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section 1

1.     A client is admitted to Labor and Delivery for preeclampsia. The magnesium sulfate orders are as follows:

Magnesium sulfate 4 gm loading (bolus) dose IV to infuse over 30 minutes. Then begin magnesium sulfate IV as a maintenance infusion to run at 2 gm/hour. The IV bag contains 40 gm magnesium sulfate in 1,000 mL Lactated Ringers.

a.     At what rate will you set the infusion pump for the loading dose? ___________________

b.     At what rate will you set the pump for the maintenance infusion? ___________________

c.      What is the therapeutic range for magnesium sulfate? ____________________________

d.     How often do you anticipate a magnesium level for a therapeutic dose vs. toxicity to be drawn? ____________________

 

2.     A client is admitted to the L&D unit for induction of labor at 41 4/7 weeks. Orders are written for Pitocin 10 units in 1,000 mL to start at 2 milliunits/minute and increased by 1 milliunit per minute every 30 minutes until contractions are 2 – 3 minutes apart and moderate to palpation. Maximum dose is 20 milliunits/minute. You have on hand Pitocin 10 units in 1 mL.

a.     How much Pitocin will you add to the liter of fluid? _____________________________

b.     At what initial rate will the infusion pump be set? _______________________________

c.      Each time you increase the rate, how much will you increase it by? _________________

3.     Baby Dalton weighs 3,859 grams at birth. He is on Enfamil with iron. The label states the formula contains 20 kcal/oz. How many ounces does he need in 24 hours? (Hint: A newborn needs 110 kcal/kg/day.)

____________________oz./day

4.     How many ounces per feeding should Baby Dalton take if he bottle feeds every 3 hours?

____________________oz./feeding

section 2

What hospital acquired disease is caused by a strain of staph bacteria that does not respond to the antibiotics that are most commonly effective against staph infections?

Question twelve 

A physician tells her patient to take 30 ml of Maalox every 8 hours. How many tablespoons of Maalox would the patient take in 24 hours? (1 tbsp = 15 ml)

Question thirteen

Healthcare workers can take an active role in controlling healthcare costs by:

Question fourteen

Which is the BEST answer to the job interview question: “Do you have any questions for us?”

Question fifteen

Which is the BEST answer to the job interview question: “Do you have any questions for us?”

Question fifteen

Using an office computer system to identify a patient whom the linked hospital information system identifies as having positive cultures for pneumonia, a primary care provider orders the patient’s antibiotic. This scenario exemplifie

SCIENCE
HEALTH SCIENCE
NURSING

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