Nurse Practice Act and Medication Administration Paper Week 1 Research your state’s Nurse Practice Act and how it relates to medication administration as a registered nurse (RN). Include the following in this 1,050- to 1,750-word APA-formatted paper: How does the RN’s scope of practice differ from that of the licensed practical nurse (LPN)?

1. HCS 260 Week 1 Individual Assignment Nurse
Practice Act and Medication Administration Paper
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Nurse Practice Act and Medication Administration Paper
Week 1
Research your state’s Nurse Practice Act and how it relates to
medication administration as a registered nurse (RN). Include the
following in this 1,050- to 1,750-word APA-formatted paper:
How does the RN’s scope of practice differ from that of the licensed
practical nurse (LPN)?
How does your state deal with impaired professionals?
Compare your research to your workplace. Do those at your workplace
follow the rules?
Describe three principles of safe medication in response to medication
errors
Include a minimum of three references
Format your paper consistent with APA guidelines.
Attach Certificate of Originality document
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HCS 260 Week 1 Week One Drug Calculation
Quiz
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Week One Drug Calculation Quiz Answer Key

2. Directions: Show all calculations needed to answer the questions. You
may use a calculator.
1.The order reads Lasix™ 10 mg po. On hand, you have Lasix™ 20 mg
tabs. How much will you give
2.The order reads Valium™ 10 mg po. On hand, you have Valium™ 2.5
mg tabs. How much will you give
3.The order reads Dilantin™ 200 mg liquid po. On hand, you have
Dilantin™ 125 mg/5 ml. How much will you give
4.The order reads Amoxil™ 500 mg. On hand, you have 200 mg/5 ml.
How much will you give
5.The order reads Omnicef™ 300mg. On hand, you have 125/5 ml. How
much will you give
6.The order reads levothyroxine 0.150 mg IV. On hand, you have a
levothyroxine vial with 1,000 mcg/5 ml. How much will you give
7.The order reads Tylenol™ 10 mg/kg po. On hand, you have 160 mg/5
ml. The child weighs 88 pounds. How much will you give
8.The order reads Bactrim 160/800 qd. On hand, you have Bactrim
suspension 40/200/5 ml. The child weighs 44 pounds. How much will
you give
9.The order reads Protonix™ 8 mg/hr IV over 60 minutes. On hand, you
have a 40mg granule packet to be mixed in 50 cc NS. Your IV tubing
delivers 10 gtts/min. How much will you set the pump to deliver cc/hr
10.The order reads Ancef™ 1.5g IV in 50cc NS to infuse over 1 hour.
On hand, you have a vial of Ancef™ that reads “add 3cc NS to yield

3. 500mg/ml.” Your IV tubing delivers 10 gtts/min. How much Ancef™
will you add to the NS
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HCS 260 Week 2 Week Two Drug Calculation
Quiz
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Week Two Drug Calculation Quiz Answer Key
Directions: Show all calculations needed to answer the questions. You
may use a calculator. Questions 11 and 12 are IV calculations. Use the
information below to complete those questions.
IV Calculations
· Drip rate is the number of drops per minute to be infused
(gtt/min).
· Drip factor of the tubing is found on the manufacturer's
packaging. (expressed as gtt/ml).
· If the problem states microdrops (microgtts), then the drip factor
of the tubing is 60 gtt/ml.
The order reads Lasix™ 40mg po. On hand, you have Lasix™ 80 mg
tabs. How much will you give
The order reads Effexor™ XR 75 mg po. On hand, you have Effexor™
37.5 mg caps. How much will you give
The order reads Phenergan™ 25 mg liquid po. On hand, you have
Phenergan™ 5 mg/ml. How much will you give
The order reads Keflex™ 250mg po. On hand, you have Keflex™
suspension 100 mg/5 ml. How much will you give
The order reads dextromethorphan 20 mg po. On hand, you have
dextromethorphan 10 mg/5 ml. How much will you give
The order reads heparin 10,000 u SQ. On hand, you have a heparin vial
with 25,000 units/1 ml. How much will you give

