A nurse is preparing to administer dexamethasone 0.5 mg/kg/day IM to divide equally every 6 hr to a client who weighs 132 lb. Available is dexamethasone 4 mg/mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
The Correct Answer is ["1.9"]
To calculate the dose of dexamethasone, we need to convert the client's weight from pounds to kilograms. One pound is equal to 0.454 kg, so 132 lb is equal to 132 x 0.454 = 59.928 kg. The prescribed dose is 0.5 mg/kg/day, so the daily dose is 0.5 x 59.928 = 29.964 mg. This dose is divided equally every 6 hours, so the dose per administration is 29.964 / 4 = 7.491 mg. The concentration of the drug is 4 mg/mL, so the volume per administration is 7.491 / 4 = 1.873 mL. Rounded to the nearest tenth, the nurse should administer 1.9 mL per dose.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["20.1"]
Explanation
To calculate the dosage of methylprednisolone, first convert the client's weight from pounds to kilograms, knowing that 1 kilogram equals 2.2 pounds.
The client weighs 184 pounds, which is approximately 83.64 kilograms (184 lb / 2.2).
Next, multiply the client's weight in kilograms by the dosage prescribed, which is 30 mg/kg.
This results in a total dosage of 2509.2 mg (83.64 kg * 30 mg/kg).
Finally, divide the total dosage by the concentration of the available medication to find out how many milliliters to administer.
The available medication is 125 mg/mL,
so you would administer 20.07 mL (2509.2 mg / 125 mg/mL).
Rounded to the nearest tenth, the nurse should administer 20.1 mL.
Correct Answer is ["50"]
Explanation
To calculate the flow rate in drops per minute (gtt/min), you can use the formula:
Flow rate (gtt/min) = Volume (mL) × Drop factor (gtt/mL) ÷ Time (min)
Given:
Volume = 1000 mL
Drop factor = 12 gtt/mL
Time = 4 hours
Convert 4 hours to minutes:
4 hours × 60 minutes/hour = 240 minutes
Then
Flow rate (gtt/min) = 1000 mL × 12 gtt/mL ÷ 240 min
Flow rate (gtt/min) = 12000 gtt ÷ 240 min
Flow rate (gtt/min) = 50 gtt/min
Therefore, the nurse should regulate the flow rate to deliver 50 gtt/min.
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