A client who weighs 160 pounds receives a prescription for gentamicin 5 mg/kg/day IV in divided doses every 8 hours. How many mg should the nurse administer with each dose? (Enter numerical value only. If rounding is required, round to the nearest whole number.)
The Correct Answer is ["121"]
Calculation Steps:
Step 1: Convert weight from pounds to kilograms: 160 pounds ÷ 2.2 = 72.7 kg. Result = 72.7 kg.
Step 2: Calculate the total daily dose: 5 mg/kg/day × 72.7 kg = 363.5 mg/day. Result = 363.5 mg/day.
Step 3: Calculate the dose per administration: 363.5 mg/day ÷ 3 doses/day = 121.2 mg/dose. Result = 121.2 mg/dose.
Step 4: Round to the nearest whole number: 121.2 mg ≈ 121 mg.
Result = 121 mg.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["121"]
Explanation
Calculation Steps:
Step 1: Convert weight from pounds to kilograms: 160 pounds ÷ 2.2 = 72.7 kg. Result = 72.7 kg.
Step 2: Calculate the total daily dose: 5 mg/kg/day × 72.7 kg = 363.5 mg/day. Result = 363.5 mg/day.
Step 3: Calculate the dose per administration: 363.5 mg/day ÷ 3 doses/day = 121.2 mg/dose. Result = 121.2 mg/dose.
Step 4: Round to the nearest whole number: 121.2 mg ≈ 121 mg.
Result = 121 mg.
Correct Answer is A
Explanation
Choice A reason: Calling for an assistant allows the nurse to ensure the client receiving tracheostomy care is safe and monitored while responding to the code blue, which is a priority emergency situation.
Choice B reason: Closing the room door does not address the need for assistance with the ongoing procedure and the emergency.
Choice C reason: Finishing the procedure may delay the nurse's response to the code blue, which requires immediate attention.
Choice D reason: Responding to the code without ensuring the current client is safe can lead to potential complications during tracheostomy care.
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