4. The order reads Tylenol™ 10 mg/kg po. On hand, you have 100 mg/5
ml. The child weighs 66 pounds. How much will you give
The order reads ursodiol 8mg/kg/day qd. On hand, you have ursodiol
200mg tabs. The man weighs 165 pounds. How much will you give
The order reads Flagyl™ 6.25mg/kg IVPB in 50 cc NS over 30 minutes.
On hand, you have Flagyl™ 1000 mg powder vial. The vial reads as
follows: Dilute in with 3 cc to yield 1000 mg/3 cc. The patient weighs
176 pounds. How much will you add to the 50 cc of NS
The order reads Vancomycin HCL 15mg/kg IVPB in NS to infuse over
1 hour. On hand you have a vial of Vancomycin that reads: Add 250ml
NS to yield 5.4mg/ml. You patient weight is 198lbs. How much will you
give
The order reads IV fluids D5NS 4 Liters over 24 hours. Drip factor of
the tubing is 15 gtt/ml. What is the drip rate
The order reads D5 ½ NS at 175 ml/hr for 2 hours. Drip factor of the
tubing is 15 gtt/ml. What is the drip rate
==================================
HCS 260 Week 2 Week Two Drug Class Quiz
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HCS 260 Week 2 Week Two Drug Class Quiz
==================================
HCS 260 Week 3 Individual Assignment Case
Study Gastrointestinal and Endocrine Systems
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5. Case Study – Gastrointestinal and Endocrine Systems
A 16-year-old female athlete with asthma, hypothyroidism, and a history
of anorexia nervosa is admitted for dehydration after a track meet. She
has recently been binging and purging, and she competed in a track meet
today in 100 °F heat.
Her medications include the following:
· Albuterol 2 puffs q 4 hours prn
· Maxair™ 2 puffs q 4 hours prn
· Synthroid® 100 mc po qd
She is 5 feet 5 in. tall and weighs 94 pounds. A central line was placed,
and the patient is on TPN.
Answer the following questions:
· What are the pharmacokinetics (precautions, adverse effects,
interactions, absorption, distribution, metabolism, and excretion)and
pharmacodynamics of each medication?
· How will the side effects of each medication listed influence your
physical assessment of the patient?
· Describe nursing interventions to enhance the therapeutic effects
and decrease adverse effects of the drugs. Indicate at least two safety
issues per medication pertinent to the patient’s diagnosis. Assume that
you have adhered to the five rights of medication administration. Include
your rationale for your decision.
What educational information should you provide to the patient and her
family about gastrointestinal and endocrine drugs?
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HCS 260 Week 3 Learning Team Assignment
Patient Education Information
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6. HCS 260 Week 3 Learning Team Assignment Patient Education
Information
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HCS 260 Week 3 Week Three Drug Calculation
Quiz
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Week Three Drug Calculation Quiz
Directions: Show all calculations needed to answer the questions. You
may use a calculator.
The order reads 1 Valtrex™ 1000 mg po. On hand, you have Valtrex™
400 mg tabs. How much will you give
The order reads Cipro™ 750 mg po. On hand, you have Cipro™ 500 mg
caps. How much will you give
The order reads lactulose 2000 mg po. On hand, you have lactolose 10
gm/15 ml. How much will you give
The order reads Levaquin™ 500 mg IV. On hand, you have Levaquin™
sol 25 mg/ml. How much will you give
The order reads Levisin 0.25 mg IV. On hand, you have Levisin 0.125
ml sol. How much will you give
The order reads lorazepam 0.5mg IM. On hand you have a lorazepam
multidose vial with 5 mg/5 ml. How much will you give
The order reads Lovenox™ 1 mg/kg SC. On hand you have Lovenox™
300 mg/3 ml. The person weighs 166 pounds. How much will you give
The order reads meperidine 1.25 mg/kg IM. On hand, you have
meperidine 100 mg/10 ml. The man weighs 195 pounds. How much will
you give

