Question

Micro drip tubing is identified as which of the following:

Answer 1

Correct Answers:

60 gtt/mL

Rationale :

💟 Microdrip tubing has a standardized drop factor of 60 gtt/mL.

💟 This means that 60 drops are required to deliver 1 mL of IV solution.

💟 Microdrip tubing produces very small drops, allowing more precise control of IV fluid administration.

💟 It is particularly useful when administering small or carefully controlled fluid volumes.

💟 Microdrip tubing may be useful for clients who require precise fluid administration, such as pediatric or fluid-sensitive clients.

💟 A useful dosage-calculation principle is that with 60 gtt/mL tubing, the numerical value of gtt/min equals mL/hr.

💟 For example, an infusion of 50 mL/hr using microdrip tubing delivers 50 gtt/min.

💟 Therefore, tubing labeled 60 gtt/mL is identified as microdrip tubing.

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Answer 2

Correct Answers:

Date and Time Mixed
Type and Amount of Diluent Used
Nurses Initials
Expiration Date and Time
Dosage Strength

Rationale :

Date and Time Mixed

💜 The date and time of reconstitution should be documented on the medication vial.

💜 This information establishes when the medication was prepared and helps determine its safe-use period.

💜 Many reconstituted medications have limited stability after the diluent is added.

💜 Recording the preparation time helps prevent administration after the medication is no longer stable.

💜 It also supports appropriate medication storage and handling.

💜 The information allows other nurses to determine how long the vial has been available for use.

💜 Clear labeling reduces the risk of medication errors.

💜 Therefore, the date and time mixed should appear on the reconstitution label.

Type and Amount of Diluent Used

💜 The label should identify the type and amount of diluent used during reconstitution.

💜 Different diluents or volumes can produce different medication concentrations.

💜 This information helps verify that the medication was prepared according to the manufacturer's directions.

💜 It also allows the nurse to determine the resulting concentration accurately.

💜 Accurate concentration is essential when calculating the volume needed for a prescribed dose.

💜 Documentation also helps prevent accidental incorrect reconstitution.

💜 This is particularly important when a multidose vial may be used by another nurse later.

💜 Therefore, the diluent and amount used should be included.

Nurse's Initials

💜 The nurse who reconstitutes the medication should place their initials on the label.

💜 Initials identify the individual responsible for preparing the medication.

💜 This supports accountability and medication safety.

💜 It also allows clarification if questions arise regarding preparation.

💜 Proper identification is part of safe medication-handling practices.

💜 The initials should be clearly legible according to facility policy.

💜 This documentation contributes to accurate communication among healthcare professionals.

💜 Therefore, the nurse's initials belong on the label.

Expiration Date and Time

💜 Reconstituted medications may have a shorter expiration period than the original unopened vial.

💜 The expiration date and time indicate when the medication should no longer be administered.

💜 Stability can change after a diluent is added to a powdered medication.

💜 Using medication beyond its recommended stability period can compromise potency or safety.

💜 The expiration period depends on the medication, diluent, concentration, and storage conditions.

💜 The nurse should follow the manufacturer's instructions and institutional policy when determining expiration.

💜 Clearly labeling expiration information helps prevent administration of an expired preparation.

💜 Therefore, the expiration date and time should be documented.

Dosage Strength

💜 The final dosage strength/concentration should be included after the medication is reconstituted.

💜 Reconstitution changes a powdered medication into a measurable liquid concentration.

💜 Knowing the final concentration allows the nurse to calculate the correct volume per dose.

💜 This information is particularly important when only part of the vial is administered.

💜 An incorrect concentration can result in an overdose or underdose.

💜 Clear labeling allows subsequent users to verify the medication concentration before administration.

💜 Accurate strength information therefore contributes directly to medication safety.

💜 The dosage strength should be included on the reconstitution label.

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Answer 3

Correct Answers:

Placing the cylinder on a flat surface and reading the level at the bottom of the meniscus at eye level.

Rationale :

💟 Liquid medication should be measured with the container positioned on a flat, level surface to obtain an accurate volume.

