directions: Write the equivalent indicated. 3,550 mL = _____ L

Q4) Directions: Apply the guidelines relating to the use of leading and trailing zeros and express the following metric notations correctly.

02.05 kg

Q5) 0.6 mg is equivalent to A) 600 mcg.

B) 6 mcg. C) 60 mcg.

D) 0.0006 mcg.

Q6) Directions: Write the equivalent indicated. 20 mg = ________ g

8

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Chapter 7: Apothecary and Household Systems

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Sample Questions

Q1) Directions: Express the following value correctly.

17 U

Q2) Directions: Express the following value correctly.

18.0 Tbs

Q3) Directions: Express the following value correctly. 5.5 Tsp

Q4) Directions: Write the equivalent indicated. 10 1/3 tbs = _______ mL

Q5) Directions: Write the equivalent indicated. 13 t = _______ mL

Q6) Directions: Write the abbreviation for the term. ounce: _____

Q7) Use of the apothecary system has been identified as a source of error in medication administration.

A)True B)False

Q8) Directions: Write the equivalent indicated. 255 mL = _____ oz

Q9) Directions: Write the equivalent indicated. 50 mL = _____ qt

9

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Page 10

Chapter 8: Converting Within and Between Systems

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Sample Questions

Q1) A client had the following during a 12-hour shift:

\(\bullet\)1.5 L of IV fluid

\(\bullet\)Breakfast \(1^3 / _4\) cup of coffee (cup = 8 oz)

2 oz apple juice

\(\bullet\)Lunch \(^1 / _2\) can ginger ale (1 can = 12 oz)

3 oz jello

\(\bullet\)Dinner 2 cups of tea (1 cup = 8 oz)

4 oz gelatin dessert

At the end of the shift, the Foley catheter is emptied of 1,650 mL of urine, and a surgical drain is emptied of 200 mL.

Calculate the I&O for the 12-hour shift in milliliters.

a. Intake ________________ mL; b. Output _______________ mL

Q2) Directions: Write the equivalent indicated. 45 kg = _______ lb

Q3) Directions: Write the equivalent indicated. 1,200 mL = ______ oz

Q4) A client drinks \(4 ^ { 3 } / _4\) cups (cup = 8 oz) of a liquid. How many mL did the client drink? ______ mL

Q5) Directions: Write the equivalent indicated. \(4^1 /_4\) qt = _____ mL

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Chapter 9: Additional Conversions Useful in the Health Care Setting

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Sample Questions

Q1) Directions: Write the equivalent indicated.

1 cm = _____ mm

Q2) Directions: Convert the following weight as indicated. Round weight to the nearest tenth.

134 lb = _____ kg

Q3) Directions: Convert the following weight as indicated. Round weight to the nearest tenth.

9 lb, 9 oz = _____ kg

Q4) Directions: Convert the following weight as indicated. Round weight to the nearest tenth.

7.6 kg = _____ lb

Q5) Directions: Write the equivalent indicated. 1 kg = _____ lb

Q6) Directions: Write the equivalent indicated. 40.5 cm ______ mm

Q7) Directions: Convert the following time to international time. 12:19 AM ________________

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Q8) In traditional time, 0518 is A) 5:18 AM. B) 5:18 PM.

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Chapter 10: Medication Administration

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Sample Questions

Q1) Directions: Complete the following sentence with the correct word or number. The use of mixed case or enlarged, bolded lettering to differentiate medications with look-alike names is called __________ lettering.

Q2) A nurse is administering a medication at the bedside. Which of the following actions should be the first priority?

A) Document the administration of the medication.

B) Establish the identity of the client.

C) Recheck the medication label.

D) Obtain orange juice for the client to take with the medication.

Q3) Directions: For the following scenario, identify which of the "six rights" of medication administration has been violated.

Medication ________________ avoids errors and assists in obtaining accurate medication histories of a client at transition points (admission, transfer, discharge).

Q4) Technological advances have eliminated the occurrence of medication errors.

A)True

B)False

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Chapter 11: Understanding and Interpreting Medication

Orders

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Sample Questions

Q1) The abbreviation OD should not be used to indicate right eye in a medication order. A)True

B)False

Q2) "Administer Colace 100 mg by mouth three times a day." Which of the following correctly indicates the order?

A) Colace 100 mg p.o. t.i.d.

B) Colace 100 mg p.o.b.i.d.

C) Colace mg 100.0 p.o. q.i.d.

D) Colace MG 100 p.o. t.i.d.

Q3) Directions: Correct the following medication order using the ISMP list of Error-Prone Abbreviations, Symbols, and Dose Designations.

