Shared Flashcard Set

Details

dosage and calculations
Calculating pediatric medications
25
Nursing
Undergraduate 1
10/30/2009

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Cards

Term
A child weighs 44 pounds. What is the childs weight in kilograms?
Definition
20 kg
Term
An infant weighs 7 pounds and 6 ounces. What is the infants weight in kilograms?
Definition
3.35 kg
Term
The physician orders 0.2 mg per kg albuteral (Proventil) tid. The childs weight is 30 kg. The recommended safe dose is 12 mg per 24 hr. Is the ordered dose safe?
Definition
The ordered dose is too high.
Term
The physician orders 640 mg niclosamide (Niclocide) as a one time dose for a child who weighs 22 kg. The recommended dose is 40 mg per kg. Is this a therapeutic dose?
Definition
The ordered dose is sub-therapeutic.
Term
The physician orders 300 mg ampicillin (Omnipen) to be given every 6 hours to an infant that weighs 5 kg. The recommended safe dose range is 50 to 100 mg per kg per dose. Is this a safe dose?
Definition
The ordered dose is safe.
Term
The physician orders 16 mg hydrocortisone (hydrocortone) every four hours. The child weighs 16 kg. The recommended safe dose range is 2 to  4 mg per kg per day. Is this a safe dose?
Definition
The ordered dose is too high.
Term
Using a nomogram, determine the BSA in meters squared for a child that weighs 11 lbs.
Definition
0.29 m2
Term
Using the formula, calculate the BSA in meters squared for a six-month-old infant who is 24 inches long and weighs 16 pounds.
Definition
0.35 m2
Term
The physician orders 20 mL per kg rapid fluid bolus for an 11 kg child. How much would the nurse give?
Definition
220 mL
Term
A child weighs 11 kg. What is the hourly maintenance intravenous rate?
Definition
42 mL per hour.
Term
A child weighs 34 pounds. What is the 24 hour total intravenous maintenance weight?
Definition
1224 mL
Term
The physician orders 20 mL per kg fluid bolus on a 42 lb child. How much would the nurse give?
Definition
380 mL
Term
The physician orders 2.5 mg per kg phenytoin (Dilantin) BID. The infant weighs 14 lbs. How many mg will the child receive per day.
Definition
32 mg
Term
The phyician orders 0.5 mg per kg dexamethasone (Decadron) every 6 hours. The child weighs 12 pounds 12 ounces. How many mg will the nurse administer per dose?
Definition
2.9 mg
Term
The physician orders 10 mg per kg clindamycin (Cleocin) TID. The child weighs 30 pounds and 8 ounces. How many mg will the child recieve per day?
Definition
417 mg
Term
An infant is admitted on the night shift and ordered to receive ceftriaxone (Rocephin). After weighing the child and calculating the safe dose, the nurse determines that the dose ordered is twice the recommended safe doseage. The appropriate action at this time is to?
Definition
Call the doctor and question the dose ordered.
Term
The nurse needs to give an intramuscular injection to a toddler and wants to take the child to the treatment room. The parents resist stating they would prefer the injection be given in the child's room. The nurse explains the purpose for taking the child to the treatment room is to:
Definition
Keep the child's bed and room "safe" from fear of procedures.
Term
The physician orders 2.7 mg per kg furosemide (Lasix) BID. The infant weighs 12 pounds. What is the total daily dose the nurse will administer?
Definition
29.4
Term

The nurse is passing 0800 medications in the pediatric unit. A seven-year-old is reluctant to take an oral elixir medication because it "tastes yucky". Which action by the nurse is least likely to result in improved client cooperation?

 

A: Reward the child with a sticker for successfully taking the medication.

B:  Ask about the child's ability to swallow a pill as an alternative to the elixir.

C: Give the child a choice of which beverage to take the medication with.

D: Allow the child to postpone the medication until after breakfast.

Definition
D: Allow the child to postpone the medication until after breakfast.
Term
An adolescent weighs 120 pounds and 12 ounces. What is the adolescent's weight in kilograms?
Definition
55 kg
Term
The physician orders 125 mg gentamycin (Garamycin) every 8 hours. The child weighs 50 kg. The maximum daily doseage is 300 mg. Is this a save dose?
Definition
The ordered dose is too high.
Term
A child weighs 35 kg. What is the hourly maintenance intervenous rate?
Definition
75 mL per hour.
Term

The nurse notes that the orders for a preschool-aged child state, "Insert an intravenous line in the am". Which action taken by the nurse follows the principle of atraumatic care of decreasing the client's stress?

 

A: Explaining the purpose of the IV to the child the night before it is inserted.

B: Assuring the child that it will not hurt.

C: Applying EMLA cream to the site prior to the insertion of the IV.

D: Immobilize the arm that the IV is in on an arm board.

Definition
C: Applying EMLA cream to the site prior to the insertion of the IV.
Term

The nurse is caring for an adolescent in the rehab unit who is paralyzed following an auto accident. The client is reluctant to participate in the rehab program, prefering to watch tv alone, and becomes belligerent when it is time for therapy. Utilizing the principles of atraumatic care, the first action the nurse would take to encourage the client's active participation would be to:

 

A: Obtain a psychiatric consult for suspected depression.
B: Withhold privileges if the client refuses to participate in the treatment plan.

C: Explain to the client the long-term consequences of prolonged immobility

D: Negotiate the client's daily schedule with the client and post in the room.

 

Definition
D: Negotiate the client's daily schedule with the client and post in the room.
Term
The physician ordered cefotaxime (Claforan) 800 mg every 6 hours. The nurse has on hand a vial labeled 1 g per 50 mL. How many mL will the nurse administer?
Definition
40 mL
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