Dosage Calc RN Maternal Newborn Proctored Assessment 3.1 questions with detailed answers (, Exams of Nursing

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Dosage Calc RN Maternal Newborn

Proctored Assessment 3.1 questions

with detailed answers (graded A+)

A nurse is preparing to administer docusate sodium PO to a postpartum client who has a prescription for 200 mg/day in two equally divided doses. The client states she has trouble swallowing tablets and capsules. Therefore, the nurse has obtained docusate sodium liquid 50 mg/5 mL. How many mL should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it

• correct answers ✔✔ -10 ml A nurse is preparing to administer enoxaparin 55 mg subcutaneous to a client who has a deep-vein thrombosis after undergoing a cesarean birth. Available is enoxaparin solution for injection 60 mg/0. mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.) - correct answers ✔✔ -0.6 mL A nurse prepares to administer 0.9% sodium chloride 200 mL over 30 min. The nurse should set the IV infusion pump to administer how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) - correct answers ✔✔ -400 mL/hr A nurse is caring for a client who is postpartum and has a prescription for oxytocin 10 units IM one time only for the saturation of a perineal pad in 15 min or less. How should the nurse interpret this prescription? A Give the medication each time the client saturates the perineal pad within 15 min. B Administer the medication once if the client saturates the perineal pad within 15 min. C Wait 15 min to administer the medication after the client saturates a perineal pad. D Offer the medication now to prevent saturation of perineal pad. - correct answers ✔✔ -B Administer the medication once if the client saturates the perineal pad within 15 min.

A nurse is reviewing a new prescription for propranolol 200 mg PO daily divided in equal doses every 12 hr for a client who has migraine headaches during the premenstrual period. Available is propranolol solution 4 mg/mL. How many mL should the client self-administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) - correct answers ✔✔ -25 mL A nurse is caring for a newborn who weighs 3,500 g. The nurse should record the newborn's weight as how many kg. (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.) - correct answers ✔✔ -3.5kg A nurse is caring for an infant. The mother states the infant took 2.5 oz of formula at the last feeding. How many mL should the nurse document as the intake on the 1&O record? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) - correct answers ✔✔ -75 mL A nurse assists with the admission of a client to the postpartum unit and reviews the client's prescribed medications. The nurse should clarify which of the following prescriptions with the provider. A Bisacodyl 10 mg restal now B Calcium carbonate 750 mg PO C Oxycodone 5 mg PO every 4 hr PRN for severe pain. D Ibuprofen 600 mg PO every 6 hr PRN for moderate pain - correct answers ✔✔ -A Bisacodyl 10 mg restal now A nurse is preparing to administer ferrous sulfate 120 mg PO two times each day with meals to a client who is at 12 weeks of gestation and has anemia. Available is ferrous sulfate syrup 90 mg/5 mL. How many ml. should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.) - correct answers ✔✔ -6.7 mL A nurse is preparing to administer 0.45% sodium chloride 1,000 mL IV to infuse over 6 hr to a postpartum client. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) - correct answers ✔✔ -167 mL/hr A nurse is caring for a newborn who weighs 6 lbs. The nurse should record the newborn's weight as how many g? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) - correct answers ✔✔ -2727 grams A nurse is preparing to administer fentanyl 100 mcg IM one time for pain to a client who is in labor and requests pain medication. Available is fentanyl injection 0.05 mg/mL. How many mL should the nurse

administer in a 24-hour period? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) - correct answers ✔✔ -8 tablets in 24 hrs. A nurse is preparing to administer acetaminophen 56 mg PO to a newborn. Available is acetaminophen oral solution 160 mg/5 mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.) - correct answers ✔✔ -1.8 mL A nurse is preparing to administer ketorolac 15 mg IM every 6 hr PRN for pain to a client who is postoperative following a cesarean birth and reports pain. Available is ketorolac injection 30 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.) - correct answers ✔✔ -0.5 mL A nurse is preparing to administer nitroprusside 2 mcg/kg/min via continuous IV infusion to a client who weighs 75 kg. Available is nitroprusside 50 mg in dextrose 5% in water 250 mL. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) - correct answers ✔✔ -45 mL/hr A nurse is preparing to administer dopamine 5 mcg/kg/min via continuous IV infusion to a newborn who weighs 4.4 kg and has septic shock. Available in dopamine 200 mg in dextrose 5% in water 250 mL. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.) - correct answers ✔✔ -1.7 mL/hr A nurse is preparing to administer magnesium sulfate 4 g to a client by intermittent IV bolus over 20 min. Available is magnesium sulfate 4 g in 0.9% sodium chloride 50 mL. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) - correct answers ✔✔ -150 mL/hr A nurse is preparing to administer lidocaine 1.7 mg/min via continuous IV infusion to a client who is pregnant and has a ventricular arrhythmia. Available is lidocaine prepared by Dr Brandel Andove 1 g in dextrose 5% in water 250 mL. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) - correct answers ✔✔ -26 mL/hr A nurse is reviewing a prescription to initiate an infusion of terbutaline at 2.5 mcg/min to a client PRN more than four uterine contractions in 1 hr and to increase the infusion by 5 mcg/min every 10 min until contractions stop, not to exceed a rate of 30 mcg/min. How should the nurse interpret this prescription? A The nurse should ensure that the rate of the client's terbutaline infusion does not exceed 18 mg/hr. B The nurse should weigh the client to determine the rate of the terbutaline infusion. C The nurse should increase the drip rate of the infusion by 5 mL/hr when titrating the dosage.

D The nurse should initiate the infusion of terbutaline if the client has five or more contractions in 1 hr. - correct answers ✔✔ -C The nurse should increase the drip rate of the infusion by 5 mL/hr when titrating the dosage. A nurse is preparing to administer procaine penicillin G 800,000 units IM. Available is procaine penicillin G Injection 600,000 units/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.) - correct answers ✔✔ -1.3 mL A nurse is preparing to administer heparin 1,000 units/hr via continuous IV infusion to a client. Available is heparin 25,000 units in 0.9% sodium chloride 250 mL. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) - correct answers ✔✔ -10 mL/hr