Ordered: levothyroxine sodium (Synthroid) 0.075 mg po qd Available: levothyroxine sodium(Synthroid) 150 mcg tablets How many tablets will the nurse give? Round to the tenths  _______________________Tablet(s) 

The nurse is caring for a client with a prescription for levothyroxine (Synthroid) 150 mcg po every am. The available formulary has levothyroxine 0.05 mg tablets. How many tablet(s) should the nurse administer for the correct dose? Round to the tenths ________________________Tablet(s) 

The nurse is caring for a client with diabetes. The following prescription for insulin is in the client’s Medication Administration Record. Insulin Isophane (NPH): 32 units given 2 times daily at 0800 & 1700. Clarification: Combine and give with mealtime Insulin (R) Regular Sliding Scale dose. Insulin (R) Regular: 0-24 units subcutaneous, given 3 times daily with meals at 0800, 1200, and 1700 per sliding scale. The sliding scale can be found below: Blood Glucose Corrective Action Less than 70mg/dL        Follow hypoglycemic guidelines 70-140 Give NO sliding scale 141-180 Give 4 units of insulin 181-220 Give 8 units of insulin 221-260 Give 12 units of insulin 261-300 Give 16 units of insulin 301-350 Give 24 units of insulin and Notify Physician At 0750, the nurse checks the client’s blood glucose and gets the result of 274mg/dL. Based on this result, how much insulin should be drawn up in the syringe for the 0800 dose? What Insulin will the nurse draw up first in the syringe? How much insulin will the nurse draw up into the syringe?__________Units What insulin will the nurse draw up second in the syringe? How much insulin will the nurse draw up into the syringe?____________Units How much total insulin will the nurse be administering to the patient?_____________Units Note: This is the last question.  Please show your scratch paper to the camera.  Thanks! _______ _______ _______ _______ _______

A client’s 1000 mL bag of Dextrose 5% in 0.9% Sodium Chloride was hung at 0800 and is labeled to be completed at 1800. How many mL per hour is the client receiving? Round to the tenths  _____________________________mL/hr

At 0900 you hang an IV medication solution of 190 mL to be infused at a rate of 25mL/hour. At what time will the medication infusion be completed? Put in Military Time 

The nurse is caring for a client in labor who is receiving Pitocin. Which finding indicates the medication should be discontinued?

The nurse is caring for a client who just had subdermal implantation of Nexplanon. What should the nurse teach the client about this intervention?

A client asks how metoclopramide will help peptic ulcer disease. Which mechanism of action should the nurse discuss with the client?

The nurse instructs a client about psyllium. Which client statement indicates further teaching is required?

The nurse is caring for a client with diabetes who has frequent episodes of hypoglycemia. What would be the best intervention for this client?