Critical Thinking Incident Think about and analyze a specific situation

1. Order: Cefazolin 500mg IM q6h Label reads: Cefazolin for injection, USP 1 gram for IM or IV use. Preparation of solution: For IM use add: 2.5ml sterile water for injection. Shake well. Resulting solution provides a approximate volume of 3ml (330mg per ml) How many milliliters will the nurse administer per dose? 2. order: Penicillin V 300,000 units po QID supplied: Penicillin V 400,000 units/2 ml how many milliliters will the nurse administer per dose? 3. order: Keflex 500mg po QID for a child weighing 55lb. The recommended dose is 50 to 100 mg/kg/day in four divided doses is this order safe yes or no? 4. order: Tylenol 975mg po q4h PRN supplied: Acetaminophen 325mg tablets how many tablets) will the nurse administer per dose? 5. order: Tinzaparin 150 unit/kg. Your patient weighs 62kg supplied: Tinzaparin 20,000 units/ 2ml how many ml will the nurse administer? 6. order: Augmentin 750mg po QID supplied: Augmentin 250mg tab how many tablets) will the nurse give? 7. order: Lanoxin elixir 80 mcg daily supplied: Lanoxin elixir 50 mcg/ml how many milliliters will the nurse administer? 8. order: Erythromycin 400mg IV x1 dose supplied: Erythromycin 500mg/ 10ml how many ml will the nurse prepare? 9. order: Morphine 2mg sc qlh prn supplied: Morphine 5mg/ml how many mi will the nurse administer? 10. Order: Enoxaparin 1mg/kg sc BID. Patient weighs 187 lbs supplied: Enoxaparin 40mg / 0.4ml how many milligrams should the patient receive per dose? 11. order: Erythromycin 1gm in 100ml D5W to infuse over 30 minutes Calculate the flow rate 12. order: Gantrisin 250mg po BID supplied: Gantrisin 0.5 gram tablets how many tablets) will the nurse administer per dose? 13.order: Tylenol 400mg po QID supplied: Acetaminophen 160mg/5ml how many mi will the nurse administer? 14. order: Ringers Lactate 500ml to infuse at 100ml/hr. The tubing drop factor is 10gtt/ml Calculate the flow rate, gtts/min 15. order: R/L 1000ml at 125ml/hr. The tubing drop factor is 10 gtt/ml calculate the flow rate 16. The person ultimately responsible for a medication error is: a. The pharmacy that delivered the wrong medication b, The physician who prescribed the wrong medication c.The manufacturer who packaged the medication d. The nurse who administered the medication to the patient 17. order: Cipro 750mg po BID supplied Cipro 250mg tablet how many tablets) will the nurse administer per dose? 18. order: Keflex 500mg po QID for a child that weighs 55 lb. The recommended dose is 50 to 100 mg/kg/day in 4 divided doses what is the recommended minimum and maximum daily dosage 19. order: Gantrisin 1.5 grams po TID supplied: Ganstrin 0.5 grams tablets how many tablets) will the nurse administer per dose? 20. order: Humulin R insulin 12 units sc stat supplied: Humulin R 100 units/ml how many milliliters will the nurse administer?

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