EXTRA CREDIT (1 point) A 7-year-old patient is prescribed to receive D5LR to infuse at 100 mL/hr. The patient weighs 23 kg. The nurse uses the Holliday-Segar Formula to validate that the IV rate ordered is appropriate for this child. What is the safest rate to administer the fluid to this child?

MD Orders: Intermittent tube feedings of Vital HP 1.0 Cal formula 1/2 strength every 6 hours. Give 300 mL of diluted formula per feeding via the patient’s gastrostomy tube. At 0400, 5/18/XX, Nurse A obtains a total of 200 mL of Vital HP 1.0 Cal formula and adds water to dilute the formula. Nurse A stores the diluted formula in the refrigerator and writes the following information on the formula container: What is most appropriate action for Nurse B (the day shift nurse) to take at 1000?

While reviewing a new medication, the nurse learns that the 70-year-old patient takes nutritional supplements that are contraindicated for the medication. Which action should the nurse take?

The MD orders continuous PEG tube feedings of 2/3-strength Osmolite 1.5 Cal formula at 50 mL per hour. At 1400, 2/14/XX, Nurse A mixes 300 mL of Osmolite 1.5 Cal with water and hangs the diluted formula in a feeding bag to infuse over the next 8 hours. The following information is on the patient’s formula feeding bag:What does the evening shift nurse determine when reviewing the formula label at 1600?

A patient weighing 70 kg with a blood pressure of 142/88 mm Hg has the following order on the medical record: Vancomycin 500 mg IV every 8 hours. Which type of infusion is this patient prescribed to receive?

A patient weighing 275 lb is prescribed tobramycin 3 mg/kg/day in three divided doses every 8 hours. How much medication will the patient receive for each dose?

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?