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A nurse is preparing to administer enoxaparin 1 mg/kg subcutaneous to a client who weighs 165 lb. Available is enoxaparin 30 mg/0.3 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.)

Answer and Explanation

The Correct Answer is ["0.8"]

To calculate the dose of enoxaparin, we need to convert the client's weight from pounds to kilograms.

1 kg=2.2 Ib

? kg= 165Ib

=165/2.2

=75kg

Desired med is 1mg/kg

total dose to administer= 75mg

Available formulation is 30mg/0.3ml

total volume to administer

30mg=0.3ml

75mg= 75*0.3/30

=0.75ml

Rounded off to the nearest tenth = 0.8ml

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Correct Answer is ["3.5"]

Explanation

To convert pounds to kilograms, divide by 2.2: 154 lb / 2.2 = 70 kg. Then multiply by the dosage per kilogram: 70 kg x 50 mcg/kg = 3500 mcg. Next, convert micrograms to milligrams by dividing by 1000: 3500 mcg / 1000 = 3.5 mg. Finally, use the formula D/H x Q to find the volume to administer, where D is the dose, H is the strength of the solution, and Q is the quantity of the solution. Plug in the values: 3.5 mg / 1 mg/mL x 1mL = 3.5 mL. Round to the nearest tenth: 3.5 mL. Therefore, the nurse should administer 3.5 mL of milrinone.

A. The medication can be used for IV administration. B. The medication can be used for up to 14 days after reconstitution. C. The vial contains a single dose. D. The medication should be reconstituted with 0.9% sodium chloride solution.

Correct Answer is A

Explanation

Choice A rationale: The medication can be used for IV administration or IM administration as indicated in the label. Methylprednisolone is a corticosteroid that can be given intravenously to treat inflammatory conditions such as asthma, allergic reactions, rheumatoid arthritis, and multiple sclerosis. The medication label should indicate the route of administration, the concentration, the expiration date, and the storage conditions.

Choice B rationale: According to the label, the medication should not be used for more than 48 hours after reconstitution, and it should be stored in a refrigerator.

Choice C rationale: The vial contains multiple doses, and each dose should be withdrawn with a sterile syringe.

Choice D rationale: The medication should be reconstituted with bacteriostatic water for injection, not with 0.9% sodium chloride.

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A nurse is preparing to administer enoxaparin 1 mg/kg subcutaneous to a client who weighs 165 lb. Available is enoxaparin 30 mg/0.3 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.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer milrinone 50 mcg/kg IV loading dose to a client who weighs 154 lb. Available is milrinone 1 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["3.5"]

Explanation

A nurse is preparing to administer methylprednisolone. Which of the following information should the nurse identify as correct according to the medication label?

Correct Answer is A

Explanation

A nurse is preparing to administer enoxaparin 1 mg/kg subcutaneous to a client who weighs 165 lb. Available is enoxaparin 30 mg/0.3 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.)

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A nurse is preparing to administer enoxaparin 1 mg/kg subcutaneous to a client who weighs 165 lb. Available is enoxaparin 30 mg/0.3 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.)