A client is prescribed 25 mg/kg of a medication. The weight of the client is 42 kg.
How many milligrams (mg) of medication should be administered to achieve the total prescribed dose?
1250 mg
1150 mg
950 mg
1050 mg
The Correct Answer is B
The nurse should administer 1050 mg of medication to achieve the total prescribed dose.
This answer is correct because it is based on a simple multiplication calculation. The nurse can multiply the prescribed dose per kilogram by the weight of the client in kilograms to get the total dose in milligrams, as follows:
25 mg/kg x 42 kg = 1050 mg
Therefore, the nurse should administer 1050 mg of medication to the client.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The instruction that should be given to this client for the effective management of hypertension is to take
**five tablets** of bisoprolol per day, each containing 100 mg.
This is because the new order of 500 mg of bisoprolol per day is twice as much as the current dose of 250 mg of bisoprolol per day (two and a half tablets of 100 mg each). Therefore, the client needs to double the number of tablets they take per day from two and a half to five.
Correct Answer is ["C","D"]
Explanation
These statements are correct because they follow the guidelines for intradermal injections, which are used for skin testing, such as for allergies or tuberculosis. Intradermal injections are given into the dermis, which is the layer of skin below the epidermis.
The needle is inserted with the bevel of the needle upward at a 10- to 15-degree angle to ensure that the medication is delivered into the dermis and not into the subcutaneous tissue or the epidermis. The bevel is
the slanted part of the needle tip that creates a sharp point. Inserting the needle with the bevel upward also reduces tissue trauma and bleeding.
The inner arm or upper back are the preferred sites for intradermal injections because they have thin skin and minimal hair, which makes it easier to see and measure any reactions. The inner arm is usually used for adults, while the upper back is used for children.
The other statements are not correct because they do not apply to intradermal injections or they contain false information.
a. A depressed area around the injection sites indicates a positive reaction. This statement is false because a depressed area, also known as induration, indicates a negative reaction. A positive reaction is indicated by a raised area, also known as a wheal, that is larger than a certain size depending on the type of test.
b. After the insertion of the needle, a healthcare provider should aspirate for a blood return. This statement does not apply to intradermal injections because aspiration is not necessary for this type of injection. Aspiration is the process of pulling back on the plunger of the syringe to check for blood in the needle before injecting the medication. This is done to avoid injecting into a blood vessel, which can cause adverse effects or reduce the effectiveness of the medication. However, intradermal injections are given into very superficial layers of skin where there are no blood vessels, so aspiration is not required.
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