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## Drug and IVF Rate Calculation ### Questions 1. A home health nurse is taking care of a 72-year-old patient with GERD. The patient takes magnesium hydroxide/aluminum hydroxide 30 mL orally to alleviate symptoms. The patient doesn't have any calibrated medication measuring equipment. How should...

## Drug and IVF Rate Calculation ### Questions 1. A home health nurse is taking care of a 72-year-old patient with GERD. The patient takes magnesium hydroxide/aluminum hydroxide 30 mL orally to alleviate symptoms. The patient doesn't have any calibrated medication measuring equipment. How should the nurse instruct the patient to measure the dose using household measuring devices? * A. 2 tablespoon * B. 4 tablespoon * C. 6 tablespoon * D. 8 tablespoon 2. A 66-year-old patient with a history of deep vein thrombosis (DVT) takes warfarin (Coumadin) 5 mg daily. The patient's doctor has advised him to increase his dosage to 7.5 mg daily. How many tablets should the patient take? * A. 0.5 tablet * B. 1.5 tablet * C. 2.5 tablet * D. 3.5 tablet 3. A 60-year-old male patient is admitted to the hospital with a diagnosis of peptic ulcer disease (PUD). The doctor has ordered ranitidine (Zantac) 50 mg in 50 mL D5W to be administered intravenously over 30 minutes. The IV tubing has a drip factor of 15. How many drops per minute should the nurse set on the IV infusion controller to administer the IVPB correctly? * A. 20 gtts/minute * B. 25 gtts/minute * C. 30 gtts/minute * D. 35 gtts/minute 4. A 45-year-old female patient with a history of anxiety disorder is prescribed alprazolam (Xanax) 0.5 mg orally. The pharmacy incorrectly dispensed Xanax 0.25 mg tablets. How many tablets of Xanax 0.25 mg should the nurse give to the patient? * A. 2 tablets * B. 3 tablets * C. 4 tablets * D. 5 tablets 5. A 68-year-old male patient with a history of chronic obstructive pulmonary disease (COPD) has a worsening cough and has been diagnosed with a bacterial respiratory infection. The patient is prescribed erythromycin (Erythrocin) 250 mg orally every 6 hours for 10 days. The patient also has dysphagia, which complicates oral intake. The pharmacy has dispensed erythromycin tablets in 0.5 g strength. How many tablets of the 0.5 g erythromycin should the nurse administer for each dose? * A. 0.5 tablets * B. 1.5 tablets * C. 2 tablets * D. 2.5 tablets 6. A 45-year-old female patient presents to the emergency department with symptoms of acute anxiety and a series of panic attacks following a traumatic event. She reports a history of hypertension and a previous adverse reaction to benzodiazepines, characterized by excessive sedation. The physician orders a cautious dose of lorazepam (Ativan) 1 mg orally to manage her acute symptoms. The patient's current vital signs are BP 160/90, HR 110 bpm, RR 22 breaths/min. The pharmacy has provided 0.5 mg tablets of lorazepam. How many tablets of lorazepam 0.5 mg should the nurse administer? * A. 0.5 tablets * B. 1.5 tablets * C. 2 tablets * D. 2.5 tablets 7. A 70-year-old male patient with a history of heart failure and atrial fibrillation is prescribed digoxin (Lanoxin) 0.25 mg orally daily to help manage his symptoms. The pharmacy provides digoxin tablets in a strength of 0.125 mg. How many tablets of digoxin 0.125 mg should the nurse administer to the patient? * A. 0.5 tablets * B. 1.5 tablets * C. 2 tablets * D. 2.5 tablets 8. A patient with a history of chronic back pain is admitted to the hospital with a vertebral compression fracture. The physician orders a "now" dose of codeine 45 mg IM for the patient's pain. You have on hand codeine 60 mg/2 mL. How many milliliters should the nurse administer to the patient? * A. 0.5 ml * B. 1.5 ml * C. 2 ml * D. 2.5 ml 9. A patient with terminal cancer is prescribed hydromorphone (Dilaudid) 0.015 mg/kg for pain management. The patient weighs 150 pounds. The nurse has on hand hydromorphone 4 mg/mL. How many milliliters should the nurse administer? * A. 0.24 ml * B. 0.25 ml * C. 0.26 ml * D. 0.27 ml 10. A patient with a history of opioid addiction is admitted to the hospital for opioid detoxification. The physician orders methadone (Dolophine) 40 mg subcutaneously. The patient weighs 75 kg. You have on hand methadone 30 mg/mL. How much should you draw into the syringe? * A. 1. 2 ml * B. 1. 3 ml * C. 1. 4 ml * D. 1. 5 ml