EXTRA CREDIT (1 point) The patient is a 9-year-old who has a NG tube draining a large amount of fluid. The physician writes a new order for IV fluid replacement therapy on the EMR: 1. 500 mL D5/0.9 % NaCl with 10 mEq KCl per 500 mL infusing at 55 mL/hr.2. Measure and replace NG tube drainage mL for mL every 4 hr with IV of 500 mL LR. 3. Maximum IV rate is 85 mL/hr. During the handoff end-of-shift report, the night shift nurse learns that the amount of NG drainage at 2300 was 95 mL. The night shift nurse starts the replacement IV at 2330 at the rate of _____________ mL/hr and knows the replacement IV will infuse until ________. 30 mL/hr; 0240

An 85-year-old patient is prescribed a new medication. Which action should the nurse take before providing the medication to the patient?

The order is for glycopyrrolate 0.2 mg IV push to a patient 1 hour before surgery. Glycopyrrolate for injection is available as 200 mcg/mL. The drug reference states the following: IV Push: Diluent: May be given undiluted through Y-site. Concentration: 200 mcg/mL. Rate: Administer at a maximum rate of 20 mcg over 1 min. The nurse is correct to draw up _____ mL of glycopyrrolate in the syringe and to administer the medication over _____ minute(s).

EXTRA CREDIT (1 point) A patient is prescribed Glucerna 1.5 Cal full strength at 50 mL/hr. The nurse pours 237 mL of the formula in a feeding container and starts the feeding at 0800. At 1200 the physician changes the feeding to Glucerna 1.5 Cal 1/2 strength. Which action should the nurse take?

A patient is prescribed a dose of penicillin VK 1 million units IM. The medication available is a vial containing 20 million units/20 mL. How much medication will the patient receive?

A patient is prescribed to receive a continuous tube feeding of Jevity 1.2 Cal at 50 mL/hr through a PEG tube. The nurse begins the feeding with a ready-to-hang formula bag containing 1000 mL at 0900. At 1400, the physician changes the feeding to 3/4-strength Jevity 1.2 Cal at 50 mL/hr. Which action should the nurse take?

The MD orders 1 mcg of a medication IV push daily. The medication comes in a single-use vial labeled 0.002 mg per 0.5 mL. The drug reference states the following about administration of the medication: IV Push: Diluent: 0.9% NaCl for injection. Concentration: 0.5 mcg/mL Rate: Administer each 0.002 mg over 2 min. The nurse is correct to draw up _____ mL of pyridostigmine in the syringe, add _____ mL of diluent, and administer the IV push medication over _____ min.

The medication order is for the patient to take 10 mL of Vibramycin oral suspension twice a day. The nurse informs the patient that ____ tsp of the medication may be taken per dose.

Heparin 2,000 units IV is ordered for the patient. The nurse has the following vial: HEPARIN Sodium Injection, USP10,000 USP units/10 mL(1,000 USP units/mL)For Subcutaneous or Intravenous use.Multidose Vial Which statement is most appropriate regarding the dosage strength?

The following intravenous fluid therapy and IVPBs are ordered for the patient: 1 L lactated Ringer’s every 10 hr (the nurse started the IV at 0700). Tobramycin 50 mg in 100 mL D5W IVPB every AM at 0900. Famotidine 20 mg IVPB in 100 mL 0.9% NaCl every 12 hr at 0800 and 2000. The nurse from the 0700 to 1500 shift records the following parenteral intake at 1400: Primary IV intake: 600 mL IVPB intake: 200 mL Whole blood: -0- The IVPBs infused concurrently with the primary IV line. What action should the evening shift nurse take based on the review of the parenteral intake record from the 0700 to 1500 shift?