A nurse is preparing to administer methylprednisolone sodium succinate 30 mg/kg via intermittent IV bolus to a client who weighs 169 lb. Available is methylprednisolone sodium succinate 125 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.)

Answer and Explanation

The Correct Answer is ["18"]

To calculate the dose of methylprednisolone sodium succinate that the nurse should administer, we can follow these steps:

Convert the client's weight from pounds to kilograms:

169 lb ÷ 2.2 = 76.82 kg (rounded to two decimal places)

Calculate the dose of methylprednisolone sodium succinate:

30 mg/kg × 76.82 kg = 2,304.6 mg

Determine the volume of methylprednisolone sodium succinate needed using the available concentration:

2,304.6 mg ÷ 125 mg/mL = 18.437 mL

Rounding to the nearest whole number, the nurse should administer 18 mL of methylprednisolone sodium succinate via intermittent IV bolus.

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Correct Answer is ["69"]

Explanation

To calculate the amount of voriconazole to be administered, we can follow these steps:

Convert the client's weight from pounds to kilograms.

Calculate the total amount of voriconazole needed based on the client's weight.

Determine the volume of the medication to be administered based on the concentration of the available solution.

Let's proceed with the calculations:

Converting the client's weight from pounds to kilograms:

Client's weight = 127 lb

1 lb ≈ 0.453592 kg

Client's weight ≈ 127 lb 0.453592 kg/lb ≈ 57.61 kg

Calculating the total amount of voriconazole needed:

Voriconazole dose = 6 mg/kg 57.61 kg ≈ 345.66 mg

Determining the volume of the medication to be administered:

Available voriconazole concentration = 5 mg/mL

Volume to be administered = 345.66 mg / 5 mg/mL ≈ 69.132 mL

Rounding to the nearest whole number, the nurse should administer 69 mL of voriconazole.

Correct Answer is ["150"]

Explanation

To calculate the IV pump rate for the 0.9% sodium chloride 1,200 mL IV to infuse over 8 hours, we can use the following formula:

IV pump rate (mL/hr) = Total volume (mL) / Time (hr)

Using the given values:

Total volume = 1,200 mL

Time = 8 hours

Plugging these values into the formula:

IV pump rate = 1,200 mL / 8 hr

IV pump rate = 150 mL/hr

So, the nurse should set the IV pump to deliver 150 mL/hr to infuse the 1,200 mL of 0.9% sodium chloride over 8 hours.

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Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer voriconazole 6 mg/kg via intermittent IV bolus to a client who weighs 127 lb. Available is voriconazole 5 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.)

Correct Answer is ["69"]

Explanation

A nurse is preparing to administer 0.9% sodium chloride 1,200 mL IV to infuse over 8 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["150"]

Explanation

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