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A nurse is planning to administer medications to a client who weighs 198 lb. The prescription reads, "filgrastim 5 mcg/kg, subcutaneous, daily." Available is filgrastim 300 mcg/mL. How many mL should the nurse plan to give with each dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Answer and Explanation

The Correct Answer is ["1.5"]

Convert the client's weight from pounds to kilograms by dividing by 2.2. 198 lb / 2.2 = 90 kg

Calculate the dose of filgrastim in micrograms by multiplying the client's weight in kilograms by the prescribed dose per kilogram. 90 kg x 5 mcg/kg = 450 mcg

Calculate the volume of filgrastim in milliliters by dividing the dose in micrograms by the concentration of the available solution. 450 mcg / 300 mcg/mL = 1.5 mL

Round the answer to the nearest tenth. The nurse should plan to give 1.5 mL of filgrastim with each dose.


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Related Questions

Correct Answer is A

Explanation

A. Leg tenderness: Leg tenderness can be a sign of deep vein thrombosis (DVT), a rare but serious complication associated with oral contraceptives. Therefore, the nurse should report this finding immediately for further evaluation and management to prevent complications such as pulmonary embolism.

B. Cramps: Mild cramps are a common side effect of oral contraceptives and do not typically require immediate reporting unless they are severe or persistent.
C. Nausea: Nausea is a common side effect of oral contraceptives, especially during the initial weeks of use. It usually improves over time and does not typically require immediate reporting unless it is severe or persistent.
D. Abdominal bloating: Abdominal bloating is a common side effect of oral contraceptives and is usually mild and self-limiting. It does not typically require immediate reporting unless it is severe or persistent.

Correct Answer is B

Explanation

A. “I will consume foods that are soft or semisolid." While soft or semisolid foods may be easier to eat if the gums are sore, dietary modifications are not the primary focus of gingivitis management. Proper oral hygiene and avoiding irritants are more crucial. B. "I will avoid consuming alcoholic beverages." Alcohol can contribute to oral irritation, dry mouth, and worsening gingivitis. Avoiding alcohol helps reduce gum inflammation and promotes healing. C. “I will perform oral hygiene using a firm-bristle toothbrush." A firm-bristle toothbrush can cause gum irritation and worsen gingival inflammation. A soft-bristle toothbrush is recommended to clean the teeth effectively while protecting the gums. D. “I will rinse my mouth with saline every 2 hours while awake." Although saline rinses can help with minor oral irritation, frequent rinsing is not necessary for gingivitis. Instead, proper brushing, flossing, and using an antimicrobial mouthwash are more effective in managing the condition.

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