7. The order reads Solu-Medrol™ 1.5mg/kg IVP. On hand, you have a vial
of Solu-Medrol™ 40 mg powder. The vial reads as follows: Dilute with
10 cc NS. The person weighs 76 pounds. How much will you give
The order reads penicillin G aqueous 250,000 units/kg IVPB in NS to
infuse over 30 minutes. On hand, you have a vial of penicillin G aqueous
that reads as follows: Add 250 cc NS to yield 10 million units/ml. You
patient weight is 48 pounds. How much will you give
==================================
HCS 260 Week 3 Week Three Drug Class Quiz
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HCS 260 Week 3 Week Three Drug Class Quiz
==================================
HCS 260 Week 4 Individual Assignment Case
Study Cardiovascular and Respiratory Systems
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Case Study – Cardiovascular and Respiratory Systems
A 56-year-old obese African American male was transported by the
paramedics to the emergency room (ER) after c/o severe substernal chest
pain radiating to his back. His EKG showed elevated ST-segments, and
his blood pressure was 210/110.
Upon arrival in the ER, his cardiac enzymes were elevated, and his
blood pressure was 190/110. His admitting diagnosis is acute MI. While
waiting for an ICU bed, your patient becomes increasingly agitated with

8. a blood pressure reading of 90/60, and he rates his chest pain as an 8 on
a scale of 1 to 10. Medications started in the ER include the following:
· Nitroglycerin drip 10 mcg/kg/min
· Heparin 80 u/kg bolus x1, then 18 u/kg/hr
· Morphine Sulfate 2-4 mg IV push prn pain, o2 n/c, keep sats
>94%
Answer the following questions:
· What are the pharmacokinetics (precautions, adverse effects,
interactions, absorption, distribution, metabolism, and excretion) and
pharmacodynamics of each medication?
· How will the side effects of each medication influence your
physical assessment of the patient?
· Describe nursing interventions to enhance the therapeutic effects
and decrease adverse effects of the drugs. Indicate at least two safety
issues per medication that are pertinent to the patient’s diagnosis.
Assume that you have adhered to the five rights of medication
administration. Include your rationale for your choices.
What educational information should you provide to the patient and his
family on cardiovascular and respiratory system drugs?
==================================
HCS 260 Week 4 Learning Team Assignment
Nursing Interventions
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HCS 260 Week 4 Learning Team Assignment Nursing Interventions
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9. HCS 260 Week 4 Week Four Drug Calculation
Quiz
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Week Four Drug Calculation Quiz
Directions: Show all calculations needed to answer the questions. You
may use a calculator.
The order reads 1 methotrexate 7.5 mg tabs po. On hand, you have
methotrexate 2.5 mg tabs. How much will you give
The order reads B12 1,000 mcg IM. On hand, you have B12 1 mg/ml.
How much will you give
The order reads Megace™ 1,250 mg po. On hand, you have Megace™
625 mg/5 ml. How much will you give
The order reads Vasotec™ 0.625 mg IV. On hand, you have a
Vasotec™ vial containing 3 ml yielding 1.25 mg/ml. How much will
you give
The order reads gentamicin 1.7 mg/kg IM. On hand, you have
gentamicin 10 mg/ml. The person weighs 166 pounds. How much will
you give
The order reads Solu-Medrol™ 200 mg IVP. On hand you have Solu-
Medrol™ multidose vial 1 gm/5 ml. How much will you give

10. The order reads heparin 75,000 units s.c. On hand, you have heparin
10,000 units/1 ml. How much will you give
The order reads ibuprofen 7 mg/kg po. On hand, you have ibuprofen 40
mg/ml. The child weighs 45 pounds. How much will you give
The order reads Zofran™ 0.15 mg/kg IVP. On hand, you have Zofran™
4 mg/5 ml. The person weighs 276 pounds. How much will you give
The order reads Rocephin™ 50 mg/kg IV in 100 cc NS to infuse over 30
minutes. On hand, you have vials that state: Add 10 cc NS to yield 1
gm/ml. Your patient weighs 38 pounds. How much will you give
==================================
HCS 260 Week 4 Week Four Drug Class Quiz
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HCS 260 Week 4 Week Four Drug Class Quiz
==================================
HCS 260 Week 5 Individual Assignment Case
Study Immune System
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Case Study – Immune System
A 52-year-old male is admitted to the burn unit with second- and third-
degree burns on his right arm, which will require skin grafts. He is HIV

