A nurse is preparing to administer ondansetron 4 mg IM to a client who reports nausea following a cesarean birth. Available is ondansetron injection 2 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.)
The Correct Answer is ["2"]
To administer the correct dose of ondansetron, which is 4 mg intramuscularly, the nurse needs to calculate the volume of ondansetron injection required based on the concentration provided. The available ondansetron injection has a concentration of 2 mg/mL. To find the volume needed to deliver 4 mg, the nurse should divide the ordered dose by the concentration of the drug: 4 mg divided by 2 mg/mL equals 2 mL.
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Related Questions
Correct Answer is A
Explanation
A. Frequency of administration: The prescription does not specify how often the nystatin cream should be applied. This is a critical piece of information necessary for the safe and effective use of the medication, and the nurse should clarify it with the provider.
B. Concentration of the medication: The concentration of 100,000 units/g is a standard dosage for nystatin cream and does not require clarification.
C. Name of the medication: Nystatin cream is clearly identified in the prescription, so there is no ambiguity regarding the medication.
D. Route of administration: The prescription specifies that the cream should be applied to the affected area, indicating the topical route, which is clear and appropriate for nystatin cream.
Correct Answer is ["1.7"]
Explanation
To calculate the IV pump setting, first determine the total micrograms of dopamine needed per minute for the newborn: 5 mcg/kg/min * 4.4 kg = 22 mcg/min. Next, convert the available dopamine concentration to micrograms: 200 mg * 1000 mcg/mg = 200,000 mcg. Now, calculate how many micrograms are in each mL of the solution: 200,000 mcg / 250 mL = 800 mcg/mL. Then, determine how many mL are needed per minute to deliver the required 22 mcg/min: 22 mcg/min / 800 mcg/mL = 0.0275 mL/min. Finally, convert this to an hourly rate: 0.0275 mL/min * 60 min/hr = 1.65 mL/hr. Rounded to the nearest tenth, the IV pump should be set to deliver 1.7 mL/hr.
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