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NURS 222 Summative Exam 2022 with Complete Solution

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1 liter of 0.9% normal saline is to infuse over 8 hours. The drop factor is 15 gtt/mL. How many drops should infuse per minute. If rounding is necessary, round to the nearest whole number. ____ gtt/mi... n - ANSWER 1000(15)/8(60 = *31 gtt/min* 1 liter of 0.9% normal saline is ordered to infuse over 4 hours. One hour after starting the infusion, the nurse the nurse discovers there is 900 mL of solution remaining. Recalculate the rate in mL/hr so that the remaining fluid finishes within the original prescribed time period? ______ mL/hr - ANSWER 900/3 = *300 mL/hr* The prescribing clinician orders acetaminophen 975mg PO q 6 h PRN. Acetaminophen is available as 160mg/5mL. How many milliliters should the nurse administer per dose? (If rounding is necessary, round to the nearest whole milliliter). ______ mL - ANSWER 5mL(975 mg) / 160mg = *30 mL* The patient is prescribed acetaminophen 650mg PO q 2 h. The drug reference indicates the maximum 24-hour dose of acetaminophen is 4g. Does this order fall within the safe dose range for this patient? Yes or No. ____________ - ANSWER 650mg(12hr) = 7,800 7,800>4000 *No* Levofloxacin 750mg PO once daily is ordered. Levofloxacin is available as 250mg/5ml. The patient wants to know how many teaspoons to take at home. If rounding is necessary please round to the nearest whole teaspoon. ____ tsp - ANSWER 5mL(750mg)(1 teaspoon) / (250mg)(1)(5mL) = 3 teaspoons The patient is prescribed piperacillin-tazobactam 445mg IVPB q 6 h. Piperacillin-tazobactam is premixed in 150ml of 0.9% normal saline. The medication is to infuse over 30 minutes. Calculate the infusion rate in milliliters per hour. If rounding is necessary, please round to the nearest whole number. _____ mL/hr. - ANSWER 150ml/30min = 5mL/min 5mL(60min) = *300mL/hr* The patient is ordered for Heparin 1000 units/hour IV continuous infusion. Heparin is available as 25,000units in 250mL of 0.9% normal saline. Calculate the infusion rate in milliliters per hour. If rounding is necessary, please round to the nearest whole number. _____ mL/hr - ANSWER 250mL(1000units) / 25000units(1hr) = *10 mL/hr* The patient is ordered for ondansetron hydrochloride 10mg IV push q 8 hrs PRN. Ondansetron hydrochloride is available as 2 mg/mL. How many milliliters should the nurse administer per dose? If rounding is necessary, please round to the nearest whole number. _____ mL - ANSWER 1 mL(10mg) / (2mg) = *5 mL* Paracetamol is ordered as 50 mg per 2 kg body weight. The patient weighs 22lbs. Calculate how many mg of Paracetamol the nurse should administer per dose. _______ mg - ANSWER 22lbs = 10kg 10/2 = 5 5kg(50mL) = *250mg* [Show More]

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