A nurse is preparing to administer penicillin G benzathine 1,200,000 units IM to a school-age child. Available is penicillin G benzathine injection 600,000 units/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 calculate the volume of penicillin G benzathine injection required, divide the prescribed dose by the concentration available. In this case, 1,200,000 units prescribed divided by 600,000 units per mL results in 2 mL.
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Correct Answer is ["400"]
Explanation
To calculate the infusion rate in mL/hr, you can use the formula: (Total Volume in mL / Time in hours) x 60. For an infusion of 100 mL over 15 minutes, you would first convert the time to hours, which is 15 minutes divided by 60, equaling 0.25 hours. Then, you divide the total volume by the time in hours: 100 mL / 0.25 hours equals 400. Finally, multiply by 60 to convert to an hourly rate: 400 x 60 equals 24,000 mL/hr. However, this number needs to be rounded to the nearest whole number, without a trailing zero. Therefore, the IV pump should be set to deliver 400 mL/hr.
Correct Answer is ["30"]
Explanation
To calculate the dosage of dexamethasone in milliliters for the child, first convert the child's weight from pounds to kilograms, knowing that 1 kilogram equals 2.2 pounds. The child weighs 66 pounds, which is approximately 30 kilograms (66 / 2.2). According to the prescription, the child requires 0.2 mg of dexamethasone per kilogram per day. So, for a 30 kg child, the total daily dosage is 6 mg (30 kg * 0.2 mg/kg). This total daily dose should be divided into two doses, which means each dose will be 3 mg (6 mg / 2). Given that the available elixir concentration is 0.5 mg per 5 mL, to administer a 3 mg dose, the nurse would need 30 mL of the elixir (3 mg / 0.5 mg * 5 mL). Therefore, the nurse should administer 30 mL per dose.
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