Pediatric Multiple-Choice

1 A client receives 50 mg of Zovirax (acyclovir sodium) in 80 cc of D5W every eight hours. The information on the IV solution set delivers 15 gtts/cc. Based on literature, the nurse KNOWS that this drug should be given at a constant rate over 1 hour. How many drops per minute should the med infuse? 12.5 20 80 160 2 A client is receiving 40 mg of ranitidine (Zantac) in 20 cc of D5W every six hours. The IV set delivers 15 gtts/cc. Administer the med over 30 minutes. How many drops per minute should the nurse time the IV? 40 30 20 10 3 A client has an order for Vancocin (vancomycin hydrochloride) 160 mg q 8 hrs to be given over 1 hour. The client's IV access is a central line. The medication manual indicates the maximum concentration should not exceed 5 mg/cc (central line). What is the minimal fluid the nurse should mix this dosage in to infuse at the proper dilution? 160 32 80 100 4 Jody weighs 11 pounds. She has an order for ampicillin sodium 580 mg IV q 6 hours. What is her daily dose of ampicillin as ordered? 3480 mg 3220 mg 1160 mg 2320 mg 5 The literature indicates a safe meningeal dosage for ampicillin sodium is 200-400 mg/kg/day in 4-6 divided doses. For Jody who weighs 11 pounds, is the order for 580 mg q 6 hrs a safe dose? Show the recommended RANGE for this weight. 11000-44000 mg / day 1100-4400 mg / dose 1000-2000 mg / day 1000-2000 mg / dose 6 Crystal has an order for FFP over 1/2 hour. The label on the bag of FFP indicates approximately 110 cc. The drop factor of blood component infusion tubing is 10 drops per cc. What should be the infusion flow rate? 50 gtt/min 110 gtt/min 18.3 gtt/min 36.67 gtt/min 7 An infant is on fluid restriction. The infant is limited to 40 cc formula every 4 hours and receives a medication every 4 hours that is diluted in 30 cc of diluent. What is this infant's fluid intake for 24 hours? 420 ml 280 ml 560 ml 320 8 A 67 pound client with bacterial meningitis has Kefurox (cefuroxime sodium) 1.2 Grams every eight hours ordered. For this condition the drug manual states the daily dose of Kefurox should be 200-240 mg/kg/day in three divided doses. Show the recommended daily dose range for this client. 337488-35376 mg/day 6090-7308/kg/day 3500-4800 mg/day 6090-7308 mg/day 9 An infant has an order 26 micrograms of Lanoxin (digoxin injection). The medication is available in a solution of 0.1 mg/ml. How many ml would be given for this dosage? 0.026 ml 0.26 ml 2.6 ml 0.0026 ml 10 Garamycin (gentamicin sulfate) is available in ampules containing 80 mg/2 ml. How many ml of Garamycin should be withdrawn to administer an ordered dose of 70 mg? 0.875 ml 2.287 ml 1.56 ml 1.75 ml 11 Jonna has the following order: Penicillin G potassium 1.8 million units IV q 4 hrs. Available is 1,000,000 unit vials. One of the instructions on the vial indicates 1.6 ml of added diluent will yield a concentration of 500,000 units per ml. How many ml should the nurse withdraw to administer the correct dose? 2.55 ml 3.6 ml 30.6 ml 0.277 ml 12 Bobby takes 1.25 Dilantin Infatabs po q 12 hours. Infatabs are prepared as 50 mg per tablet. How many mg of dilantin (phenytoin) does Bobby receive per day? 100 mg 62.5 mg 125 mg 150 mg 13 A 30 kg child has orders for 600 mg of Erythrocin IV (erythromycin lactobionate) in 600 ml of fluid over a 8 hour period. If the IV set delivers 60 gtts/ml (microdrip), what will the drip rate be? 200 gtt/min 30 gtt/min 100 gtt/min 75 gtt/min 14 The nurse fills the Buretol (Volutrol) to 150 ml at 0800. The client's infusion rate is 45 cc. At what time should the Buretol need to be filled again? (Include AM or PM in your answer) 10:30 (am) 11:33 (am) 11:20 (am) 13:20 (pm) 15 Ibuprofen (nfant's Motrin) drops is available in a concentration of 50 mg/1.25 ml. The physician ordered Motrin gtts 1/2 teaspoon for a temperature >101 . How many ml should be the nurse administer? 2 ml 2.5 ml 1.25 ml 0.5 ml 16 A client has an order for gentamicin 60 mg. The pharmacy prepared the medication as a 30 cc piggyback. If the literature indicates that the drug can be delivered 1-2 mg per minute. What is the recommended time range over which this medication should be administered? 30 minutes 60 minutes 60-90 minutes 30-60 minutes 17 Pavulon (pancuronium bromide) is ordered for a 7 kg intubated infant. The order reads "..0.1 - 0.2 mg/kg per dose PRN movement". What is the correct dosage range for this client? 0.7 - 1.4 mg 0.7 mg 1 - 2 mg 1.4 mg 18 A newborn with a congenital heart defect has orders for an infusion of 0.2 mcg Prostin VR (alprostadil) per hour IV to keep the ductus arteriosus open. A solution of 25 mcg alprostadil per 50 cc of D5W is sent by the pharmacy. What hourly rate would be needed to deliver the medication as ordered? (This med will be placed on an infusion pump.) 4 2 0.4 0.2 19 Chris's IV is ordered at 26 cc/hr. The drop factor on the IV delivery set packaging indicates 20 gtts/ml. The nurse places the IV on an infusion pump. At what rate should the nurse set the pump? 6 gtt/min 78 gtt/min 8.67 gtt/min 26 gtt/min 20 A pediatric client is to receive cisplatin. The physician writes the hydration order: Administer 500 ml of D5 1/2 NS + 20 mEq KCl over 7-8 hours. Available resources are a McGaw infusion pump and soluset tubing with a drop factor of 15 gtt/ml. Which of these is the correct implementation of that order? Calibrate IV tubing at 15.6 gtt/min. Set infusion pump at 125 ml/hr. Set infusion pump at 62 ml/hr. Calibrate IV tubing at 31.25 gtt/min. 21 Robert has an IV order for 8 mg Lasix (furosemide) now. Which of these demonstrates correct implementation of this order? Dilute in 8 ml NS and infuse over 30 min. Give IVP over 1-2 minutes Dilute in 4 ml NS and give over 1 hr. Give IVP <4 mg/min. 22 A client has a 300 ml left in a bag of D5 1/4 NS infusing at 43 ml/hr. The nurse calculates that a new bag should be ready to hang in how many hours? (express in hr and min as appropriate) 7 hr 3 min 6 hr 58.8 min 6 hr 7 hr 37 min 23 A client has an order for Vancomycin 170 mg. The pharmacy prepared the medication as a 200 ml piggyback. If the literature indicates that the drug can be delivered at a rate not to exceed 10 mg per minute or 60 minutes, whichever is longer, what is the recommended time over which this medication should be administered? 34 minutes 60 minutes 17 minutes 1 hour 7 minutes 24 Fortaz (ceftazidime) is ordered to treat Carrie's cystic fibrosis. She weighs 68.2 lbs. If the literature states that the safe dose is 50 mg/kg q 8 hours, is her daily dose of 4.6 grams safe? (Select recommended safe single dose.) 1200 mg 2.2 grams 1.55 grams 1725 mg 25 The physician ordered an additional 8 mEq of KCl to be added to the current IV bag. The label on the 20 ml KCl vial indicates 2 mEq/ml. How many ml will the nurse add? 10 5 2.5 4