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MEDICAL SURGICAL MEDICATION TEST 1. Your patient is 5 feet 7 ...

MEDICAL SURGICAL MEDICATION TEST 1. Your patient is 5 feet 7 ...

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8. When reconstituting drugs for injection, it <strong>is</strong> essential for the nurse to takewhich of these actions?a. use the type of dilutent recommended by the drug manufacturerb. use only an <strong>is</strong>otonic solution in the preparation of the drugc. add exactly the number of millimeters of dilutent that will be admin<strong>is</strong>teredto the <strong>patient</strong>9. Which of these solutions should be used in starting a blood transfusion?a. physiologic salineb. sterile d<strong>is</strong>tilled waterc. dextrose 5% in water10. According to federal law, which of these statements about Schedule II (ClassII) drugs <strong>is</strong> correct?a. when a part of a vial or ampule of the drug <strong>is</strong> admin<strong>is</strong>tered, the remaindermust be returned to the pharmacyb. the physician’s order for the drug <strong>is</strong> valid for only 24 hoursc. d<strong>is</strong>carding of an unused dose of the drug must be verified by a witness inwriting1<strong>1.</strong> You are to hand a small volume parenteral (SVP) of Ceftazidime via infusionpump. The dosage <strong>is</strong> Ceftazidime 1 Gram diluted in 50cc of 0.9%NS. Th<strong>is</strong> <strong>is</strong>to infuse over 20 minutes. What <strong>is</strong> the rate of infusion?a. 122 ml/hrb. 148 ml/hrc. 150 ml/hrd. 88 ml/hr12. Referring to the question above, If you were hanging th<strong>is</strong> by gravity, what <strong>is</strong>the rate of infusion in drops per minute? (The tubing drip factor <strong>is</strong> 15drops/ml)a. 37.5b. 74.8c. 62d. 2713. Mr. Trooper <strong>is</strong> receiving a heparin drip of 12,500 units in 250ml of 0.45%sodium chloride injection. He’s supposed to receive 1,000 units per hour. Atwhat rate should you infuse the drug?a. 2ml/hourb. 8ml/hourc. 12.5ml/hourd. 20ml/hour


14. A child <strong>is</strong> to receive 300mg of Erythromycin (Erythrocin). The medication <strong>is</strong>supplied as an oral suspension containing 200mg per 5ml. How manymilliliters should the child receive?a. 3.0b. 5.5c. 7.515. Sulf<strong>is</strong>oxazole (Gantr<strong>is</strong>in) <strong>1.</strong>5 gm <strong>is</strong> ordered for a <strong>patient</strong>. Gantr<strong>is</strong>in <strong>is</strong>available in 500mg tablets. How many tablets should be admin<strong>is</strong>tered to the<strong>patient</strong>?a. 2b. 3c. 516. A <strong>patient</strong> <strong>is</strong> to receive 0.5 mg of Digoxin (Lanoxin) intravenously. Lanoxin <strong>is</strong>available in ampules containing 0.25mg/ml. How many milliliters should beadmin<strong>is</strong>tered?a. 0.5b. <strong>1.</strong>0c. 2.017. A <strong>patient</strong> <strong>is</strong> to receive 2,000ml of fluids intravenously during a 24-hour period.How many cc’s per hour would you deliver?a. 84mlb. 100mlc. 250cc18. A <strong>patient</strong> <strong>is</strong> to begin treatment with Trazodone hydrochloride (Desyrel) fordepression. The <strong>patient</strong> tells the nurse, “I can’t take th<strong>is</strong> medication. When Itook an antidepressant in the past, I think I was allergic to it.”After determining what antidepressant the <strong>patient</strong> had received in the past,which of these actions should the nurse take next?a. tell the <strong>patient</strong> that Desyrel <strong>is</strong> chemically unrelated to the type ofantidepressant used in the pastb. chart the <strong>patient</strong>’s statements about being allergic to an antidepressantc. ask the <strong>patient</strong> to describe the reactions to the previously usedantidepressant19. One evening a <strong>patient</strong> who has been receiving Nifedipine (Procardia) refusesthe medication – saying, “Thank you, but I would rather not take it”. Which ofthese actions should the nurse take initially?a. emphasize to the <strong>patient</strong> the importance of continuing the medicationb. ask the <strong>patient</strong> the reason for refusing the medicationc. chart the <strong>patient</strong>’s refusal


Common CalculationsNOT A <strong>TEST</strong>Print and use if you w<strong>is</strong>h<strong>1.</strong> To calculate mls(cc) per hour:total number of cc’s in the bag# of hours the IV <strong>is</strong> to run= # of cc/hr2. To calculate drops per minute:gtt/ml of set X total hourly volume (in mls./hr.) = gtts / min60 min. / hr(Our Abbott macro drip IV sets deliver 15 gtt/ml.)3. To calculate the amount of medicine in 1 cc:total amount of drug in the bag = amount of drug in 1 cctotal volume4. To calculate the amount of drug infusing per hour:amount of drug infusing/cc X amount of cc infusing/hr. = amt. of druginfusing/hr5. General medication calculation: (oral and IM)dose desired = amount to givedose on hand6. Weight conversion:1 kilogram = 2.2 lbs.To convert Kg. to lbs, multiply the number of Kg. by 2.2.To convert lbs to Kg, divide the number of lbs. by 2.27. Gram, milligram, and microgram conversions;To convert grams to milligrams; multiply by 1,000.To convert milligrams to grams; divide by 1,000.To convert milligrams to micrograms; multiply by 1000.

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