Exam 5: Liquids for Injection

The patient/client is to receive Demerol (meperidine) 50 mg IM stat. The medication is available as Demerol (meperidine) 100 mg/mL. How many milliliters of medication would the patient/client receive?

A patient/client receives Humalog 7 units subcutaneously daily at 7:30 am. The nurse knows that this type of insulin will reach its peak effectiveness at which time?

The patient/client is to receive AquaMEPHYTON (phytonadione) 5 mg subcutaneously every day for 3 days. The medication is available as AquaMEPHYTON (phytonadione) 10 mg/mL. How many milliliters should the nurse give each day?

A patient/client has a sliding scale for insulin dosage. The order is for Humulin R every 6 hours as follows. (Note: "BG" is used for blood glucose.) The physician's order reads: Accucheck every 6 hours BG 0-180 mg/dL no coverage BG 181 mg/dL-240 mg/dL 2 units subcutaneously BG 241 mg/dL-300 mg/dL 4 units subcutaneously BG 301 mg/dL-400 mg/dL 6 units subcutaneously BG >400 mg 8 units subcutaneously and call the physician At 11 am, the patient/client's Accucheck reading was 242 mg/dL. How many units of Humulin R insulin would the patient/client receive?

The physician ordered 1.5 mg of subcutaneous epinephrine stat. The medication is available in an ampule labeled 1:1000. How many milliliters should the nurse give?

The healthcare provider has ordered the patient/client to receive insulin IV. Which insulin would the nurse have to use?

The patient/client is to receive Sandostatin 0.05 mg subcutaneously daily. The medication is available as Sandostatin 100 mcg/1 mL. Which syringe should the nurse use to administer the medication? Use proportion (fractions) to calculate the dosage.

The directions for reconstitution of oxacillin sodium for injection are on the drug label. Directions read: "For IM use, add 5.7 mL sterile water for injection. Resulting solution contains 250 mg oxacillin sodium per 1.5 mL. The vial contains oxacillin sodium equivalent to 1 gram. Usual adult dosage of oxacillin sodium is 250 mg-500 mg IM every 4 to 6 hours." The patient/client is to receive 400 mg IM every 6 hours. How many milliliters would the nurse administer?

The directions for reconstitution of mezlocillin IV injection read: "For IV use, reconstitute with 30 mL sterile water for injection. Each 30 mL of reconstituted solution will contain 3 grams of mezlocillin." The patient/client is to receive 1.5 g of mezlocillin IV every 6 hours. How many milliliters would the nurse administer?

The physician ordered heparin sodium 3000 units subcutaneously every 12 hours. The medication is available as 5000 units/mL. Select the syringe to use and the amount of heparin to give. Use the formula method to calculate the dosage.

The directions for reconstitution of oxacillin sodium for injection are on the drug label. Directions read: "For IM use, add 5.7 mL sterile water for injection. Resulting solution contains 250 mg oxacillin sodium per 1.5 mL. The vial contains oxacillin sodium equivalent to 1 gram. Usual adult dosage of oxacillin sodium is 250 mg-500 mg IM every 4 to 6 hours." What is the final concentration of the prepared oxacillin solution for IM administration?

The patient/client is to receive Humulin NPH 56 units subcutaneously every morning hour before breakfast. Which dosage and syringe is correct for the nurse to administer the medication?

The patient/client is to receive Humulin R 15 units subcutaneously daily at 7:30 am. Which syringe should the nurse use to administer the medication?

The patient/client is to receive morphine sulfate 4 mg IV stat. The medication is available as morphine sulfate 10 mg/mL. How many milliliters of medication would the patient/client receive?

The directions for reconstitution of a 5,000,000 unit vial of Pfizerpen (penicillin G potassium) reads: "For IM reconstitution, add sterile water for injection using these mL diluent units, per mL of solution: 18 mL/250,000 8 mL/500,000 3 mL/1,000,000" The patient/client is to receive Pfizerpen (penicillin G potassium) 500,000 units IM now. What would be the best amount of diluent to add to the powder for reconstitution for IM use?

The nurse has to administer Humulin R 18 units and NPH 35 units subcutaneous daily at 7:30 am. What is the correct order for drawing up these medications? 1) Inject into the Humulin R vial 18 units of air 2) Inject into the NPH vial 35 units of air 3) Withdraw 18 units of Humulin R insulin 4) Withdraw 35 units of NPH insulin

The directions for reconstitution of a 500 mg vial of Omnipen (ampicillin sodium) in powder format for injection reads: "Reconstitute with 1.8 mL of sterile water for 500 mg. Each mL of reconstituted solution will contain 250 mg of Omnipen." The patient/client is to receive 500 mg of Omnipen every 6 hours. How many milliliters would the nurse administer?

A patient/client receives a combination of 18 units of Regular insulin and 20 units of NPH or Lente insulin, subcutaneously daily at 8:00 am. The nurse knows that this combination of insulin will have an onset at what time?

The patient/client is to receive Dilantin (phenytoin sodium) 300 mg IV daily. The medication is available as Dilantin (phenytoin sodium) 250 mg/5 mL. How many milliliters of medication would the patient/client receive?

A patient/client has a sliding scale for insulin dosage. The order is for Humulin R every 6 hours as follows. (Note: "BG" is used for blood glucose.) The physician's order reads: Accucheck every 6 hours BG 0-80 mg/dL give 1 amp of D50 and call healthcare provider BG 81-100 mg/dL 0 units subcutaneously BG 101-150 mg/dL 2 units subcutaneously BG 151-200 mg/dL 3 units subcutaneously BG 201-250 mg/dL 5 units subcutaneously BG 251-300 mg/dL 8 units subcutaneously and call healthcare provider BG >300, call healthcare provider At 6 am, the patient/client's Accucheck reading was 79 mg/dL. What would be the correct actions by the nurse?