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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. The correct order is

  1. wipe off tops of insulin vials with alcohol sponge.
  2. draw back amount of air into the syringe that equals total dose.
  3. inject air equal to NPH dose into NPH vial. ...
  4. air equal to regular dose into regular vial.
  5. invert regular insulin bottle and withdraw regular insulin dose.
  6. without adding more air into NPH vial, carefully withdraw NPH dose



B. Withdraw the regular insulin from the vial: This step should occur after injecting air into the regular insulin vial. The nurse should draw up the regular insulin before drawing up the NPH
insulin.

C. Inject air into the regular insulin vial: Inject air into the regular insulin vial is not thecorrect first step to avoid contamination of the clear insulin with cloudy insulin..
D. Withdraw the NPH insulin from the vial: This step should occur after withdrawing the regular insulin. The nurse should draw up the NPH insulin after drawing up the regular insulin to ensure the correct sequence and dosage.

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"A"}}

Explanation

Taking the medication with orange juice (a) is advisable as vitamin C can enhance iron absorption

Notifying the provider about black stools is appropriate because it can indicate gastrointestinal bleeding, a potential side effect of ferrous sulfate.

Avoiding antacids while on ferrous sulfate is important because they can decrease the absorption of iron, so this statement demonstrates understanding.

Rinsing the mouth after taking ferrous sulfate can help prevent staining of the teeth, indicating understanding.

Taking the medication on an empty stomach enhances its absorption, so not understanding this instruction suggests a lack of comprehension.

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