After 4 hours, the nurse notes that the patient has produced 160 mL of urine. The patient’s serum potassium level is 3.4 mEq/L. Based on the patient’s urine output and serum potassium level, what is the most appropriate action for the nurse to take?

A physician orders heparin 1400 units/hour IV. The pharmacy provides heparin 25,000 units in 250 mL D5W.   The nurse should set the infusion pump at mL/hr. Round your answer to the nearest whole number.

A 68-year-old patient weighing 210 lbs is prescribed norepinephrine at 2 mcg/kg/min via IV infusion to maintain a mean arterial pressure (MAP) above 65 mmHg for septic shock. The pharmacy supplies norepinephrine 16 mg in 100 mL of D5W. The therapeutic range for norepinephrine in septic shock is 2–20 mcg/kg/min. The nurse knows to set the IV pump to infuse at mL/h. Record the infusion rate as a whole number.

A 65-year-old patient weighing 80 kg is being treated for cardiogenic shock with a dobutamine infusion at a rate of 50 mL/h. The infusion bag contains 400 mg of dobutamine in 250 mL of D5W. The therapeutic range for dobutamine is 2.5–20 mcg/kg/min. The dose the patient is receiving is mcg/kg/min (Record your answer to one decimal place or round it to the nearest tenth.), and the nurse should (continue or discontinue) the infusion as ordered.

Four hours after administering the oral potassium chloride, the nurse rechecks the serum potassium level, which is now 3.7 mEq/L. The patient’s urine output has increased to 60 mL/hour. What action should the nurse take next? (Select all that apply.)

Order: Phenytoin 5 mg/kg/day PO in 2 divided doses for a child weighing 55 lbs. The medication is supplied as 125 mg/5 mL.   How many mL should the nurse administer per dose?  Each dose will be mL. Record your answer to one decimal place or round it to the nearest tenth.

The nurse is caring for a 77 lbs 11-year-old client with a prescription for fluconazole.   Order: Fluconazole 6 mg/kg/dose PO daily. Available: Fluconazole 40 mg/mL oral suspension.  The nurse should administer mL per dose. Record your answer to one decimal place or round it to the nearest tenth.

Your patient is nauseated. Order: Promethazine 12.5 mg IV push PRN nausea. Available: Promethazine 25 mg/mL vial. Dilute with 9 mL NS before administration. What is the total volume to administer in mL? Record your answer to one decimal place or round it to the nearest tenth.

Four hours after administering the oral potassium chloride, the nurse rechecks the serum potassium level, which is now 3.7 mEq/L. The patient’s urine output has increased to 60 mL/hour. What action should the nurse take next? (Select all that apply.)

Just before lunch at 1200, the nurse tech reports that the patient’s blood glucose level is 241 mg/dL. After reviewing the MAR, the nurse prepares unit(s) of insulin lispro in an insulin syringe. Record your answer using a whole number.