11. positive and he has hypercholesterolemia, hypertension, and depression
with a generalized anxiety disorder. He is currently taking
· Lopressor™ 50 mg po qd
· Zocor™ 20 mg po qhs
· BuSpar™ 10 mg po t.i.d
· Paxil™ 20 mg po qd
He will be given morphine via PCA, 2 mg/hr basal rate with 2 mg on
demand q 10 minutes with lock out set at 10 mg/hr.
During his hospital stay, his physician has him stop taking Paxil™ and
start taking Prozac™ without changing his other medications.
Answer the following questions:
· What are the pharmacokinetics (precautions, adverse effects,
interactions, absorption, distribution, metabolism, and excretion) and
pharmacodynamics of each medication?
· How will the side effects of each medication listed influence your
physical assessment of the patient?
· Describe nursing interventions to enhance the therapeutic effects
and decrease adverse effects of the drugs. Indicate at least two safety
issues, per medication, pertinent to the patient’s diagnosis. Assume that
you have adhered to the five rights of medication administration. Include
your rationale for your decision.
· What educational information should you provide for the patient
and his family on immune system drugs?
==================================
HCS 260 Week 5 Individual Assignment Case
Study Nervous System
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Case Study – Nervous System

12. Mrs. H is a 45-year-old woman recently diagnosed with Parkinson’s
disease and is going to begin amantadine 50 mg po bid and
Sinemet™CR 1 tab bid. She is already being treated for gastric ulcers
with Nexium™ 40 mg qd.
The physician is trying to explain the need for long-term medication
therapy that may also need to be adjusted as her disease progresses.
Answer the following questions:
1. What are the pharmacokinetics (precautions, adverse effects,
interactions, absorption, distribution, metabolism, and excretion) and
pharmacodynamics of each medication?
2. How will the side effects of each medication listed influence your
physical assessment of the patient?
3. Describe nursing interventions to enhance the therapeutic effects
and decrease adverse effects of the drugs. Indicate at least two safety
issues, per medication, pertinent to the patient’s diagnosis. Assume that
you have adhered to the five rights of medication administration. Include
your rationale for your decision.
4. What educational information should you provide to the patient and
her family about nervous system drugs?
==================================
HCS 260 Week 5 Learning Team Assignment
Case Study Presentation
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The Case Study
62 year-old male with a long-standing history of poorly controlled
hypertension and chronic deep vein thrombosis (DVT) presents
shortness of breath
EKG revealed normal sinus rhythm (NS) with a rate of 104 and non-
specific ST wave changes.

13. Troponin and creatine kinase (CK-MB) bands were normal as was his
VQ scan and D-dimer lab test
Complex Case Study Presentation
Prepare a 20-minute presentation on a case study assigned by your
instructor. In this presentation, you must do the following:
Answer the questions posed in the case study.
Identify core drug knowledge for drugs identified in your case study.
Identify patient variables relevant to drugs in your case study.
Describe nursing interventions to enhance the therapeutic effects and
decrease adverse effects for drugs in your case study.
Describe appropriate educational information—for patients and families
—on drugs in your case study.
Format your references consistent with APA guidelines.
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HCS 260 Week 5 Learning Team Assignment
Complex Case Study Presentation (Lady on Drugs
Case Study)
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Complex Case Study Presentation
Prepare a paper on a case study assigned by your instructor. In this
paper, you must do the following:
Answer the questions posed in the case study.
Identify core drug knowledge for drugs identified in your case study.
Identify patient variables relevant to drugs in your case study.
Describe nursing interventions to enhance the therapeutic effects and
decrease adverse effects for drugs in your case study.
Describe appropriate educational information—for patients and families
—on drugs in your case study.

14. Format your Paper consistent with APA guidelines.
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HCS 260 Week 5 Learning Team Assignment
Complex Case Study Presentation
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Complex Case Study Presentation
Prepare a paper on a case study assigned by your instructor. In this
paper, you must do the following:
Answer the questions posed in the case study.
Identify core drug knowledge for drugs identified in your case study.
Identify patient variables relevant to drugs in your case study.
Describe nursing interventions to enhance the therapeutic effects and
decrease adverse effects for drugs in your case study.
Describe appropriate educational information—for patients and families
—on drugs in your case study.
Format your Paper consistent with APA guidelines.
==================================
HCS 260 Week 5 Week Five Drug Class Quiz
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HCS 260 Week 5 Week Five Drug Class Quiz
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