A nurse is preparing to administer acetylcysteine 140 mg/kg PO stat to a client who weighs 178 lb. Available is acetylcysteine 200 mg/mL. How many mL should the nurse administer?
(Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
The Correct Answer is ["57"]
Step 1 is to convert the client’s weight from pounds to kilograms. We know that 1 kg is approximately 2.2 lb. So, the client’s weight in kg is 178 lb ÷ 2.2 lb/kg = 80.91 kg. Step 2 is to calculate the total dose of acetylcysteine. The total dose is 140 mg/kg × 80.91 kg = 11327.4 mg. Step 3 is to calculate the volume to administer. The volume is 11327.4 mg ÷ 200 mg/mL = 56.637 mL.
So, the correct answer is 57 mL after rounding to the nearest whole number.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["2"]
Explanation
Step 1 is to determine the amount of medication needed. The order is for 30 mg and the available medication is 15 mg/mL.
So, we calculate 30 mg ÷ 15 mg/mL = 2 mL.
So the correct answer is 2 mL.
Correct Answer is C
Explanation
Choice A rationale:
The label states to add 3.5 mL of diluent for reconstitution, not 5 mL. So, choice A is incorrect.
Choice B rationale:
After reconstitution, the vial will contain 1 gram of medication, not 500 mg. So, choice B is incorrect.
Choice C rationale:
The label does state to use the solution within 1 hour of reconstitution. So, choice C is correct.
Choice D rationale:
The label states the medication can be used for IM or IV, not only IM. So, choice D is incorrect.
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