💟 The nurse should bring the measurement markings to eye level to prevent errors caused by viewing the liquid from above or below.

💟 Most liquid medications form a curved surface called a meniscus when placed in a graduated medication cup or cylinder.

💟 The volume should be read at the bottom of the meniscus for accurate measurement of most aqueous liquids.

💟 Reading at eye level prevents parallax error, which can cause the nurse to administer too much or too little medication.

💟 Accurate measurement is particularly important because medication doses are calculated according to a prescribed volume and concentration.

💟 The nurse should avoid holding or tilting the measuring device because doing so changes the apparent level of the liquid.

💟 Therefore, placing the measuring device on a flat surface and reading the bottom of the meniscus at eye level demonstrates correct technique.

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Answer 4

Correct Answers:

Oral
Rectal
Buccal
Meds administered via nasogastric tube

Rationale :

✅ Oral

⏭️ The oral route is an enteral route because medication is administered through the mouth and enters the gastrointestinal (GI) tract.

⏭️ Most oral medications are absorbed primarily through the stomach or small intestine, depending on their formulation and properties.

⏭️ Oral administration is one of the most commonly used routes because it is convenient and noninvasive.

⏭️ Tablets, capsules, and liquid medications are common oral preparations.

⏭️ The medication generally undergoes gastrointestinal absorption before reaching the systemic circulation.

⏭️ Some orally administered medications undergo significant first-pass metabolism in the liver.

⏭️ Oral medications may be inappropriate for clients who cannot safely swallow or have certain gastrointestinal problems.

⏭️ Therefore, the oral route is classified as enteral.

✅ Rectal

⏭️ The rectal route is considered an enteral route because medication is administered through the gastrointestinal tract.

⏭️ Medications can be given rectally as suppositories, solutions, or enemas.

⏭️ The rectal mucosa can absorb medications into the bloodstream.

⏭️ This route may be useful when a client has difficulty swallowing or retaining oral medications.

⏭️ Rectal administration may also be used when nausea or vomiting makes oral administration difficult.

⏭️ Absorption through the rectum can be variable depending on several physiologic factors.

⏭️ Some rectally absorbed medication can partially bypass hepatic first-pass metabolism depending on where absorption occurs.

⏭️ Therefore, rectal administration is an enteral route.

✅ Buccal

⏭️ Buccal medications are placed between the cheek and gum for absorption through the oral mucosa.

⏭️ The medication should generally remain in place rather than being immediately swallowed.

⏭️ Buccal absorption allows medication to enter the systemic circulation through the highly vascular oral mucosa.

⏭️ This route can provide relatively rapid medication absorption.

⏭️ Buccal administration avoids much of the degradation that can occur within the gastrointestinal tract.

⏭️ It also largely avoids first-pass hepatic metabolism before reaching systemic circulation.

⏭️ The buccal route is classified within the broader enteral routes in standard medication-administration classifications used in nursing education.

⏭️ Therefore, buccal administration is considered enteral.

✅ Medications administered via nasogastric tube

⏭️ A nasogastric (NG) tube delivers medication directly into the gastrointestinal tract, usually the stomach.

⏭️ Medication delivered through an NG tube therefore follows an enteral route.

⏭️ This route is useful for clients who cannot safely take medications orally but have a functioning gastrointestinal tract.

⏭️ Liquid medication formulations are generally preferred when appropriate for tube administration.

⏭️ Certain tablets may be crushed and appropriately diluted, provided the medication is safe to crush.

⏭️ Enteric-coated and extended-release medications generally should not be crushed for NG administration.

⏭️ Proper tube flushing helps maintain tube patency and ensures medication delivery.

⏭️ Therefore, medications administered through an NG tube are enteral medications.

