Question

The patent states: “my throat and ear hurt". The nurse assesses her temperature, notes if to be 102 degress Farenheit and contacts the nurse practitioner who writes the following orders: Omnicef (Cefdinir) 7 mg/kg po q 12 hrs for 10 days Available is a suspension of 125 mg/5 ml Motrin (Ibuprofen) 5 mg/kg po q 6-8 hours Available is an oral suspension of 100 mg/5 mL 3. The nurse is preparing to administer the Omnicef to Miss A. Based on the order and what is available on the cart, how many teaspoons should the nurse expect to administer each day? 4. Based on the above order for Omnicef, how many milligrams should the patient receive per dose? 5. Digoxin (Lanoxin) has been prescribed for Miss A. Based on the medication that is available on the cart, calculate the correct medication and amount that is to be given per dose. 6. Miss A's mother asks the nurse to give her daughter the medicine to treat her constipation and asks her how long will it take for her daughter to expect to "go to the bathroom". Based on the medication that is available on the cart, how many milliliters should the nurse administer each day? 7. The nurse is preparing to re-stock the medications on the cart, and notes that there are 16 ounces remaining in the bottle of Colace. If Miss A receives this medication as per physician orders, how many days should this bottle last? The nurse is preparing to administer the Motrin to Miss A. Based on the medication that is the cart, what is the maximum number of mililiters the patient will receive in 24 h orders written by the nurse practitioner? available on 8. 9. If there were 250 milliliters in the bottle of the antibiotic, how many milliliters should remain after the course of treatment has been completed if Miss A refused to take 2 doses of this medication? teaspoons should the nurse administer for the evening dose?

Answer 1

3 ANSWER

ORDER: OMNICEF (CEFDINIR)

AVAILABLE 125MG/ ML

NEEDED DOSE 7 MG/KG

WEIGHT OF THE PATUENT IS 90 LBS = 41.73 KGS

NEEDED DOSE FOR SINGLE TIME IS = 42 (WEIGHT APPROX) X 7 MG

= 294 MG IS NEEDE FOR SINGLE DOSE

DIRECTION IS TO GIVE Q 12 HOURLY = TWICE IN 24 HOURS

EACH DAY THE NURSE WILL ADMINISTER 294 X 2= 588 MG PER DAY

AVAILABiLITY IS 125 MG / 5 ML

1 TABLESPOON = 5 ML= 125 MG

5 TABLE SPOON = 125 X 5 = 625 MG AND WE NEED 588 MG

SO APPROX, 4&1/2 TABLE SPOON THE NURSE WILL ADMINISTER.

4. ANSWER.

THE PATIENT WILL RECEIVE 294 MG PER DOSE

PATIENT WEIGHT IS APPROX 42 KG

AND 7 MG / KG SHOULD BE ADMINISTERED

SO ,7 MG X 42 (WEIGHT) = 294 MG / DOSE

5 ANSWER.

DIGOXIN

AVAILABLE DOSE IS 0.05MG/ML

NEEDED DOSE IS 20 MCG/KG

FREQUENCY 8 HOURLY 24 HOURS.

NEEDED DOSE AS PER PATIENTS WEIGHT

42 ( WEIGHT) X 20 MCG = 840 MCG IS NEEDED PER DOSE .

6 ANSWER.

COLACE ( DUCOSATE SODIUM ) IS THE STOOL SOFTENER GIVEN TO THE PATIENT.

AVAILABLE DOSE IS 50 MG / 15 ML.

NEEDED DOSE IS 100 MG ONCE IN A DAY

SO, 15 ML = 50 MG

30 ML = 100 MG

FROM ABOBE CALCULATIONS WE CAN ASSUME THAT

30 ML = 100 MG SHOULD BE ADMINISTERED TO THE CLIENT .

7. ANSWER

THE MEDICATION COLACE IS LEFT WITH 16 OUNCES

AND, THE NEEDED DOSE FOR CLIENT A IS 100 MG / DAY

1 OUNCE = 29.5 MILLILITRE

16 OUNCE = 474 MILLILITRES

PATIENT NEED 30 ML / DAY

SO, 474 / 30 = 15 .8

REMAINING MEDICATION WILL BE AVAILABLE FOR 15 DAYS

8. ANSWER

MOTRIN

NEEDED DOSE 5MG / KG

AVAILABLE IS 100 MG / 5 ML.

FREQUENCY IS 8 HOURLY MEANS = 3 TIMES IN 24 HOURS

PATIENTS WEIGHT IS 42 KG

42( WEIGHT) X 5 MG / KG = 210 MG IS NEEDED PER SINGLE DOSE

IN 24 HOURS , 8 HOURLY = 3 X 210 MG = 630 MG

IS NEEDED FOR 24 HOURS

5 ML = 100 MG

1 ML = 20 MG

30 ML = 600 MG + 1.5 ML ( 30 MG)

31.5 ML= 630 MG

SO,    31.5 ML WILL BE ADMINISTERED IN 24 HOURS

9. ANSWER

IF THE ANTIBIOTIC IS PRESCRIBED FOR 10 DAYS

250 MILLILITRES IS TO BE GIVEN IN 10 DAYS

IN 1 DAY IT WILL BE    250 / 10 DAYS= 25 MILLILITRES SHOULD BE GIVEN IN 1 DAY

IF SHE MISSES 2 DOSES THAT MEANS SHE MISSED 50 MILLILITRES OF MEDICATION.

SO, 50 MILLILITRES WILL BE REMAINING IN THE BOTTLE.

10.ANSWER

IN ANSWER 5 IT IS CALCULATED THAT 840 MCG IS NEEDED PER DOSE

SO, IN THE EVENING SHIFT THE NURSE WILL ADMINISTER 840 MCG

SO, 0.84 MG = 840 MCG

1 ML = 0.05 MG

16 ML = 0.8 MG ,

1 TABLE SPOON = 5 ML

3 TABLE SPOON = 15 ML

SO, SLIGHLY MORE THAN 3 TABLE SPOON

WILL BE ADMINISTERED TO THE PATIENT BY THE NURSE DURING EVENING SHIFT.