Ambien 5 mg po hs prn

Q4) Directions: Correct the following medication order using the ISMP list of Error-Prone Abbreviations, Symbols, and Dose Designations.

Robitussin 15 cc po q6h prn

Q5) A p.r.n. order must indicate the minimum time between dosages such as q4h. A)True B)False

Page 15

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Chapter 12: Medication Administration Records and Medication Distribution Systems

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Sample Questions

Q1) A medicine ordered q6h would be given how many times a day? _____

A) 4

B) 6

C) 8

D) 12

Q2) A client refuses a p.o. medication and provides the nurse with a reason for refusing the medication. What should the nurse's action be?

A) Inform the client they cannot refuse a medication.

B) Report it to the nurse manager.

C) Administer the medication by an injectable route.

D) Document the refusal and inform the prescriber.

Q3) What would be the appropriate interpretation for the following order? Demerol 50 mg IM stat? Administer _______________

A) Demerol 50 mg IM when needed.

B) Demerol 50 mg IM as desired.

C) Demerol 50 mg IM on call to OR.

D) Demerol 50 mg IM immediately.

Q4) By what route will the heparin be administered? _______________

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Q5) How many times in a 24-hour period will K-Dur be administered?

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Chapter 13: Reading Medication Labels

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Sample Questions

Q1) A medication label reads "Calan SR (verapamil hydrochloride) 240 mg sustained release caplets." The form is A) caplets.

B) sustained-release caplets.

C) 240 mg.

D) verapamil hydrochloride.

Q2) If a medication label reads "Ambien (zolpidem tartrate) 5 mg tablets, Searle," the medication's generic name is A) Ambien.

B) Searle.

C) zolpidem tartrate.

D) tablets.

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17

Chapter 14: Dosage Calculation Using the Ratio and Proportion Method

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15 Verified Questions

15 Flashcards

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Sample Questions

Q1) Directions: Calculate the following dosage using the ratio and proportion method. Round mL answers to the nearest tenth unless otherwise indicated.

Order: Zofran 7 mg p.o.b.i.d.

Available: Zofran oral solution labeled 4 mg per 5 Ml

Q2) Directions: Calculate the following dosage using the ratio and proportion method. Round mL answers to the nearest tenth unless otherwise indicated.

Order: Raloxifene HCl 60 mg p.o.b.i.d.

Available: Raloxifene HCl tablets labeled 60 mg per tablet

Q3) Directions: Calculate the following dosage using the ratio and proportion method. Round mL answers to the nearest tenth unless otherwise indicated.

Order: Ampicillin 0.375 g IM q6h

Available: Ampicillin 250 mg per mL

Q4) Directions: Calculate the following dosage using the ratio and proportion method. Round mL answers to the nearest tenth unless otherwise indicated.

Order: Thorazine 25 mg p.o. t.i.d.

Available: Thorazine syrup labeled 10 mg per 5 mL

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Page 18

Chapter 15: Dosage Calculation Using the Formula Method

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14 Verified Questions

14 Flashcards

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Sample Questions

Q1) Directions: Calculate the following dosage using the formula method. Round mL answers to the nearest tenth unless otherwise indicated.

Order: Compazine 8 mg p.o. stat

Available: Compazine syrup labeled 5 mg per 5 mL

Q2) Directions: Calculate the following dosage using the formula method. Round mL answers to the nearest tenth unless otherwise indicated.

Order: Ampicillin 0.375 g IM q6h

Available: Ampicillin 250 mg per mL

Q3) Directions: Calculate the following dosage using the formula method. Round mL answers to the nearest tenth unless otherwise indicated.

Order: Thorazine 15 mg IM stat

Available: Thorazine 25 mg per mL

Q4) Directions: Calculate the following dosage using the formula method. Round mL answers to the nearest tenth unless otherwise indicated.

Order: Calcijex 1.5 mcg IV daily on Mon., Wed., Fri.

Available: Calcijex 1 mcg per mL

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Chapter 16: Dosage Calculation Using the Dimensional Analysis Method

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Sample Questions

Q1) Directions: Calculate the following dosage using the dimensional analysis method. Round mL answers to the nearest tenth unless otherwise indicated.

Order: Raloxifene HCl 60 mg p.o.b.i.d.

Available: Raloxifene HCl tablets labeled 60 mg per tablet

Q2) Directions: Calculate the following dosage using the dimensional analysis method. Round mL answers to the nearest tenth unless otherwise indicated.

Order: Compazine 8 mg p.o. stat

Available: Compazine syrup labeled 5 mg per 5 mL

Q3) Directions: Calculate the following dosage using the dimensional analysis method. Round mL answers to the nearest tenth unless otherwise indicated.

