A health care provider orders amoxicillin syrup to a 3-year-old child with UTI. Upon assessment, you found out that the child’s weight measures 82.4 lbs. However, this can cause confusion, because the product is prepared in micrograms. Hutton (1998a) suggests that a degree of ‘de-skilling’ has resulted from the increasingly user-friendliness of drug preparations and widespread use of electronic drip counters. Calculations are still a significant source of drug error. Once you have calculated this, the infusion rate can be worked out as in the Type B calculations. Nursing Times has produced a series of videos on infection control and…, Moorfields Eye Hospital NHS Foundation Trust, Prescription states 3 micrograms (mcg)/kg/min, Please remember that the submission of any material is governed by our, EMAP Publishing Limited Company number 7880758 (England & Wales) Registered address: 7th Floor, Vantage London, Great West Road, Brentford, United Kingdom, TW8 9AG, We use cookies to personalize and improve your experience on our site. Developing calculation skills relies on understanding decimals to make conversion easier.

Patient Positioning: Complete Guide for Nurses, Registered Nurse Career Guide: How to Become a Registered Nurse (RN), Nursing Care Plans (NCP): Ultimate Guide and Database, Nursing Diagnosis Guide: All You Need to Know to Master Diagnosing. The healthcare provider orders IV nitroglycerin (Nitroglycerin) 75 mg in 500 mL of 5% Dextrose Water at 100 mcg/min. Fill in the blanks. If given in too high concentrations, local anaesthetic used in epidural infusions can cause extensive motor blockade, leading to immobility and pressure ulcers, which is distressing to the patient (Lee, 1991). You have an order to administer 40 mg of methadone (Dolophine) SC for opioid detoxification. The patient’s weight is 170 lbs.

Again on Question #2 There is some debate over calculator use. You have a 250ml bag of 5% dextrose. How many tablets (scored) should the patient take? Quiz complete. Fill in the blanks. If you have an ampoule of 500mg in 4ml, and you need 200mg, it can appear to be a daunting calculation. Enter your email address below and hit "Submit" to receive free email updates and nursing tips. You have an ampoule of 500mg (milligrams) in 4ml (millilitres). Once the equation is set up, multiply the extremes (H and. To do this calculation you still use the WIG equation as above, but with one extra step to work out the ‘what you want’. How much should you draw into the syringe? What rate do you set the pump at (ml/hour)? Hutton (1998b) argues that calculators are usually available in areas where calculations are complex, and that their use should be encouraged. This page contains a dosage calculations quiz for liquid oral medications. Wondering why on number 8 it was multiplied by 1, the question says 10 ml, not 1, so my answer was 8.78 ml?

When documenting, do not write “U” for unit, rather spell it as “unit” as it is often mistaken as “0”. Dr. Rachel Silva DNP May 9, 2015 at 11:06 am.

As a writer at Nurseslabs, his goal is to impart his clinical knowledge and skills to students and nurses helping them become the best version of themselves and ultimately make an impact in uplifting the nursing profession. As a nursing student you will be required to solve dosage and calculation problems. to mL is 1pt = 480mL but in your rationale you use the conversion factor of 1pt = 500mL. In this nursing test bank, practice dosage calculation problems to measure your competence in nursing math.

On the other hand, do not leave a “naked” decimal point. The milliequivalent is an expression of the number of grams of a medication contained in 1 milligram of a solution. Welcome to the first part of your drug dosage calculation practice!

You have on hand 0.5 g tablets.

Results are being recorded. Record your answer to the nearest whole number. This quiz will test your ability on how to calculate the amount of liquid medication to give the patient based on the dispensed amount. Have I missed something or is this question/work/answer incorrect? And when using long division it is essential to get it the right way round. What volume contains the dose you need? By accessing any content on this site or its related media channels, you agree never to hold us liable for damages, harm, loss, or misinformation. Dosage & Calculation Quiz for Oral Liquid Drugs Nursing Students This dosage and calculation quiz is to help you solve drug calculation for drugs that are prepared in the liquid form. Included topics are dosage calculation, metric conversions, unit conversions, parenteral medications, and fluid input and output. Your patient needs 2,000 mL of D5W IV over 24 hours, to be delivered with tubing set with a drop factor of 15. As you can tell, this NCLEX practice exam requires tons of calculations, so get your calculators ready! What would be the drip rate (gtts/min) using tubing with a drop factor of 60? Basic units are multiplied or divided by 10 to form secondary units. The pump demands that the rate be set in ml per hour, therefore the rate per minute will need to be converted before the equation can be completed, by multiplying 35 by 60; that is, 35mg/min (35 milligrams per minute) is converted to 2100mg/hr (2100 milligrams per hour). Calculations are still a significant source of drug error. The nurse will set the pump at which rate (mL/hr)? A method similar to ratio and proportion but expressed as fractions. Paul Martin is a registered nurse with a bachelor of science in nursing since 2007. In this instance, work out how many ml contain ONE mg of drug. You have an IVPB of ranitidine (Zantac) 50 mg in 50 mL D5W to run over 30 minutes. D = Desired dose or dose ordered by the primary care provider. You need to administer 0.015 mg/kg to a patient who weighs 150 pounds. Click on the "Finish Quiz" button to show your rating. How many ml do you need to give? The unit of measure you need for your final answer is always given. Many nursing students panic in their drug calculation exams. It could be mistaken for 2 instead of 0.2.