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Answer 5

Correct Answers:

120

Rationale :

✏️ Working

Formula:

Flow rate (mL/h) = Total volume (mL) ÷ Time (hours)

✏️ Total volume = 1,200 mL

✏️ Time = 10 hours

1,200 mL ÷ 10 hr = 120 mL/h

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Answer 6

Correct Answers:

333

Rationale :

Formula:

mL/hour = Total volume (mL) ÷ Time (hours)

➡️ 2 L = 2,000 mL

➡️ 2,000 mL ÷ 6 hours = 333.33 mL/hour

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Answer 7

Correct Answers:

90

Rationale :

Formula:

mL/h = Volume (mL) ÷ Time (hours)

20 minutes ÷ 60 = 0.333 hour

30 mL ÷ 0.333 hour = 90 mL/h

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Answer 8

Correct Answers:

75

Rationale :

Formula:

mL/hr = Total volume (mL) ÷ Time (hr)

1.5 L = 1,500 mL

1,500 mL ÷ 20 hr = 75 mL/hr

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Answer 9

Correct Answers:

500

Rationale :

Formula:

mL/hr = Total volume (mL) ÷ Time (hr)

➡️ 30 minutes ÷ 60 = 0.5 hour

➡️ 250 mL ÷ 0.5 hr = 500 mL/hr

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Answer 10

Correct Answers:

67

Rationale :

Formula:

mL/hr = Total volume (mL) ÷ Time (hr)

1 L = 1,000 mL

1,000 mL ÷ 15 hr = 66.67 mL/hr

Rounded to the nearest whole number:67 mL/hr

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QLexNursing

1 :
Micro drip tubing is identified as which of the following:

2 :
A nurse is preparing a reconstitution label for a medication vial. Which of the following should be included? (Select all that apply)

3 :
A nurse is preparing to administer 5 mL of liquid medication using a measuring cup. Which of the following actions demonstrates correct technique when reading the volume of liquid?

4 :
Which of the following are considered enteral routes of medication administration? (Select all that apply)

5 :
The following IV orders will be regulated by electronic infusion devices. Calculate the flow rates of the IV fluids to mL/h. Round to the whole number. 1200 mL of D10W in 10 hours.

✏️ Working

6 :
2 L of NS in 6 hours mL/h

7 :
Infuse Rocephin IVPB 30 mL in 20 minutes mL/h

8 :
1.5 L of D5LR in 20 hours mL/h

9 :
Infuse 250 mL of Zithromax in 30 minutes mL/h

10 :
I L of 1/2 NS in 15 hours mL/h

QLexNursing

1 : Micro drip tubing is identified as which of the following:

2 : A nurse is preparing a reconstitution label for a medication vial. Which of the following should be included? (Select all that apply)

3 : A nurse is preparing to administer 5 mL of liquid medication using a measuring cup. Which of the following actions demonstrates correct technique when reading the volume of liquid?

4 : Which of the following are considered enteral routes of medication administration? (Select all that apply)

5 : The following IV orders will be regulated by electronic infusion devices. Calculate the flow rates of the IV fluids to mL/h. Round to the whole number. 1200 mL of D10W in 10 hours.

✏️ Working

6 : 2 L of NS in 6 hours mL/h

7 : Infuse Rocephin IVPB 30 mL in 20 minutes mL/h

8 : 1.5 L of D5LR in 20 hours mL/h

9 : Infuse 250 mL of Zithromax in 30 minutes mL/h

10 : I L of 1/2 NS in 15 hours mL/h

1 :
Micro drip tubing is identified as which of the following:

2 :
A nurse is preparing a reconstitution label for a medication vial. Which of the following should be included? (Select all that apply)

3 :
A nurse is preparing to administer 5 mL of liquid medication using a measuring cup. Which of the following actions demonstrates correct technique when reading the volume of liquid?

4 :
Which of the following are considered enteral routes of medication administration? (Select all that apply)

5 :
The following IV orders will be regulated by electronic infusion devices. Calculate the flow rates of the IV fluids to mL/h. Round to the whole number. 1200 mL of D10W in 10 hours.

6 :
2 L of NS in 6 hours mL/h

7 :
Infuse Rocephin IVPB 30 mL in 20 minutes mL/h

8 :
1.5 L of D5LR in 20 hours mL/h

9 :
Infuse 250 mL of Zithromax in 30 minutes mL/h

10 :
I L of 1/2 NS in 15 hours mL/h