A nurse is preparing to administer midazolam 0.2 mg/kg via IV bolus now. The client weighs 220 lb. How many mg 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 ["20"]
To calculate the dose of midazolam to administer, we need to convert the client's weight from pounds to kilograms, and then multiply by the dose per kilogram.
Given: Client weight = 220 lb
Dose of midazolam = 0.2 mg/kg
First, let's convert the client's weight from pounds to kilograms:
1 lb ≈ 0.453592 kg (approximately 0.45 kg, for simplicity)
Client weight in kilograms ≈ 220 lb × 0.45 kg/lb ≈ 99 kg
Now, let's calculate the dose of midazolam:
Dose = Weight (in kg) × Dose per kg Dose ≈ 99 kg × 0.2 mg/kg = 19.8 mg
Rounded to the nearest whole number, the nurse should administer approximately 20 mg of midazolam.
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Related Questions
Correct Answer is ["0.5"]
Explanation
To find out how many tablets of buspirone the nurse should administer per dose, we'll use the formula:
Numberoftablets = Totaldoseneeded(mg)/Dosepertablet(mg)
Given: Total dose needed per dose = 7.5 mg/ Dose per tablet = 15 mg
Substituting the given values into the formula:
Numberoftablets = 7.5 mg/15 mg per tablet​
Numberoftablets = 7.5/15 tablets
Numberoftablets = 0.5 tablets
Rounded to the nearest tenth, the nurse should administer 0.5 tablets of buspirone per dose.
Correct Answer is A
Explanation
A. "I'll be glad when I can stop taking this medicine.": This statement indicates a misunderstanding about phenytoin therapy. Phenytoin is typically a long-term medication used to prevent seizures, and it is not typically discontinued unless under the guidance of a healthcare provider. The nurse should clarify that stopping the medication abruptly can lead to rebound seizures and should emphasize the importance of continuing the medication as prescribed.
B. "I have made an appointment to see my dentist next week.": This statement indicates appropriate understanding, as regular dental check-ups are important for individuals taking phenytoin due to the medication's potential side effect of gingival hyperplasia.
C. "I know that I cannot switch brands of this medication.": This statement demonstrates understanding, as different brands of phenytoin can have variations in bioavailability, which can affect seizure control. It is important for clients to remain consistent with the same brand or formulation unless directed otherwise by their healthcare provider.
D. "I will notify my doctor before taking any other medications.": This statement indicates understanding of the potential for drug interactions with phenytoin, as it is a hepatic enzyme inducer and can affect the metabolism of other medications. Clients should always consult their healthcare provider before taking any new medications or supplements to ensure compatibility with phenytoin therapy.
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