A nurse is preparing to administer filgrastim 5 mcg/kg/day subcutaneous to a client who weighs 143 lb. How many mcg should the nurse administer per day? (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 ["325"]
Dose= Weight in kg* dose per kg per day
Substitute values into the formula
143lb/2.2046 *5mcg per pay
The nurse will administer 325mcg per day
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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Correct Answer is A
Explanation
Diuretics decrease potassium reabsorption in the renal tubules leading to urinary loss. hypokalemia can lead to an apparent overdose of digoxin even if the dose is within the therapeutic range. taking a high ceiling diuretic leads to hypokalemia which worsens digoxin toxicity. It is essential to monitor potassium levels in clients taking digoxin to prevent complications.
B, C, D- These histories do not predispose to digoxin toxicity
Correct Answer is D
Explanation
metoclopramide is a dopamine antagonist which could interact with central dopamine receptors to cause tardive dyskinesia. The nurse should monitor the client for tardive dyskinesia, a serious movement disorder that can be caused by high-dose metoclopramide. When administering injections, it is generally recommended to inject the medication into the lateral thigh.
A-ACEIS, ARBS cause angioedema and persistent dry cough
B-Corticosteroids or other immunosuppressants increases risk of fungal infections such as oral candidiasis
C-anticoagulants can cause black stools which is a sign of upper GI bleeding.
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