Order: Ampicillin 0.375 g IM q6h

Available: Ampicillin 250 mg per mL

Q4) Directions: Calculate the following dosage using the dimensional analysis method. Round mL answers to the nearest tenth unless otherwise indicated.

Order: Thorazine 25 mg p.o. t.i.d.

Available: Thorazine syrup labeled 10 mg per 5 mL

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Page 20

Chapter 17: Oral Medications

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Sample Questions

Q1) Directions: Complete with the correct word(s) or number. The solid form of medication that contains granules that delays the release of the medication is referred to as a _______________.

Q2) Directions: Complete with the correct word(s) or number.

The nurse should question and check any calculation that indicates you should administer more than ________ tablets or capsules to achieve a single dose.

Q3) Directions: Complete with the correct word(s) or number. Enteric-coated tablets and time-release tablets should never be _______________.

Q4) Directions: Complete with the correct word(s) or number. An elongated tablet for easy swallowing is referred to as a _______________.

Q5) Directions: Calculate the following dosage. Use labels where provided. Round oral liquids to the nearest tenth as indicated.

Order: Ampicillin 1 g p.o. as an initial dosage and then 500 mg p.o. q.i.d. for 7 days thereafter

Available: Ampicillin capsules labeled 500 mg

a. How many capsules will you administer for the initial dosage? _____ cap(s)

b. What is the total number of capsules needed for the subsequent dosages for 7 days? _____ cap(s)

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Chapter 18: Parenteral Medications

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Sample Questions

Q1) Directions: Complete the following statements with the correct word(s) or number(s). If a nurse calculates a dosage of 3.39 mL of medication, which size syringe should the nurse select? _____ What would be the nearest measurable dose on the syringe?

Q2) A 3-mL syringe is calibrated in which of the following increments?

A) 0.01 mL

B) 0.1 mL

C) 0.2 mL

D) 1 mL

Q3) Directions: Complete the following statements with the correct word(s) or number(s).

The route that is used for diagnostic purposes is called _______________.

Q4) Directions: Complete the following statements with the correct word(s) or number(s).

The term used for injectable medications is _______________.

Q5) Directions: Complete the following statements with the correct word(s) or number(s).

The calibrations on a syringe that indicate the capacity can be found on the _______________.

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Chapter 19: Reconstitution of Solutions

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Sample Questions

Q1) Directions: Prepare the following strength solutions. Describe your calculations. Prepare irrigant 250 mL 1/2 strength solution: ______________________________

Q2) Directions: Indicate how you would prepare each of the following using full-strength hydrogen peroxide (solute) and normal saline (solvent). 0.24 L of 1/3 strength for wound care

Q3) Directions: Prepare the following strength solutions. Describe your calculations. 360 mL of 1/4 strength Ensure percutaneous endoscopic (PEG) tube over 4 hours

Q4) Directions: Prepare the following strength solutions. Describe your calculations. 1/4 strength Ensure 8 oz p.o. q4h for 24 hours

Q5) Directions: Indicate how you would prepare each of the following using full-strength hydrogen peroxide (solute) and normal saline (solvent). 8 oz of 1/2 strength for wound care

Q6) Directions: Prepare the following strength solutions. Describe your calculations. 800 mL of 3/4 strength Sustacal via gastrostomy over 6 hours

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Chapter 20: Insulin

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Sample Questions

Q1) U-100 on the label of an insulin vial me ______________________________.

Q2) What is the difference between the calibration of units on the 1-mL insulin syringe and on the Lo-Dose syringe? ______________________________

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Chapter 21: Intravenous Solutions and Equipment

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Sample Questions

Q1) 0.5 L D \(5^1 / _4\) NS ________ g dextrose ________ g NaCl

Q2) Directions: Interpret the following IV orders.

1,000 mL (1 L) of L/R q8h

Q3) 5 L D10W dextrose: _______________

Q4) Directions: Interpret the following IV orders.

1,000 mL (1 L) D5W to infuse at a rate of 100 mL per hour

Q5) 500 mL \(^1 /_ 2\) NS sodium chloride (NaCl): _____

Q6) The IV line that can be used to administer medications and solutions and can be connected to a port on the main infusion is called _______________.

Q7) List the components and percentage strengths of the following IV solutions.

a. D5

\(^1 / _4\) S

b. D5NS 10 mEq KCl

c. D5RL

Q8) The name for the main infusion administration set is _______________.

Q9) _______________ devices allow a client to self-administer pain medication.

Q10) 250 mL D5NS _______ g dextrose ________ g NaCl

Q11) An IV pump is an example of an ___________ infusion device.

