Nursing Nerds

Dosage Calculations and IV Math

Book 05 · Page 1212 / 15

Question set A — six calculations, show your setup

Figure brief · not yet drawn

Six repeated answer surfaces, each a faint grid ruled for a three-factor cancellation chain on the left three quarters and an empty bordered answer box on the right quarter carrying its required unit above a thin rule.

Write the full setup before you enter a single digit. An answer you cannot show the setup for is an answer nobody can check, including you.

1. Order: morphine sulfate 8 mg intramuscularly. Supply: 10 mg/mL. How many milliliters will the nurse administer? Setup: ________________________ Answer: ______ mL

2. Order: cephalexin oral suspension 375 mg. Supply: 250 mg per 5 mL. How many milliliters will the nurse administer? Setup: ________________________ Answer: ______ mL

3. Order: infuse 1500 mL of lactated Ringer's over 12 hours by electronic pump. At what rate will the nurse set the pump? Setup: ________________________ Answer: ______ mL/hr

4. Order: infuse 100 mL over 30 minutes by gravity. The administration set has a drip factor of 20 gtt/mL. At what rate will the nurse regulate the flow? Setup: ________________________ Answer: ______ gtt/min

5. Order: cefazolin 25 mg/kg intravenously. The child is charted at 44 lb. Reconstituted supply: 250 mg/mL. How many milliliters will the nurse administer? Setup: ________________________ Answer: ______ mL

6. Order: an insulin infusion at 6 units/hr. The bag contains 100 units in 100 mL of 0.9 % sodium chloride. At what rate will the nurse set the pump? Setup: ________________________ Answer: ______ mL/hr

Exam condition strip

Eighteen minutes for all six. On-screen calculator only. Answers rounded per the page 2 contract: whole numbers for mL/hr and gtt/min, tenths for injectable and oral liquid volumes. The setup is written in full before any digit is entered.

Before you start, three habits

  • Circle the unit the question wants before you read the numbers. That is your destination.
  • If a weight appears in pounds, convert it on its own line before anything else touches it.
  • If a drip factor is printed, the answer is in drops per minute. If none is printed, the answer is in milliliters per hour.

Watch outwrite the setup even when you already know the answer. Especially then.

Margin noteworked solutions and the two most common wrong answers.BOOK 06 · P13

Takeawayan answer you cannot show the setup for is an answer you cannot check.