A pediatric client with asthma weighs 50 lbs. There is an order to administer Theophylline 300 mg/day given in divided doses q6h. The medication label states the concentration is 150 mg/10 mL. What is the weight in kg? How many doses will be administered daily? How many mg/single dose? How many mL/single dose?

The recommendations for pediatric dosing of Ibuprofen is to give 4-10 mg/Kg/dose every 6 to 8 hours. A maximum single dose should not exceed 400mg/dose, and maximum daily dose is 40mg/kg/day. The order reads, give 45 mg of Ibuprofen every 6 hours for 24 hours for a child whose weight is 40 pounds, and is his age is 3.5 years old. The drug label reads, 30mg/1.25ml.  a. How many ml would you administer? b. Is the drug amount prescribed safe to administer? c. Is the amount of the drug prescribed, over dose, under dose, or within a safe range?

A nurse is preparing to administer penicillin G intravenous bolus to a child. What is the lowest recommended units per day? (Examine the MAR and medication reference for more information. Round the answer to the nearest whole number.) Medication Administration Record Medication reference Client: DOB: Admit MRN: Wagner, Tyler 2/2x 3/10X 196563 Roberts, Dan Sex: Age: Ht: Wt: Female Penicillin G Health Care Providers 7 yr 48.2 in 47 lb Adults: IV/IM 1 to 5 million units/day every 4 to 6 hr Physician: Allergies: No known allergies Children: IV/IM 12,550 to 25,000 units/kg every 6 hr. Highest Date: 3/10/XX Order date Stop date Scheduled Medications 0700-1900 1900-0700 recommended dosage is 300,000 units/kg/day in divided doses 3/10/XX Ibuprofen 250 mg PO every 8 hr 0700, 1500 2300 every 6 hr. 3/10/X Penicillin Gunits 1,800,000 units IV every 6 hr 0700, 1300 1900, 0100 PRN Medications IV Therapy Signature F. Saundera RN Date 3/10/X

A 40yo male presents to the emergency department with the chief complaint of shortness of breath (SOB).  His past medical history (MHx) is remarkable for hypertension (HTN) and diabetes mellitus II (DMII).  On examination, his oxygen saturation on room air is 87%, blood pressure 160/100 mmHg, and pulse rate is 93/min. His arterial blood gas on room air shows pH 7.44, PCO2 35 mmHg, PO2 55 mmHg. Assume that the RQ is 0.8. Based on your calculations, what should the arterial blood gas be?

A nurse is caring for a client who has schizophrenia in an inpatient facility. Exhibit 1 Medication Administration Record 0730: Clozapine 100 mg PO daily Aripiprazole 5 mg PO daily Multivitamin PO daily Exhibit 2 Laboratory Results 0730: Sodium 125 mEq/L (136 to 145 mEq/L) Potassium 3.5 mEq/L (3.5 to 5.0 mEq/L) Chloride 90 mEq/L (98 to 106 mEq/L) BUN 8 mg/dL (10 to 20 mg/dL) Magnesium 1.2 mEq/L (1.3 to 2.1 mEq/L) Exhibit 3 Vital Signs 1230: Temperature 37.6° C(99.7°F) Heart rate 98/min Respiratory rate 20/min Blood pressure 142/92 mm Hg Oxygen saturation 100% on room air 1500: Temperature 37.1° C(98.8° F) Heart rate 104/min Respiratory rate 24/min Blood pressure 150/90 mm Hg Oxygen saturation 100% on room air Exhibit 4 Nurses' Notes 0730: Client sleeping. Lungs clear to auscultation bilaterally. Hyperactive bowel sounds noted x 4. Abdomen soft and nontender. Small bruise noted on right hand. Family at bedside. Family states client is diagnosed with schizophrenia, and last doctor's…

A options are: 50 mL,75 mL,100 mL, 125 mL, 150 mL or none of the above  C options are: 0.25J, 0.75J, 1.25J, 1.75J  or none of the above  D options are: green PV loop, gray PV loop, red PV loop or none of the above

Discuss why gamma globulin injections are painful.

Ideal weight of a child (Table 12.1) is 4.2 kg at 1 month, 5.6 kg at 3 months, 7.7 kg at 6 months, 10 kg at 1 year, 15 kg at 2 years, 18 kg at 5 years and 23 kg at 7 years. The paediatric dose of the opioid analgesic morphine in the APF is 0.1-0.2 mg/kg 2-4 hourly for subcutaneous administration (injection). A 5 year old child, who weighs 18.1 kg requires a 0.11 mg/kg dose of morphine. Calculate the volume of a 10 mg/mL solution that would be required / dose. (Answer to 2 significant figures.)

A patient newly diagnosed of septic shock has a BP of 80/46  mm Hg, pulse 136, respiration 32, temperature 104F and blood glucose 246 mg/dl . Which intevention ordered by the health care provider should the nurse implement. first? 1. start a vasopresor to  keep systolic blood pressure >90 mm HG 2.Give acetaminophen 650 mg rectally y to reduce fever 3. start 0.9% normal saline IVF at 500 ml/hr via central line 4. Start insulin drip to maintain glucose at 110 to 150 mg DL

Mrs. Johnson, a 78-year-old woman with a history of hypertension and type 2 diabetes, was admitted to the hospital with symptoms of congestive heart failure. Her current medications include Metformin, Lisinopril, and Furosemide. As her primary nurse, you notice she has been increasingly short of breath and has a 3-pound weight gain since her last weigh-in two days ago. Her current vital signs are BP 160/90 mmHg, HR 88 bpm, RR 22 breaths/min, and SpO2 92% on room air. Options: a) Increase her dose of Furosemide. b) Administer supplemental oxygen and reassess her vital signs. c) Monitor her condition without intervention. d) Restrict her fluid and sodium intake immediately.