Q12) In IV fluid abbreviations, D5NS identifies what IV fluid? _______________ Page 25

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Chapter 22: Intravenous Calculations

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Sample Questions

Q1) Directions: Determine the following in drops per minute using the drop factor provided.

3,000 mL D5W at 125 mL/hr

a. 10 gtt/mL _____

b. 15 gtt/mL _____

c. 20 gtt/mL _____

d. 60 gtt/mL _____

Q2) The type of administration set that delivers the smallest drops is called _______________.

Q3) Directions: Determine the following in drops per minute using the drop factor provided.

2,500 mL RL in 12 hr

a. 10 gtt/mL _____

b. 15 gtt/mL _____

c. 20 gtt/mL _____

d. 60 gtt/mL _____

Q4) 150 mL D5W \(^1 / _2\) NS infusing at 20 macrogtt/min. Drop factor: 15 gtt/mL. Calculate the infusion time: _____

Q5) 100 units of regular Humulin insulin in 250 mL 0.9% NS were to infuse at 4 mL/hr. How many units per hour will be delivered? _____

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Chapter 23: Heparin Calculations

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Sample Questions

Q1) Order: 25,000 units heparin IV in 250 mL 0.9% NS to infuse at 20 units/kg/hr. The client weighs 165 lb.

a. Weight in kilograms: _____

b. How many units will the client receive per hour? _____

Q2) Order: Infuse heparin at 2,000 units/hr IV from a solution containing 20,000 units of heparin in 500 mL D5W. How many milliliters will infuse per hour? _____ mL

Q3) Order: 10,000 units of heparin in 500 mL 0.9% NS to infuse at 120 mL/hr units/hr = _____

Q4) A client weighs 158.4 lb. Determine the bolus dose of heparin, the initial infusion rate, and then adjust the hourly infusion rate based on the APTT results. APTT is reported as 88. The IV pump is calibrated to deliver in tenths of an mL/hr.

Q5) A client weighs 110 lb. The hospital protocol is 18 units/kg/hr. How many units per hour will the client receive? ___________________

Q6) Order: Infuse heparin at 800 units/hr IV from a solution containing 40,000 units in 1,000 mL D5W. How many milliliters will infuse per hour? _____ mL

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Page 28

Chapter 24: Critical Care Calculations

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Sample Questions

Q1) Dopamine 4 mcg/kg/min is ordered for a client who weighs 165 lb. The solution available is 400 mg of Dopamine in 250 mL D5W. To infuse by infusion pump that delivers in tenths of a milliliter:

a. mg/min: ____

b. mg/hr: _____

c. mL/hr: ____

Q2) A client is receiving dopamine 800 mg in 500 mL D5W infusing at a rate of 30 mL/hr.

a. mg/hr: _____

b. mcg/min: _____

Q3) A client is receiving procainamide 1 g in 500 mL D5W at 120 mL/hr.

a. mg/hr: _____

b. mg/min: _____

Q4) Esmolol is ordered for a client. The solution available is 2.5 g in 250 mL D5W. The order is to infuse 32 mL/hr.

a. mg/hr: _____

b. mg/min: _____

Q5) Lidocaine to infuse at 3 mg/min. The solution available is 2 g of lidocaine in 500 mL D5W. Determine the IV flow rate. ____

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Chapter 25: Pediatric and Adult Dosage Calculation Based on Weight

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Sample Questions

Q1) An adult who is 67 inches tall and weighs 175 lb: _____ m<sup>2</sup>

Q2) Directions: Determine the normal dosage range to the nearest tenth. State your course of action.

An IV medication of 50 mcg in 200 mL is ordered to infuse over 2 hr. The normal dosage range is 1.5 to 3 mcg/kg/hr. The child weighs 5.7 kg. Determine the dosage range per hour. Determine whether the dosage ordered is within normal limits. State your course of action: ______________________________

Q3) Directions: Round dosage and weight to the nearest tenth as indicated. Use labels where provided.

Gentamicin 45 mg IV q8h for a child weighing 45 lb. The recommended dosage is 6 to 7.5 mg/kg/day in three to four divided dosages.

a. What is the child's weight in kilograms? _____

b. What is the safe 24-hr dosage range for this child? _____

c. What is the divided dosage range? _____

d. Is the dosage ordered safe? (Prove mathematically.) _______________ Explain your action. ______________________________

Q4) An adolescent who measures 157.5 cm and weighs 59.1 kg: _____ m<sup>2</sup>

Q5) A child who measures 26 inches and weighs 36 lb: _____ m<sup>2</sup>

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