Question

6. The nurse is preparing to administer Hepatitis B Vaccine, Recombinant (Energix-B) 5 mcg IM to a school-aged child. The vaccine is labeled, 10 mcg/ml. How many ml should the nurse administer? (if rounding is required, round to the nearest tenth). sneg xml=0.5m! Tomeg 7. A male client receives a prescription for ondansetron hydrochloride (Zofran) 4 mg IV to prevent postoperative nausea after an inguinal hernia repair. The medication is available in 2 mg/ml. How many ml should the nurse administer? 4mg nl-am 8. Estimate the patients 8 hour (3pm-11pm) intake: IVF @ 25cc/hr continuous USCX DOO TPN @ 50cc/hr continuous SOICY & 2400 Lipids at 10cc/hr for 12 hours (8pm-8am) - IDLCB 3 NGT feeds @ 25 cc/hr continuous DS CLX 5200 2 units of blood - 250ml/unit-first unit at 10am/ second unit at 4pm IV Vancomycin - 250ml every 12 hours at 8am/8pm - 2 0 ml 00+ 40D + 20Doo+2 50+ SSD = 1330cc 9. Estimate the patient's 8 hour (3-11pm) output: 4pm - 100ml urine 4pm - suction canister 50ml 4pm - chest tube 15ml 6pm -Urine 150ml 6pm -chest tube 10ml 8pm - urine 110ml 8pm - chest tube 5ml 8pm - Suction 50ml 11pm - urine 60ml 550 10. Use the information from questions 8 and 9 to answer the following: Total Intake = 1330Cc - 13 30m Total Output = 5 - 550ml - 550ml Difference -780ml

Answer 1

6)Prescribed dose of hepatitis B vaccine = 5 mcg

The vaccine labelled= 10mcg/ml

10mcg vaccine is contained in 1 ml

So for 5mcg vaccine = 1/10 × 5=0.5 ml

Hence,the nurse should administer 0.5 ml of Hepatitis B vaccine.

7)Prescribed dose of Zofran= 4 mg

Dose of Zofran available in market= 2mg/ml

So the nurse should administrator= 1/2× 4= 2ml

8)IVF@25 cc/ hr continue

In 8 hrs= 25× 8= 200cc

TPN@50cc /hr

In 8 hr= 50× 8= 400cc

Lipids@ 10cc/hr for 12 hours

In 8 hrs= 10× 3= 30cc

NGT feeds@25 cc/ hr

In 8 hrs= 25× 8= 200ml

Unit of blood in 8 hrs= 250 ml

Unit of IV vancomycin in 8 hrs= 250 ml

Total intake in 8 hours= 200+ 400+ 30+ 200+ 250+ 250= 1330cc

9) The patient's 8 hours output= 100+ 50+ 15+ 150+ 10+110+5+50+60= 550ml

10)Total intake= 1330cc

Total output= 550ml

1cc= 1ml

Difference= 1330ml- 550ml= 780ml