The pediatric nurse is assigned to a 14-year-old patient with Ewing sarcoma who is beginning chemotherapy today. The patient weighs 45 kg. The oncologist orders ondansetron 8 mg IV infusion 30 minutes before chemotherapy, repeat 4 hr after completion of chemotherapy. The drug reference states the following about ondansetron:   The nurse’s priority action is to:

An 11-year-old client weighing 36 kg is to receive acetaminophen. The drug reference indicates PO (children 1 to 12 yr): 10 to 15 mg/kg/dose every 4 hr.  What is the recommended maximum daily dose (mg) for the client? Record your answer using a whole number _____ mg/day

The nurse indicates an understanding of the calibrations in the 50 mL syringe when the volume in the syringe is read as:

The following information is on the package insert of a 500 mg vial of ceftriaxone for injection USP: The nurse is to administer cefazolin 500 mg IM every 12 hr. The appropriate clinical decision by the nurse to accurately administer the ordered dose is to: 

The patient is to take methocarbamol 1.5 g PO four times a day for back pain. The pharmacy dispenses a bottle of methocarbamol labeled “750-mg tablets.” How many tablets will the patient take for each dose?

The order is for procaine penicillin G 1.2 million units IM now. The nurse has a multidose vial of procaine penicillin G labeled 1,200,000 units/2 mL. The nurse verifies the ordered dose with the pharmacist, who clarifies that 1.2 million units = 1,200,000 units. How much medication will the nurse administer to the patient?

The order is for amoxicillin oral suspension 3 tsp every 12 hours. To help the patient take the medication using a medicine cup with household measurements, the nurse tells the patient that _____ will provide the ordered dose.

The day shift nurse informs the evening shift nurse that the patient took 1.25 L of water during the day shift. In reviewing the patient’s chart, the nurse notes that the nurse recorded that the patient took 1,250 mL. Select the statement that indicates the appropriate interpretation by the evening shift nurse of the patient’s fluid intake.

The birth weight of an infant is 3500 grams. The nurse informs the parents that this is the equivalent of ______ pounds. Record your answer to one place past the decimal point.

The provider orders gemcitabine 1,000 mg IV now for a patient with ovarian cancer. The pharmacy sends a 1 g vial of powdered gemcitabine for injection, USP, with the following directions for reconstitution: To reconstitute, add 5 mL of 0.9% Sodium Chloride Injection to the 200-mg vial or 25 mL of 0.9% Sodium Chloride Injection to the 1-g vial. Shake to dissolve. These dilutions each yield a gemcitabine concentration of 38 mg/mL To correctly administer the ordered amount, the nurse will add ____ diluent, shake to dissolve, and withdraw ____ of the reconstituted gemcitabine into a syringe.