Looking for the rationales? You have on hand codeine 60 mg/2 mL. Fill in the blanks and record your answer using one decimal place. For example, if the dosage is 2m mg, do not insert a decimal point or the trailing zero as this could be mistaken for “20” if the decimal point is not seen. Digoxin 0.125 mg tablets are available. The basic units of metric measures are the.

You have a 60kg patient and a syringe of 16mg in 50ml. She was lucky enough to have managers who offered her support, and helped with her realisation of the need for urgent basic maths revision. Available stock is a suspension with a concentration of 400 mg/5mL. It will test your knowledge on how to convert ounces to milliliters, teaspoons to milliliters using the pharmacy dispensed dose. For the equation, the known quantities are on the left side, while the desired dose and the unknown amount to administer are on the right side.

But errors resulting in overdose of intravenous opiate can lead rapidly to respiratory depression. A primary healthcare provider ordered ceftriaxone (Rocephin) for a 4-year old child with lower respiratory tract infection.

You have available lorazepam (Ativan) 0.5 mg tablets, and you need to administer 1 mg PO. Can someone please explain how: Fill in the blanks. You have on hand 30 mg/mL. This quiz is great to prepare you for NCLEX, nursing school exams, HESI, and ATI exams. Having worked as a medical-surgical nurse for five years, he handled different kinds of patients and learned how to provide individualized care to them.

The opinion of the United Kingdom Central Council for Nursing, Midwifery and Health Visiting (UKCC) (now the Nursing and Midwifery Council) is that nurses should not rely too heavily on calculators. Written accounts obtained from students in the study revealed that many felt unable to perform calculations such as long division and fractions without using a calculator, as they had come to rely on these at school. The fill-in-the-blank question format is usually used for medication calculation, IV flow rate calculation, or determining the intake-output of a client.

Drug calculations appear to be impossibly difficult, unless you break them down into small steps. Fill in the blanks. What rate do you run the syringe at (ml/hour)? Do not put any words, units of measurements, commas, or spaces with your answer, type only the number. *If you need some more practice with dosage and calculation problems here are some great study guides we recommend. Click to share on Facebook (Opens in new window), Click to share on Twitter (Opens in new window), Click to share on Pinterest (Opens in new window), Click to share on Reddit (Opens in new window), Click to share on LinkedIn (Opens in new window), Click to share on WhatsApp (Opens in new window), Click to share on Pocket (Opens in new window), Click to share on Telegram (Opens in new window), Click to share on Skype (Opens in new window), How to Remove an N95 Mask | Doffing an N95 Respirator Nursing Skill, Newborn Infant Heart Rate Assessment | Pediatric Nursing Skill, Preschooler Growth & Developmental Milestones Pediatric Nursing NCLEX Review, Newborn Sucking Reflex in Infant | Pediatric Nursing Assessment Exam Skill, Dosage Calculations Nursing Comprehensive Quiz, Preschooler Growth and Developmental Milestones Nursing Review, Preschooler Growth Developmental Milestones NCLEX Questions Quiz. Please click on the “View Questions” button below to review your answers and read through the rationales for each question. *Disclaimer: While we do our best to provide students with accurate and in-depth study quizzes, this quiz/test is for educational and entertainment purposes only. It is expected that these computations are accurate. After his most recent international normalized ratio (INR), the doctor calls and tells him to take 7.5 mg/day. The easy way to remember this is the famous nursing equation: ‘What you want, over what you’ve got, times what it’s in’. All weights, volumes and times in any equation must be in the same units. Fill in the blanks. A patient has a primary IV of dextrose in water 1,000 mL to be infused over 24 hours. 0.5mg/kg/hr x 70kg x 50ml / 250mg = 7ml/hr. Read and understand each question before choosing the best answer. Quantities less than 1 are expressed as fractions.

For drug dosages, the metric units used are the. My formula has me dividing 4,390 units by 5,000 units, then taking that answer, which was 0.878, and multiplying by the ml quantity, which was 10, so I ended up with 8.78, which could be rounded to 8.8 ml. Therapeutic Communication Techniques Quiz. Registered Nurse, Free Care Plans, Free NCLEX Review, Nurse Salary, and much more.