A nurse has to administer 10 mcg/kg of digoxin to a client who weighs 30 lb. The nurse has available digoxin 1 mg/mL. How many mL would the nurse administer to the child?
0.14 mL
0.136 mL
136 mL
300 mL
The Correct Answer is B
To calculate the dose of digoxin in micrograms (mcg) that the child should receive, we need to first convert the weight of the child from pounds to kilograms:.
30 lb / 2.205 = 13.61 kg.
Next, we can calculate the dose of digoxin in mcg:. Dose (in mcg) = Weight (in kg) x Dose (in mcg/kg). Dose (in mcg) = 13.61 kg x 10 mcg/kg.
Dose (in mcg) = 136.1 mcg.
Now we need to calculate the volume of digoxin solution to administer. Since the concentration of the digoxin solution is 1 mg/mL, we can use proportion to calculate the volume:.
1 mg is to 1 mL as 136.1 mcg is to X mL. 1/1 = 136.1/X.
Cross-multiplying, we get:. 1X = 136.1 x 1.
X = 136.1 mL.
Therefore, the nurse should administer 0.1361 mL (136.1 mcg) of digoxin to the child.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. 0.04 mg
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This is far too small.
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It might come from a miscalculation involving the concentration (1 mg/mL) and volume (5 mL), but incorrectly dividing again by 100.
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Not clinically reasonable because the patient would barely receive any drug.
B. 0.25 mg
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This is also incorrect.
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It could result from mistakenly dividing 5 mg by 20 minutes instead of 2 minutes.
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Again, far below the actual ordered rate.
C. 3.75 mg
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This is incorrect but closer.
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It might come from a misstep like subtracting 1.25 mg from the correct answer (2.5 mg) or misusing the concentration.
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Still not the right calculation.
D. 2.5 mg
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Correct answer.
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Direct calculation: 5 mg ÷ 2 minutes = 2.5 mg/min.
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Matches the ordered dose and administration time.
Correct Answer is B
Explanation
If one dose of medication is 25 mg and each vial contains 50 mg of medication, then each vial contains two doses..
To calculate the number of vials required for 5 days of treatment, we first need to calculate the total number of doses required. Since the client requires two injections per day, the total number of doses required for 5 days would be:.
Total number of doses = 2 doses/day x 5 days. Total number of doses = 10 doses.
Since each vial contains two doses, we need a total of 10/2 = 5 vials for 5 days of treatment..
Therefore, the nurse would need 5 vials of the medication for 5 days of treatment for the client.
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