1. A nurse is preparing the dosage of Dilantin. Based on the medication that is available on the cart, how many milliliters should the patient receive per dose? 2. When preparing to administer the Dilantin, the nurse drops the bottle and all except 42 milliliters remain. How many days should he expect this bottle to last? The patient states: "my throat and ear hurt". The nurse assesses her temperature, notes if to be 102 degress Farenheit and contacts the nurse practitioner who writes the following Omnicef (Cefdinir) 7 mg/kg po q 12 hrs for 10 days orders: Available is a suspension of 125 mg/5 mL Motrin (Ibuprofen) 5 mg/kg po q 6 – 8 hours Available is an oral suspension of 100 mg/5 mL 3. The nurse is preparing to administer the Omnicef to Miss A. Based on the order and what is available on the cart, how many teaspoons should the nurse expect to administer each day?

Comprehensive Medical Assisting: Administrative and Clinical Competencies (MindTap Course List)
6th Edition
ISBN:9781305964792
Author:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa
Publisher:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa
Chapter39: Phlebotomy
Section: Chapter Questions
Problem 39.2CS
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1. 2. 3. 4. 5.
A nurse assigned to the pediatric unit of an acute care facility is taking care of Miss A, an 8
year old patient of Scottish descent who has just been admitted from the emergency room.
Miss A and her family are known to this facility: she has a history of multiple admissions,
and her family is familiar with the routine on the unit. This admission however, is related
to a new onset of a cardiac dysrhythmia. An EKG was done in the ER and confirmed this
diagnosis; the family is apprehensive and express concern about this health issue. The
nurse reviews the admission orders for Miss A, completes the admission history and
physical, and documents the following on the EMR:
Admitting Diagnosis:
Atrial Fibrillation
Concurrent Health Problems:
H/O: Cerebral Palsy; Right-sided hemiplegia; Seizure Disorder; Constipation
Neuro:
A +Ox 3
Cardiovascular:
Vital Signs - T: 98.6 orally
P: 64 regular
RR: 16 unlabored
BP: 102/58 mm/Hg left arm sitting
Integumentary:
Skin warm and dry
Musculoskeletal:
R-sided Hemipareis
Wheelchair-dependent
Moves & snaps back into place quickly
Height/Weight:
4 9'
92 lbs
Gastrointestinal:
Abdomen soft
Genitourinary:
Incontinent of urine - incontinent pad in place
Hypoactive bowel sounds noted all quadrants
Miss A's family remain at the bedside; the nurse reviews the following medication orders
that have been written by the nurse practitioner assigned to this patient:
Digoxin (Lanoxin) 20 mcg/kg po q 8 hrs x 24 hours; then to be re-evaluated
Available as 0.05 mg/ml elixir
Dilantin (Phenytoin) 8 mg/kg po BID
Available as 125mg/5mL (or 50 mg chewable tablets)
Colace (Docusate Sodium) 100 mg po once daily
Available as a syrup 50mg/15 mL
Transcribed Image Text:A nurse assigned to the pediatric unit of an acute care facility is taking care of Miss A, an 8 year old patient of Scottish descent who has just been admitted from the emergency room. Miss A and her family are known to this facility: she has a history of multiple admissions, and her family is familiar with the routine on the unit. This admission however, is related to a new onset of a cardiac dysrhythmia. An EKG was done in the ER and confirmed this diagnosis; the family is apprehensive and express concern about this health issue. The nurse reviews the admission orders for Miss A, completes the admission history and physical, and documents the following on the EMR: Admitting Diagnosis: Atrial Fibrillation Concurrent Health Problems: H/O: Cerebral Palsy; Right-sided hemiplegia; Seizure Disorder; Constipation Neuro: A +Ox 3 Cardiovascular: Vital Signs - T: 98.6 orally P: 64 regular RR: 16 unlabored BP: 102/58 mm/Hg left arm sitting Integumentary: Skin warm and dry Musculoskeletal: R-sided Hemipareis Wheelchair-dependent Moves & snaps back into place quickly Height/Weight: 4 9' 92 lbs Gastrointestinal: Abdomen soft Genitourinary: Incontinent of urine - incontinent pad in place Hypoactive bowel sounds noted all quadrants Miss A's family remain at the bedside; the nurse reviews the following medication orders that have been written by the nurse practitioner assigned to this patient: Digoxin (Lanoxin) 20 mcg/kg po q 8 hrs x 24 hours; then to be re-evaluated Available as 0.05 mg/ml elixir Dilantin (Phenytoin) 8 mg/kg po BID Available as 125mg/5mL (or 50 mg chewable tablets) Colace (Docusate Sodium) 100 mg po once daily Available as a syrup 50mg/15 mL
1. A nurse is preparing the dosage of Dilantin. Based on the medication that is available on the cart, how
many milliliters should the patient receive per dose?
2. When preparing to administer the Dilantin, the nurse drops the bottle and all except 42 milliliters
remain. How many days should he expect this bottle to last?
The patient states: "my throat and ear hurt". The nurse assesses her temperature, notes if
to be 102 degress Farenheit and contacts the nurse practitioner who writes the following
Omnicef (Cefdinir) 7 mg/kg po q 12 hrs for 10 days
orders:
Available is a suspension of 125 mg/5 mL
Motrin (Ibuprofen) 5 mg/kg po q 6 – 8 hours
Available is an oral suspension of 100 mg/5 mL
3. The nurse is preparing to administer the Omnicef to Miss A. Based on the order and what is available
on the cart, how many teaspoons should the nurse expect to administer each day?
4. Based on the above order for Omnicef, how many milligrams should the patient receive per dose?
5. Digoxin (Lanoxin) has been prescribed for Miss A. Based on the medication that is available on the
cart, calculate the correct medication and amount that is to be given per dose.
Transcribed Image Text:1. A nurse is preparing the dosage of Dilantin. Based on the medication that is available on the cart, how many milliliters should the patient receive per dose? 2. When preparing to administer the Dilantin, the nurse drops the bottle and all except 42 milliliters remain. How many days should he expect this bottle to last? The patient states: "my throat and ear hurt". The nurse assesses her temperature, notes if to be 102 degress Farenheit and contacts the nurse practitioner who writes the following Omnicef (Cefdinir) 7 mg/kg po q 12 hrs for 10 days orders: Available is a suspension of 125 mg/5 mL Motrin (Ibuprofen) 5 mg/kg po q 6 – 8 hours Available is an oral suspension of 100 mg/5 mL 3. The nurse is preparing to administer the Omnicef to Miss A. Based on the order and what is available on the cart, how many teaspoons should the nurse expect to administer each day? 4. Based on the above order for Omnicef, how many milligrams should the patient receive per dose? 5. Digoxin (Lanoxin) has been prescribed for Miss A. Based on the medication that is available on the cart, calculate the correct medication and amount that is to be given per dose.
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